NCT01528072

Brief Summary

The purpose of this study is to assess the safety and fusion rates following posterior lateral fusion with the Dynesys Spinal System used as an adjunct to fusion and compare to literature control.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
153

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2012

Longer than P75 for not_applicable

Geographic Reach
1 country

9 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 2, 2012

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 7, 2012

Completed
23 days until next milestone

Study Start

First participant enrolled

March 1, 2012

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2017

Completed
2.8 years until next milestone

Results Posted

Study results publicly available

January 29, 2020

Completed
Last Updated

January 29, 2020

Status Verified

January 1, 2020

Enrollment Period

5.1 years

First QC Date

February 2, 2012

Results QC Date

June 5, 2019

Last Update Submit

January 17, 2020

Conditions

Keywords

Dynesys Dynamic Stabilization SystemSpondylolithesispseudoarthrosisneurologic impairmentfailed fusion

Outcome Measures

Primary Outcomes (1)

  • Fusion Rates

    Fusion was defined by meeting three criteria: * rotation \< 5° between motion segments on flexion-extension radiographs * translation \< 3 mm between motion segments on flexion-extension radiographs * presence of bridging bone. Fusion assessment for each patient was categorized as one of the four defined outcomes: fused, not fused, partial fusion, or UA (unable to assess). Efficacy was confirmed by the achievement of fusion in the experimental group when compared to the rate established in a literature control.

    24 months post surgery date

Study Arms (1)

Dynesys System

EXPERIMENTAL

All patients will receive the Dynesys System and all patients will be compared to historical literature control. Dynesys Spinal System will be used for all subjects.

Device: Dynesys Spinal System

Interventions

Dynesys Spinal System will be used for all subjects

Dynesys System

Eligibility Criteria

Age20 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Skeletally mature between the ages of 20-80
  • Candidate for posterior lateral fusion between T1-S1 with autograft
  • Degenerative spondylolisthesis with evidence of neurologic impairment or failed previous fusion (pseudoarthrosis)
  • Symptoms of leg and/or back pain
  • Non-responsive to conservative/non-surgical treatment for at least three (3) months
  • Must be willing and able to comply with study requirements; including complete necessary study paperwork and return for required follow-up visits

You may not qualify if:

  • Active systemic or local infection
  • Obesity
  • Use of interbody device
  • Pregnancy
  • Mental illness
  • Incarceration
  • Alcohol or drug abuse
  • Severe osteoporosis or osteopenia
  • Use in the cervical spine
  • Sensitivities/allergy to metals, polymers, polyethylene, polycarbonate urethane and polyethylene terephthalate
  • Soft tissue deficit not allowing sound closure
  • Any medical or physical condition that would preclude the potential benefit of spinal implant surgery
  • Congenital abnormalities, tumors or other conditions that would prevent secure component fixation that has the potential to decrease the useful life of the device
  • Active malignancy or other significant medical comorbidities
  • Any medical or mental condition which would put the patient at high risk due to the severity of surgery
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Neurological Surgery of Southern Ill

Belleville, Illinois, 62226, United States

Location

Greater Baltimore Medical Center

Baltimore, Maryland, 21204, United States

Location

Pine Heights Medical Center

Baltimore, Maryland, 21229, United States

Location

NYU - Center for Musculoskeletal Care

New York, New York, 10003, United States

Location

Riverhills Healthcare, Inc

Cincinnati, Ohio, 45242, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19106, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

OrthopaediCare

Willow Grove, Pennsylvania, 19090, United States

Location

Danville Orthopedics and Spine

Danville, Virginia, 24541, United States

Location

MeSH Terms

Conditions

PseudarthrosisSpondylolisthesis

Condition Hierarchy (Ancestors)

Fractures, UnunitedFractures, BoneWounds and InjuriesSpondylolysisSpondylosisSpinal DiseasesBone DiseasesMusculoskeletal Diseases

Limitations and Caveats

Early termination lead to a significant subset of subjects to not make it to the final follow up time interval. This resulted in small numbers of subjects analyzed for fusion and literature control was not used as planned originally in protocol.

Results Point of Contact

Title
Clinical Affairs
Organization
Zimmer Biomet Spine

Study Officials

  • Joel Batts

    Zimmer Biomet Spine

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 2, 2012

First Posted

February 7, 2012

Study Start

March 1, 2012

Primary Completion

April 1, 2017

Study Completion

April 1, 2017

Last Updated

January 29, 2020

Results First Posted

January 29, 2020

Record last verified: 2020-01

Locations