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Evolusion Study Using the Zyga SImmetry Sacroiliac Joint Fusion System

Conditions
Sacroiliac Joint Dysfunction
Interventions
Device: SImmetry
Registration Number
NCT02074761
Lead Sponsor
Surgalign Spine Technologies
Brief Summary

Sacroiliac joint pain reduction and radiographic evidence of SIJ fusion will be collected to evaluate clinical performance of the SImmetry Sacroiliac Joint Fusion System.

Detailed Description

This is a prospective, non-randomized post market study designed to evaluate fusion and pain reduction following the use of the SImmetry System. This study will be conducted at up to 40 sites and 250 total subjects will be enrolled and followed through 24 months. Data will be collected pre-operatively, implant, and at specified follow-up time points through 24 months.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
250
Inclusion Criteria
  • At least three positive provocative tests for SIJ pain
  • Non-operative management of SIJ pain for ≥ 6 months prior to surgery
  • At least one positive diagnostic SIJ injection resulting in a ≥ 50% decrease in pain
  • VAS back pain score of ≥ 60 mm
  • The subject is at least 18 years of age

Key

Exclusion Criteria
  • Trauma causing fracture of the sacrum or iliac bones or has had spinal trauma leading to a neurological deficit, or pelvic soft tissue or bony tumors
  • Pregnant or is planning on becoming pregnant in the next two years
  • Chemical dependency abuse problems as evidenced by a history of abusing drugs which is documented in their past medical history or is elicited from an interview.
  • Receiving or seeking worker's compensation, disability remuneration, and/or involved in litigation related to low back or SIJ pain
  • History of significant emotional or psychosocial disturbance

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
SImmetry ImplantSImmetrySubjects who are indicated for the SImmetry device and meet the inclusion/exclusion criteria will receive a SImmetry implant.
Primary Outcome Measures
NameTimeMethod
SI Joint Fusion12 months

Fusion of the SI joint at 12 and 24 months, defined as presence of a continuous segment of solid bridging bone that extends from the sacrum to the ilium. This will be assessed by an independent core laboratory

SI Joint Pain Reduction6 Months

SI joint pain reduction evaluated by use of Visual Analogue Scale (VAS) for back pain for comparison of baseline to 6 months.

Secondary Outcome Measures
NameTimeMethod
SI Joint Pain Reduction12 months

SI joint pain reduction evaluated by use of Visual Analogue Scale (VAS) for back pain for comparison of baseline to all follow-up visits.

Disability6 months

Functional ability as determined by the Oswestry Disability Index

Quality of Life6 months

Quality of life as determined by EQ-5D

Trial Locations

Locations (22)

Essentia Health

🇺🇸

Duluth, Minnesota, United States

Kaiser Permanente

🇺🇸

Oakland, California, United States

BASIC Spine

🇺🇸

Newport Beach, California, United States

Rocky Mountain Spine Clinic

🇺🇸

Lone Tree, Colorado, United States

Orthopaedic Clinic of Daytona Beach

🇺🇸

Daytona Beach, Florida, United States

Central Florida Neurosurgery Institute

🇺🇸

Orlando, Florida, United States

DK Orthopaedics

🇺🇸

Crown Point, Indiana, United States

Flagler Hospital

🇺🇸

Saint Augustine, Florida, United States

Gainesville Physical Therapy

🇺🇸

Gainesville, Georgia, United States

Western Michigan University Homer Stryker MD School of Medicine

🇺🇸

Kalamazoo, Michigan, United States

Tristate Brain and Spine Institute

🇺🇸

Alexandria, Minnesota, United States

Regional Brain and Spine

🇺🇸

Cape Girardeau, Missouri, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Azalea Orthopedics

🇺🇸

Tyler, Texas, United States

Bellevue Bone and Joint Physicians

🇺🇸

Bellevue, Washington, United States

Black Hills Orthopedic & Spine Center

🇺🇸

Rapid City, South Dakota, United States

Fourth Corner Neurological Associates

🇺🇸

Bellingham, Washington, United States

Northwest Orthopaedic Specialists

🇺🇸

Spokane, Washington, United States

SBA Medical Center

🇺🇸

El Dorado, Kansas, United States

University of Utah

🇺🇸

Salt Lake City, Utah, United States

Portland Pain and Spine

🇺🇸

Portland, Oregon, United States

The CORE Institute

🇺🇸

Phoenix, Arizona, United States

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