Safety Study of Preservon-Treated Bone Implants for Cervical Fusion in the Treatment of Cervical Radiculopathy or Myelopathy
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Purpose
The purpose of this study is to compare the safety and efficacy of Preservon(TM) treated allograft bone dowels to traditional freeze-dried allograft bone dowels (control) for fusion of degenerated cervical intervertebral discs in the treatment of cervical radiculopathy or myelopathy.
Patient follow-up will be conducted at 6 weeks, 3 months, and 6 months. At 3 months after surgery, the implanted bone dowels will be assessed for subsidence; at 6 months after surgery, the implanted bone dowels will be assessed for fusion. Patients will complete questionnaires and x-rays taken at each visit.
The degree of subsidence and rate of fusion will be assessed based on the evaluation of the x-rays taken. The x-ray evaluation will be conducted by a neurosurgeon who is blinded to the type of treatment that each patient has received.
| Condition | Intervention |
|---|---|
|
Cervical Radiculopathy Myelopathy |
Procedure: Anterior Cervical Discectomy and Fusion |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Safety and Efficacy Comparison of Preservon Treated Allograft Bone Dowels Versus Traditional Freeze-Dried Allograft Bone Dowels for Fusion of Degenerated Cervical Intervertebral Discs in the Treatment of Cervical Radiculopathy or Myelopathy |
- Degree of subsidence [ Time Frame: 3 months post-op ] [ Designated as safety issue: No ]
- Rate of fusion [ Time Frame: 6 months post-op ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | September 2006 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Preservon |
Procedure: Anterior Cervical Discectomy and Fusion
1,2,3,or 4 level surgery
|
| Active Comparator: Control |
Procedure: Anterior Cervical Discectomy and Fusion
1,2,3,or 4 level surgery
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patient is skeletally mature
- Patient has confirmed radiculopathy or myelopathy
- Pain unresponsive to non-operative treatment
- Radicular pain in either or both upper extremities
- Neurological deficit in distribution of nerve root from C3/4 to C6/7
- Patient's lateral cervical spine x-rays show inferior aspect of lowest vertebral body to be fused
- Patient agrees to comply with protocol
- Patient can provide voluntary informed consent and follow-up information
Exclusion Criteria:
- Patient has previous cervical spine surgery
- Patient requires concurrent posterior surgery at level to be treated, or anterior and posterior surgery at any other cervical level
- Patient has clinically compromised vertebral body structure
- Patient has multi-level fixed/ankylosed cervical spine
- Patient has signs of significant instability at level to be treated or adjacent level
- Patient has history of metabolic bone disease
- Patient is taking chronic oral/IV corticosteroid therapy OR medications that potentially interfere with bone/soft tissue healing
- Patient has progressive neuromuscular disease, rheumatoid arthritis, active malignancy, OR any other condition that interferes with self-assessment of pain, function, or quality of life
- Patient has OPLL at any level
- Patient has active infection, local or systemic
- Patient is pregnant or considering pregnancy (x-ray requirements)
- Patient is participating in another investigational study
- Patient belongs to vulnerable population
Contacts and Locations| Contact: Bruce E. Mathern, M.D. | 804-828-9165 | bmathern@mcvh-vcu.edu |
| Contact: Robert S. Graham, M.D. | 804-828-9165 | rgraham@mcvh-vcu.edu |
| United States, Virginia | |
| VCU Medical Center | Recruiting |
| Richmond, Virginia, United States, 23298-0631 | |
| Contact: Bruce E Mathern, MD 804-828-9165 bmathern@mcvh-vcu.edu | |
| Principal Investigator: | Bruce E. Mathern, M.D. | VCU Medical Center |
More Information
No publications provided
| Responsible Party: | LifeNet Health |
| ClinicalTrials.gov Identifier: | NCT00344890 History of Changes |
| Other Study ID Numbers: | CR06-001, WIRB Protocol #20061453 |
| Study First Received: | June 23, 2006 |
| Last Updated: | April 11, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by LifeNet Health:
|
Cervical fusion Anterior Cervical Discectomy and Fusion ACDF |
Additional relevant MeSH terms:
|
Bone Marrow Diseases Spinal Cord Diseases Radiculopathy Hematologic Diseases |
Central Nervous System Diseases Nervous System Diseases Peripheral Nervous System Diseases Neuromuscular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013