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ArcadiusXP L Post Market Clinical Follow-Up

Completed
Conditions
Degenerative Disc Disease
Registration Number
NCT01895426
Lead Sponsor
Aesculap AG
Brief Summary

The purpose of this study is to collect clinical and radiological mid-term (2 years) data on the ArcadiusXP L® lumbar stand-alone cage in a post-market clinical follow-up study (PMCF) limited to 32 patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • all indications as given by the instructions for use
  • Patients with persisting lumbosacral and pseudo-radicular pain scheduled for monosegmental lumbar interbody fusion from L4 to S1
  • Age 18 - 60
  • at least 6 months of unsuccessful treatment including conservative measures
  • Non-sequestrated and subligamentous prolapse
Exclusion Criteria
  • all contraindications, which are listed in the instructions for use.
  • existing pregnancy, planned or occurring during study period
  • patients with a higher degree of segmental degeneration in other than the segment to be operated
  • body- mass-index (BMI) > 30
  • Systemic or local infection
  • Increased risk of osteoporosis according to assessment by the SCORE evaluation
  • Bone metabolism disorders
  • Chemotherapy or radiotherapy (ongoing or planned)
  • Participation in another clinical trial
  • Scheduled for spinal litigation
  • Other serious conditions that hinder the participation in the study
  • Nanogel® filling of the cage, prior to implantation was not done

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ODI (2y) - ODI(preop)2 years

Difference between Oswestry Disability Index (ODI) at 2 years and preoperative ODI

Secondary Outcome Measures
NameTimeMethod
Overall success2 years

* Improvement of at least 15 points in the Oswestry Disability Index score compared to the baseline score;

* No device failures requiring revision, reoperation, or removal;

* Absence of major complications, defined as major vessel injury or major neurological deterioration (e.g., nerve root injury);

* Maintenance or improvement in neurological status vs. baseline, with no permanent neurological deficits compared to baseline status.

Pain (back and leg)2 years

Pain levels (back and leg) as measured via Visual Analogue scale (VAS) at each timepoint

Adverse events2 years
Fusion/arthrodesis status, and further radiological documentation of operated and adjacent levels2 years

Angle difference in flexion and extension radiographs at each timepoint; analysis of AP and ML x-rays regarding changes in bone density (identification of bone bridges): CT/MRT are considered when available; consideration of pot. radiolucencies around the

Patient satisfaction2 years

"Would you have the Operation again?"

Concomitant pain medication2 years

Documentation of drug related medication

Trial Locations

Locations (2)

Sana Kliniken Sommerfeld

🇩🇪

Kremmen, Germany

St. Bonifatius Hospital Lingen

🇩🇪

Lingen, Germany

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