Lumbar Spinal Stenosis Clinical Trial
Official title:
The Investigational Plan for the Evaluation of the ACADIA® Facet Replacement System
The purpose of this study is to determine if the ACADIA® Facet Replacement System is effective in the treatment of spinal stenosis. The primary objective of the study is to evaluate the overall success rate of the Anatomic Facet Replacement System in patients with spinal stenosis when compared to a posterior spinal fusion control.
Spinal Stenosis continues to be a major cause of back and leg pain. The condition is
attributed to narrowing of the space around the nerves in the lumbar spine. This is often
caused by the degenerative process in the spine and the facet joints. The current treatment
calls for removal of bone around the affected nerve including the facet joints and fusing the
posterior of the spine to ensure the segments remain stable.
The ACADIA® Facet Replacement System (AFRS) allows for an anatomic reconstruction of the
facet joint after decompression and removal of the degenerated facet. Like the original facet
joint, the replacement implant is designed to reproduce facet motion while restoring normal
stability and motion.
The ACADIA® Facet Replacement System (AFRS) has been designed on the principals that have
allowed other total joint replacement procedures to provide significant patient benefits.
These guiding principals include:
- Anatomically based implant design
- Reproducible surgical technique
- Elimination of pain
The ACADIA® Facet Replacement System allows the surgeon to remove the offending bone while
preserving the motion of the facet joint.
This study will evaluate the outcomes of patients using the AFRS™ investigation compared to
those receiving instrumented posterior fusion procedure. Patients will be required to
complete study visits before the procedure and at 6 weeks, 3, 6, 12, 24 months post procedure
and annually thereafter as required by FDA. Follow up visits consist of administration of
questionnaires, radiographs and neurological assessment.
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