MedPath

Supplemental Anterior Lumbar Interbody Fusion (ALIF) in Spinal Deformity

Not Applicable
Completed
Conditions
Spinal Deformity
Interventions
Device: Tantalum cage from Zimmer
Registration Number
NCT01601054
Lead Sponsor
Rigshospitalet, Denmark
Brief Summary

Within the last decade there has been an increase in the number of surgical procedures for deformities of the spine. This is caused by the increase in the elderly population, improved surgical techniques and an increased number of patients who have undergone previous surgical treatment for degenerative conditions of the spine. Surgical treatment of spinal deformities bears a revision rate between 15 and 30% depending on definition, and one of the primary reasons for revision surgery is implant loosening in the lumbosacral region.

The hypothesis of the study is that a procedure resulting in anterior fusion of the lumbar spine in addition to the usual posterior instrumentation can reduce the revision rate with 50%.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • 18 years or more of age
  • planned posterior instrumented fusion from thoracic spine to sacrum and/or ilium
Exclusion Criteria
  • malignancy
  • infection

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Posterior instrumentation aloneTantalum cage from ZimmerPosterior pedicle screw instrumentation
Anterior lumbar interbody fusionTantalum cage from ZimmerAnterior lumbar interbody fusion using a tantalum cage. Cage will be inserted through a left sided retroperitoneal approach.
Primary Outcome Measures
NameTimeMethod
Revision12 months

Surgical revision rate because of implant failure or pseudarthrosis within 12 months after primary procedure

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Spine Unit, Rigshospitalet, 9 Blegdamsvej

🇩🇰

Copenhagen, Osterbro, Denmark

© Copyright 2025. All Rights Reserved by MedPath