Leg Pain, Low Back Pain, Lumbar Spinal Stenosis, Spinal Diseases, Spinal Stenosis, Spondylolisthesis
Conditions
Keywords
spinal stenosis, low back pain, spondylolisthesis, lumbar spinal stenosis, leg pain, spinal diseases
Brief summary
The Archus Total Facet Arthroplasty System® (TFAS®) is a non-fusion spinal implant indicated for treatment of patients with moderate to severe spinal stenosis. TFAS® replaces the diseased facets following surgical removal. TFAS® offers the surgeon new options for treating spinal stenosis patients, enabling a more comprehensive decompression via complete removal of the facets. TFAS® also offers an alternative to rigid spinal fusion fixation enabling intervertebral motion. The clinical trial is intended to demonstrate restoration of stability and sagittal balance to the spine. TFAS® also eliminates the need for painful bone graft harvest from the patient's hip which may be required with fusion procedures.
Interventions
DEVICETotal Facet Arthroplasty System® (TFAS®)
Sponsors
Archus Orthopedics, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Degenerative spinal stenosis, central or lateral, at spinal levels L3-L4 or L4-L5 * Skeletally mature male or female between the ages of 50 and 85 years of age inclusive * No greater than Grade I degenerative spondylolisthesis at the index level * Persistent leg symptoms,including pain, numbness, burning or tingling for a minimum duration of six months * Operative candidates with no more than three levels of degenerative lumbar spinal stenosis requiring decompression * Failed to respond to non-operative treatment modalities for a minimum duration of six months
Exclusion criteria
* Male or female less than 50 or greater than 85 years old Grade 2 or higher spondylolisthesis or any retrolisthesis at the index level * More than 3 vertebral levels of degenerative spinal stenosis requiring decompression * More than 1 vertebral level of degenerative spinal stenosis requiring instrumentation * Not available for long term follow-up and interval visits * Prior or concurrently planned lumbar fusion or disc replacement at any level of the lumbar spine * Two or more previous surgeries to the lumbar spine at the same level to be implanted * Is being treated with other devices for the same disorder (e.g. pain control devices) * Active systemic infection or infection at the operating site * Osteoporosis * Known sensitivity to device materials * Has an immunosuppressive disorder * Has a medical condition that may interfere with clinical evaluations * Is obese defined by a patient body mass index greater than 40 * Has significant scoliosis (Cobb \>25°) * Is pregnant or planning to become pregnant within the proposed three year investigation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary safety and efficacy evaluation endpoints to determine individual patient success are the Zurich Claudication Questionnaire (ZCQ), neurologic status, solid fusion for the control (spinal fusion) group. | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analog Scales (VAS) for Leg and Back pain, SF-36 scores, radiographic measurements. | — |
Outcome results
None listed