Study of Recombinant Human Bone Morphogenetic Protein-2 and Absorbable Collagen Sponge With the Cornerstone-SR™ Allograft Ring and the ATLANTIS™ Anterior Cervical Plate System in Treatment of Patients With Degenerative Cervical Disc Disease
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Degenerative Cervical Disc Disease
- Sponsor
- Medtronic Spinal and Biologics
- Enrollment
- 3
- Primary Endpoint
- Overall Success
- Status
- Terminated
- Last Updated
- 12 years ago
Overview
Brief Summary
The purpose of this trial is to evaluate the implant (INFUSE™ BONE GRAFT/CORNERSTONE-SR™ Allograft Ring/ATLANTIS™ Anterior Cervical Plate system) as a method of facilitating spinal fusion in patients with cervical symptomatic degenerative disc disease.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Cervical disc disease defined as: intractable radiculopathy and/or myelopathy with at least one of the following items producing symptomatic nerve root and/or spinal cord compression which is documented by diagnostic imaging procedures:
- •herniated disc;
- •osteophyte formation;
- •decreased disc height;
- •thickening of ligamentous tissue;
- •disc degeneration; and/or
- •facet joint degeneration.
- •Has preoperative Neck Disability Index score \> 30;
- •Has single cervical disc disease level requiring fusion from C2 to C7;
- •No previous surgical intervention at the involved fusion level;
Exclusion Criteria
- •Has cervical spinal condition requiring surgical treatment other than symptomatic cervical disc disease at the involved level.
- •Has a condition which requires postoperative medications that interfere with fusion, such as steroids or prolonged non-steroidal anti-inflammatory drugs excluding routine perioperative anti-inflammatory drugs. This does not include low dose aspirin for prophylactic anticoagulation.
- •Has been previously diagnosed with osteopenia, or osteomalacia.
- •Has any of the following that may be associated with a diagnosis of osteoporosis (if "Yes" to any of the below risk factors, a DEXA Scan will be required to determine eligibility).
- •Postmenopausal Non-Black female over 60 years of age and weighs less than 140 pounds.
- •Postmenopausal female that has sustained a non-traumatic hip, spine, or wrist fracture.
- •Male over the age of
- •Male over the age of 60 that has sustained a non-traumatic hip or spine fracture.
- •If the level of BMD is a T score of -3.5 or a T score of -2.5 with vertebral crush fracture, the patient is excluded from the study.
- •Has presence of active malignancy or prior history of malignancy, except for basal cell carcinoma of the skin.
Outcomes
Primary Outcomes
Overall Success
Time Frame: 12 month
A patient will be considered an overall success if all of the following conditions are met: 1. fusion; 2. pain/disability (Neck Disability Index) Improvement; 3. maintenance or improvement in neurological status; 4. no serious adverse event classified as "implant associated" or "implant/surgical procedure associated"; 5. no additional surgical procedure classified as a "failure".
Secondary Outcomes
- Disc Height Measurement(12 month)
- General Health Status (SF-36)(12 month)
- Pain Status (neck pain, arm pain)(12 month)
- Patient Satisfaction(12 month)
- Patient Global Perceived Effect(12 month)