Degenerative Disc Disease
Conditions
Brief summary
The purpose of this study is to collect clinical and radiological mid-term (2 years) data on the ArcadiusXP L® lumbar stand-alone cage in a post-market clinical follow-up study (PMCF) limited to 32 patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* all indications as given by the instructions for use * Patients with persisting lumbosacral and pseudo-radicular pain scheduled for monosegmental lumbar interbody fusion from L4 to S1 * Age 18 - 60 * at least 6 months of unsuccessful treatment including conservative measures * Non-sequestrated and subligamentous prolapse
Exclusion criteria
* all contraindications, which are listed in the instructions for use. * existing pregnancy, planned or occurring during study period * patients with a higher degree of segmental degeneration in other than the segment to be operated * body- mass-index (BMI) \> 30 * Systemic or local infection * Increased risk of osteoporosis according to assessment by the SCORE evaluation * Bone metabolism disorders * Chemotherapy or radiotherapy (ongoing or planned) * Participation in another clinical trial * Scheduled for spinal litigation * Other serious conditions that hinder the participation in the study * Nanogel® filling of the cage, prior to implantation was not done
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ODI (2y) - ODI(preop) | 2 years | Difference between Oswestry Disability Index (ODI) at 2 years and preoperative ODI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall success | 2 years | ODI at each timepoint |
| Pain (back and leg) | 2 years | Pain levels (back and leg) as measured via Visual Analogue scale (VAS) at each timepoint |
| Fusion/arthrodesis status, and further radiological documentation of operated and adjacent levels | 2 years | Angle difference in flexion and extension radiographs at each timepoint; analysis of AP and ML x-rays regarding changes in bone density (identification of bone bridges): CT/MRT are considered when available; consideration of pot. radiolucencies around the |
| Patient satisfaction | 2 years | Would you have the Operation again? |
| Concomitant pain medication | 2 years | Documentation of drug related medication |
| Adverse events | 2 years | — |
Countries
Germany