Prospective Analysis of the i-FactorTM Bone Graft on the Fusion Rate and Quality of Life of Patients With Adult Spine Deformity
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- Fusion rate
研究概览
简要总结
Adult spinal deformity surgery is a complex procedure that involves many risks and complications. Bone grafts and bone substitutes are essential to achieve fusion and manage stability in spinal surgery.
Autologous bone has been considered the "gold-standard" for obtaining a spinal fusion. However, the source from which to obtain it is limited. Furthermore, the problems of bone quality in patients with osteoporosis and the morbidity have forced the orthopedic community to seek other options.
I-Factor ™ Bone Graft (Cerapedics, Inc., Westminster, CO) is a compound formed by peptide P-15 bound to an anorganic bone mineral of bovine origin that is composed of porous and smooth hydroxyapatite (ABM) particles.
In the literature there are no articles which identify bone formation with the i-Factor ™ graft in more than 4 instrumented levels, therefore the development of this study will allow assessing the fusion rate and quality of life of patients, which could lead to an improvement in the management and decision-making of surgical procedures, as well as better control of healthcare spending
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of legal age.
- •Patients diagnosed with adult deformity, whether due to scoliosis, imbalance, thoracolumbar curves, etc. In which the minimum number of levels to be instrumented is 5, that is, 4 intervertebral discs.
- •Patients who provide their informed consent in writing. (In the event that the patient's circumstances do not allow him to grant consent, this may be provided by the legal representative).
- •Present radiological tests, computed tomography and / or magnetic resonance imaging prior to surgery.
- •The implants used in the surgery are Cobalt Chrome bars and Titanium screws and interbody cages.
排除标准
- •Patients who are expected to be unavailable for follow-up.
- •Patients with mental disabilities that make it difficult for them to fill in the questionnaires.
- •Patients who have had other types of implants placed, other than Cobalt Chrome bars and Titanium screws and interbody cages.
- •Patients who are going to have cemented and / or expansive screws, Peek boxes or another type of material other than Titanium.
- •Underlying neurological or neuromuscular disease.
- •Underlying inflammatory or tumor disease.
结局指标
主要结局
Fusion rate
时间窗: 2 years
The success of the fusion at 12 and 24 months will be determined by a specialized radiologist by the evidence in the CT scan of trabecular bone bridges between the inter-transverse areas of the vertebral bodies and the absence of radiolucency adjacent to the implants.
Minimal Clinically Important Difference (MCID)
时间窗: 2 years
Minimal clinically important difference is defined a smallest clinical change that is important to the patient.
Short Form Health Survey-12 General Quality of life questionnaire
时间窗: 2 years
The questions that follow ask what you think about your health. Your answers will allow you to know how you are and to what extent you are able to do your usual activities. Patients improve when the puntuation is more than 50.
Owestry disability index
时间窗: 2 years
Disability index questionnaire Maximun value=100 Minimun value=0 Patients improve when this index is arround 0
VISUAL ANALOGUE SCALE
时间窗: 2 years
Is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. Maximun value=10 Minimun value=0 Patients improve when this index is arround 0
Scoliosis Research Society (SRS-22)
时间窗: 2 years
Scoliosis reseach society questionnaire 22 questions 5 options Dimensions Pain Function Selfimage Mental Health Satrisfaction Puntuation for item and test: 1(worse) - 5(better)
次要结局
未报告次要终点
研究者
Manuel Fernández González
Jefe de Servicio
Complejo Asistencial Universitario de León Urgencias