Cervical Degenerative Disc Disease Clinical Trial
Official title:
A Single Site Post-Market Data Collection Protocol to Evaluate the Performance of Synergy Spine Solutions Synergy Disc®
| NCT number | NCT05880823 |
| Other study ID # | CP 21-001-GER01 |
| Secondary ID | |
| Status | Recruiting |
| Phase | |
| First received | |
| Last updated | |
| Start date | January 1, 2024 |
| Est. completion date | May 2033 |
This is a real world data collection observational study at a single site. There are both prospective and retrospective cohorts. The study will examine the safety and effectiveness of the Synergy cervical disc system in patients with degenerative cervical disc disease.
| Status | Recruiting |
| Enrollment | 50 |
| Est. completion date | May 2033 |
| Est. primary completion date | May 2028 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 21 Years and older |
| Eligibility | Inclusion Criteria: - Age 21 or above at the time of the surgery. - Have had (retrospective cohort) or the decision has been made to have (prospective cohort) the Synergy Disc implanted - Skeletally mature patients for reconstruction of the disc from C3-C7 following a single or multiple level discectomy for intractable radiculopathy - Intractable radiculopathy and/or myelopathy with at least one of the following producing symptomatic nerve root and/or spinal cord compression: - herniated disc and/or osteophyte formation - Symptomatic nerve root and/or spinal cord compression documented by patient history (arm or neck pain and/or neurologic deficit) and imaging (CT, MRI, x-rays, etc.) - Failed a minimum of 6 weeks conservative treatment - Written informed consent given by subject. Exclusion Criteria: - Exclusion Criteria: All answers must be NO to be eligible for the study. - Moderate to advanced spondylosis - Diagnosis of osteoporosis - Active systemic infection or infection at the operative site - Pregnancy - Marked cervical instability on lateral, coronal, or flexion/extension radiographs - Cervical spine condition other than symptomatic cervical disc disease requiring surgical treatment at the involved level - Severe pathology of the facet joints of the involved vertebral bodies - Previous diagnosis of osteopenia or osteomalacia - More than one immobile vertebral level between C1 and T1 from any cause - Morbid obesity - Vulnerable person (pregnant patients, emergency cases, children, prisoners and people without mental capacity) |
| Country | Name | City | State |
|---|---|---|---|
| Germany | Neurochirurgie am Gasteig | Munich | Bavaria |
| Lead Sponsor | Collaborator |
|---|---|
| Synergy Spine Solutions | MCRA |
Germany,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Neck Disability Index (NDI) | Neck disability Index improvement of >15 pts (out of 100) in subjects by 12 months post operative compared with baseline. A lower score is a better score. | 12 months | |
| Primary | Device Related or Device Procedure Related Adverse Events | Absence of major device related adverse events defined as radiographic failure, neurologic failure or failure by adverse event | 12 months | |
| Secondary | Neck and Arm Pain Measurement | Pain will evaluated by the Visual analog scale (VAS) (place a line from zero where there is no pain to 10 which is the worst pain imaginable), by NRS (circle a number from zero to ten where zero equals no pain and ten is worst imaginable) to or a verbal description that the doctor writes down, per the site's Standard of Care. A change of at least 20 mm will be considered clinically significant. Neck pain as measured on a 100mm VAS at baseline and at each follow-up timepoint. Left and Right arm/shoulder pain as measured on a 100 mm VAS at baseline and at each follow up time-point. | pre-operative, 6 week, 3 month, 6 month, 12 month, 24 month | |
| Secondary | Patient Satisfaction | patient completed questionnaire on their satisfaction with the disc replacement surgery | 6 week, 3 month, 6 month, 12 month, 24 month | |
| Secondary | Motor and Sensory Function in the Arm | maintenance or improvement in neurologic status compared with baseline will be assessed using a defined numeric scale ranging from 0 (normal) to 5 (deficit) | pre-operative, 6 week, 3 month, 6 month, 12 month, 24 month | |
| Secondary | Nurick's Criteria | Disease status as characterized by physician at each time point | pre-operative, 6 week, 3 month, 6 month, 12 month, 24 month | |
| Secondary | Odom's criteria | surgical outcome characterized by physician at each post operative visit | 6 week, 3 month, 6 month, 12 month, 24 month |
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