ViBone in Cervical and Lumbar Spine Fusion
- Conditions
- Cervical SpondylosisSpondylolisthesisDegenerative Disc DiseaseSpondylosisHerniated Nucleus Pulposus
- Interventions
- Other: ViBone
- Registration Number
- NCT03425682
- Lead Sponsor
- Elutia Inc.
- Brief Summary
Assess clinical and radiographic outcomes in patients who undergo 1-3 level anterior cervical discectomy fusion (ACDF) or lumbar interbody fusion (TLIF, PLIF, ALIF, or LLIF) using ViBone.
- Detailed Description
This study is a prospective, multi-center study to evaluate the clinical and radiographic outcomes of ViBone in patients undergoing ACDF or lumbar interbody fusion. Data will be gathered for subjects undergoing ACDF surgery and subjects undergoing lumbar fusion surgery using ViBone. Total enrollment is expected to be approximately 100 subjects. The purpose of this study is to assess clinical and radiographic outcomes in patients who undergo 1-3 level ACDF or lumbar interbody fusion surgery using ViBone. Subjects will be followed for 12 months following surgery.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 118
- Male or female, 18-80 years of age
- For cervical cases - ACDF surgery at 1, 2, or 3 contiguous levels between C2-C7
- For lumbar cases - lumbar interbody fusion surgery at 1, 2, or 3 contiguous levels between L1-S1
- Patient signed Consent Form with HIPAA Authorization
- Appropriate candidate for surgery
- Patient will adhere to the scheduled follow-up visits and requirements of the protocol including routine patient exams - pre-operative, operative, and at least two post- operative visits (6 and 12 months post-surgery). Pre-operative and post-operative visits include X-ray (required) and CT scan (if available).
- Long term use of medications that are known to inhibit fusion or bone metabolism or immune suppressants 6 months prior to surgery (i.e., steroids, chemotherapy, DMARDs, etc.)
- Treatment with radiotherapy
- Acute or chronic systemic or localized spinal infections
- Instability associated with major reconstructive surgery for primary tumors or metastatic malignant tumors of the cervical (for ACDF patients) or lumbar (for TLIF, PLIF, ALIF, or LLIF patients) spine
- Previous pseudoarthrosis at any level of the cervical (for ACDF patients) or lumbar (for
- TLIF, PLIF, ALIF, or LLIF patients) spine
- Nursing mothers or women who are pregnant or plan to become pregnant during the course of the study
- Current or recent history of malignancy or infectious disease. Patients with current or recent history of basal cell carcinoma are eligible.
- Inability to provide informed consent
- Rapid joint disease, bone absorption, osteomalacia, and/or diagnosed osteoporosis (bone density score of ≤-2.5).
- Other medical or surgical conditions which would preclude the potential benefit of surgery, such as congenital abnormalities, immunosuppressive disease, elevation of sedimentation rate unexplained by other diseases, elevation of white blood count (WBC), or marked left shift in the WBC differential count.
- Active local or systemic infection or is undergoing adjunctive treatment for local or systemic infection.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Cervical Fusion - ACDF ViBone Up to 50 patients undergoing anterior cervical discectomy and fusion (ACDF) using ViBone will be enrolled. Lumbar Interbody Fusion ViBone Up to 50 patients undergoing lumbar interbody fusion (TLIF, PLIF, ALIF, or LLIF) using ViBone will also be enrolled.
- Primary Outcome Measures
Name Time Method Fusion Rates Per Level Using the Bridwell Interbody Grading Scale 12 months Successful fusion rates for ViBone as defined by Grade I or II level of fusion on the Bridwell Interbody Grading Scale (below). The percentages below show at 12 months the amount of fusion per level for cervical and lumbar fusion procedures utilizing ViBone.
Grade I: Fused with remodeling and trabeculae present. Grade II: Graft intact, not fully remodeled and incorporated, but no lucency present.
Grade III: Graft intact, potential lucency present at top and bottom of graft. Grade IV: Fusion absent with collapse/resorption of graft.
- Secondary Outcome Measures
Name Time Method Percent Change From Baseline in Oswestry Disability Index (ODI) at 12 Months Baseline and 12 months Oswestry Disability Index (ODI) improvement relative to baseline for lumbar spine fusion (0-100) 0 is no disability and 100 is bed-bound.
Percent Change From Baseline in Neck Disability Index (NDI) at 12 Months Baseline and 12 months Neck Disability Index (NDI) improvement relative to baseline for cervical spine fusion Scale of 0 - 100, where 0 is no problems at all and 100 is severely affected.
Percent Change From Baseline in Visual Analog Scale (VAS) at 12 Months Baseline and 12 months Visual Analog Scale (VAS) for pain improvement relative to baseline (Pain scale from 0-10, with 0 being No Pain and 10 being Worst Pain)
Trial Locations
- Locations (4)
Anne Arundel Medical Group
🇺🇸Annapolis, Maryland, United States
Connecticut Neck & Back Specialists, LLC
🇺🇸Danbury, Connecticut, United States
Spine Institute of San Diego
🇺🇸San Diego, California, United States
Orthopedic Specialists of Austin
🇺🇸Austin, Texas, United States