Prospective Study of Thoracolumbar Spinal Fusion Graft Efficacy: Bone Marrow Aspirate Concentrate Versus Iliac Crest Bone Graft
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 17
- 试验地点
- 3
- 主要终点
- Length of Stay
研究概览
简要总结
This study is a single-center, prospective randomized clinical study intended to compare and evaluate the efficacy of subjects who are treated with bone marrow aspirate concentrate (BMAC) and allograft to iliac crest bone grafts (ICBG) during posterior lumbar/lumbosacral spinal fusion.
详细描述
Subjects who are candidates for posterior lumbar or lumbosacral spinal fusion without anterior interbody support will be screened for inclusion in the study. Participants will be enrolled and randomized to either the BMAC + allograft or ICBG group. An enrollment ratio of two BMAC + allograft to one ICBG subject (2:1) for up to a total of 40 subjects will be enrolled in the study which also accounts for failed screening subjects. The study will determine and compare differences in fusion rate and health related quality of life parameters at 6 weeks, 3 months, 6 months, 1 year, and 2 years postoperatively.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Must be 18 years old or older
- •Scheduled for elective posterior spinal fusion of the thoracolumbar spine or lumbar spine with or without anterior interbody support
- •Failed at least 6 weeks of conservative care
- •ODI v2.1 score > 30%
- •No contraindication to BMAC (as per manufacturer)
- •Signed consent form
排除标准
- •Spondylolisthesis grade ≥ 3
- •Pagets disease, osteomalacia, or any metabolic bone disease
- •Use of medications that interfere with bone healing (chronic steroids)
- •Patient unlikely to comply with post-op schedule with physician
- •Recent history of chemical dependency
- •Participation in other investigational device trial(s) within past 30 days
- •Active malignancy
- •Pregnancy or planning to become pregnant
- •Direct involvement in execution of this protocol
研究组 & 干预措施
BMAC & Allograft
Subjects will be treated with bone marrow aspirate concentrate (BMAC) and allograft during posterior lumbar/lumbosacral spinal fusion. During lumbar spine surgery, 12 teaspoons of bone marrow will be taken (aspirated) from one side of hip bone. This may be repeated on the other side of hip bone for a total of 12, 24, or 36 teaspoons of bone marrow total taken from your hip bone depending on the decision made by the surgeon. The bone marrow will then be concentrated with a machine for 15 minutes to a final volume of 2, 4, or 6 teaspoons of BMAC. BMAC will be combined with packed allograft bone chips using another machine to produce two or three constructed bone logs. The bone logs will be laid along the backside of the spine and between each vertebral body.
干预措施: BMAC & Allograft (Procedure)
Iliac Crest Bone Graft
Subjects who are in the Iliac Crest Bone Graft arm will be treated with Iliac crest bone grafts (ICBG) during posterior lumbar/lumbosacral spinal fusion. During lumbar spine surgery, the surgeon will make an incision to expose the iliac crest (hip bone), and cutting out the segments of the bone that will be needed, based on the decision of the surgeon. The bone chips will be laid along the backside of the spine and also between each vertebral body where the bone will fuse into place. When the bone becomes solid/fused, there is no movement in the fused spine.
干预措施: Iliac Crest Bone Graft (Procedure)
结局指标
主要结局
Length of Stay
时间窗: Post Operative 1 Year
CT scan to assess fusion status
时间窗: Pre-operative, Post Operative 1 Year
Oswestry Disability Index (ODI)
时间窗: Pre-operative, Post Operative 1 Year
Short Form Health Survey (SF-12)
时间窗: Pre-op, Post Operative 1 Year
Numeric Pain Rating Scale
时间窗: Pre-op, Post Operative 1 Year
次要结局
未报告次要终点