NCT03477955

Brief Summary

A retrospective study that aims to report Adjacent Segment Degeneration (ASD) incidence and spinopelvic balance in short lumbosacral instrumentation for degenerative lumbar spinal stenosis. Although ASD is a common complication following lumbar fusion, the effect of an Interspinous Spacer (IS) in the supradjacent segment in short lumbosacral instrumented fusion and its interaction with spinopelvic balance has not been studied adequately.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
55

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Apr 2006

Longer than P75 for not_applicable

Status
completed

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

Study Start

First participant enrolled

April 1, 2006

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2006

Completed
3.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2009

Completed
8.3 years until next milestone

First Submitted

Initial submission to the registry

March 3, 2018

Completed
24 days until next milestone

First Posted

Study publicly available on registry

March 27, 2018

Completed
Last Updated

April 10, 2018

Status Verified

April 1, 2018

Enrollment Period

Same day

First QC Date

March 3, 2018

Last Update Submit

April 6, 2018

Conditions

Keywords

spinopelvic alignmentshort lumbosacral instrumentationPEEKsilicon spacer

Outcome Measures

Primary Outcomes (1)

  • Quality of Life

    Oswestry Disability Index scale (0-100)

    Three years

Secondary Outcomes (3)

  • Disc heights

    Three years

  • Sacral Slope

    Three years

  • Pain

    Three years

Study Arms (3)

Peek Group

ACTIVE COMPARATOR

Patients that received PEEK interspinous spacer

Procedure: PEEK interspinous spacer

Silicon Group

ACTIVE COMPARATOR

Patients that received Silicon interspinous spacer and did not receive PEEK interspinous spacer

Procedure: PEEK interspinous spacer

Control Group

ACTIVE COMPARATOR

Patients that did not receive PEEK interspinous spacer nor Silicon interspinous spacer

Procedure: PEEK interspinous spacer

Interventions

To study the Adjacent Segment Degeneration incidence in the supradjacent segment following short lumbar fusion between PEEK and Silicon Interspinous spacers.

Also known as: Silicon interspinous spacer
Control GroupPeek GroupSilicon Group

Eligibility Criteria

Age49 Years - 71 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Preoperative MRI with degeneration grades\<III at the 1st supradjacent lumbar segment.

You may not qualify if:

  • Body mass index≥40kg/m\*m
  • Severe osteoporosis
  • Lumbar fracture
  • Preoperative SVA\>4cm
  • Spondylolisthesis grades\>II or spondylolytic lesion and acquired spinous process insufficiency in the supradjacent segment cephalad to instrumentation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Korovessis P, Syrimpeis V, Tsekouras V, Vardakastanis K, Fennema P. PEEK versus Silicon Interspinous Spacer for Reduction of Supradjacent Segment Degeneration following Decompression and Short-Segment Instrumentation for Degenerative Lumbar Spinal Stenosis. Adv Orthop. 2018 Aug 8;2018:1623647. doi: 10.1155/2018/1623647. eCollection 2018.

Study Officials

  • Panagiotis Korovessis, PhD

    General Hospital of Patras

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Orthopaedic Surgeon

Study Record Dates

First Submitted

March 3, 2018

First Posted

March 27, 2018

Study Start

April 1, 2006

Primary Completion

April 1, 2006

Study Completion

November 1, 2009

Last Updated

April 10, 2018

Record last verified: 2018-04