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Rampart Duo Clinical (RaDical) Post-Market Study

Completed
Conditions
Lumbar Degenerative Disc Disease
Interventions
Other: In this evaluation, no interventions are performed. It is a data collection effort only. The "procedure" for this study is the data collection effort.
Registration Number
NCT03974711
Lead Sponsor
Spineology, Inc
Brief Summary

This exempt, minimal risk, prospective, post-market, registry, multi-center, Institution Review Board (IRB) approved observational clinical evaluation was conducted at 10 centers. A total of 197 patients were enrolled. The evaluation collected data in a real-world patient population and was a data collection initiative only. No patient treatments or care were performed as a component of the protocol. All patient care received was on-label and standard of care for lateral lumbar interbody fusions. The data collected in this evaluation is intended to contribute to the body of literature for lateral lumbar interbody fusions.

Detailed Description

The purpose of this study was to collect data that reports on the clinical outcomes of patients that were treated with the Spineology Rampart DUO device in a standard of care instrumented lateral lumbar interbody fusion procedure at one or two contiguous levels from L2-L5. Data was collected prospectively at specified time points per protocol and included both objective and subjective measures. The study concluded when the final patient achieved their 12-month evaluation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
197
Inclusion Criteria
  • A clinical decision has been made to treat the patient with the Rampart Duo Interbody Spacer prior to enrollment into this research evaluation. This decision is independent (made outside) of the decision to take part in the research.
Exclusion Criteria
  • Previous interbody fusion or total disc replacement at the index level(s).
  • Enrolled in a concurrent clinical investigation that may confound the findings of the present investigation.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
All study subjectsIn this evaluation, no interventions are performed. It is a data collection effort only. The "procedure" for this study is the data collection effort.Note: No interventions are administered under this evaluation. This is a real-world population. The determination to undergo a lateral lumbar interbody fusion procedure is made outside of this evaluation and is a standard of care, on-label procedure.
Primary Outcome Measures
NameTimeMethod
Short-term objective 1: New onset of thigh symptoms -- Anterior Thigh Pain Change from Baseline3 months

Change from Baseline anterior thigh pain score through 3-months. Pain assessment captured on 100 mm VAS. A higher VAS score represents a worsening of pain.

Short-term objective 1: New onset of thigh symptoms -- Thigh Neurological Change from Baseline3 months

Change from baseline in anterior thigh neurological assessment through 3 months. Anterior Thigh Neurological deficit defined as a negative change in strength (hip/flexor weakness) or sensation (anterior thigh).

Long-term objective 1: Patient Low back pain change over timeThrough 12 months postoperative.

Pain measured on 100 mm VAS and compared to baseline.

Short-term objective 2: Hospital economics -- Blood LossEBL collected at time of surgery.

Estimated blood loss (EBL) shall be compared to published literature.

Short-term objective 2: Hospital economics -- Duration of SurgeryDoS collected at time of surgery.

Duration of surgery (DoS) defined as time from incision to closure shall be compared to published literature.

Short-term objective 2: Hospital economics -- Time-to-DischargePerioperative.

Time-to-discharge (TTD) defined as time from hospital admission to the time the subject is discharged from the hospital and it shall be compared to published literature.

Long-term objective 1: Patient Low back function change over timeThrough 12 months postoperative.

Low back function determined on Oswestry Disability Index (ODI) and compared to baseline.

Secondary Outcome Measures
NameTimeMethod
Additional Outcomes 1 - Radiographic AssessmentsAssessed at 12 months postoperative.

Assess for fusion status

Trial Locations

Locations (10)

Orthopaedic Institute of Western Kentucky

🇺🇸

Paducah, Kentucky, United States

Spine Institute of Louisiana

🇺🇸

Shreveport, Louisiana, United States

Loma Linda University

🇺🇸

Loma Linda, California, United States

Bell Neuroscience Institute/Washington Township Medical Foundation

🇺🇸

Fremont, California, United States

South Florida Spine & Orthopedics

🇺🇸

Coconut Creek, Florida, United States

Napa Valley Orthopaedic Medical Group

🇺🇸

Napa, California, United States

Orthopedic Institute of Pennsylvania

🇺🇸

Camp Hill, Pennsylvania, United States

Austin Spine Specialists

🇺🇸

Austin, Texas, United States

Spine Works Institute

🇺🇸

North Richland Hills, Texas, United States

Georgetown University Hospital

🇺🇸

Washington, District of Columbia, United States

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