Degenerative Disc Disease Clinical Trial
Official title:
A Prospective, Nonrandomized Study to Assess Lumbar Fusion Using Interbody Cages With Autograft in Conjunction With Instrumented Posterolateral Gutter Fusions Using nanOss Bioactive and Autograft Bone.
nanOss Bioactive is approved for use in the U.S. The purpose of this study is to compare fusion results in the posterolateral spine using nanOss Bioactive mixed with autograft bone and bone marrow aspirate (BMA) on one side and autograft alone on the opposite side of the treated level(s). It is hypothesized that the use of nanOss Bioactive will result in fusion at 12 months, with CT evidence of bridging trabecular bone, less than 3mm of translational motion, and less than 5 degrees of angular motion.
The post market clinical investigation is designed to assess instrumented posterolateral
fusion (PLF) using nanOss Bioactive bone void filler with autograft bone and bone marrow
aspirate in patients with symptomatic spinal stenosis secondary to degenerative disc disease
with up to Grade 1 spondylolisthesis at one or two adjacent levels from L2-S1.
Preoperatively, the participant will provide his/her medical history and complete self
assessment forms. The investigator will perform a clinical evaluation and x-rays will be
performed if recent x-rays are not available. Participants will undergo instrumented PLF with
an interbody fusion device (with autograft or allograft) using nanOss Bioactive in
combination with autograft bone and bone marrow aspirate in one posterolateral gutter and
autograft alone in the opposite posterolateral gutter.
Following surgery, operative and discharge information will be collected and a clinical
evaluation will be performed prior to discharge. Participants will be evaluated 6 and 12
months postoperatively. One investigational site will participate in long-term followup of 24
months. Each participant will complete x-rays and self assessment documents. A CT scan
performed at the 12 month postoperative visit will be evaluated by an independent radiologist
to assess fusion results. Complication data will be recorded throughout the study.
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