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Comparison of Complication Rates Between Lateral Approaches to the Lumbar Spine

A Comparison of Complication Rates Between Lateral Approaches to the Lumbar Spine: K2M RAVINE® Far Lateral System Versus NuVasive XLIF®

Status
Terminated
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02068729
Acronym
RAVINE
Enrollment
131
Registered
2014-02-21
Start date
2014-06-30
Completion date
2020-02-28
Last updated
2021-04-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Degenerative Disc Disease, Grade 1 Spondylolisthesis

Keywords

degenerative disc disease, DDD, Grade 1 spondylolisthesis, spondylolisthesis, L2-S1

Brief summary

An evaluation of the incidence of complications resulting from far lateral spine surgery utilizing the K2M RAVINE® Lateral Access System (RAVINE) with ALEUTIAN® Lateral Interbody Spacer System versus literature reported results for the NuVasive XLIF® system (XLIF) in the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis.

Detailed description

An evaluation of the incidence of complications resulting from far lateral spine surgery utilizing the K2M RAVINE® Lateral Access System (RAVINE) with ALEUTIAN® Lateral Interbody Spacer System versus literature reported results for the NuVasive XLIF® system (XLIF) in the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis at L2-S1 requiring surgical intervention at one or two contiguous levels. Safety will be assessed by the following: 1.) Evaluation of all adverse events including device related, procedure related and additional serious adverse events; 2.) Additional surgical intervention at the operative site including the need for removals, revisions, re-operations or supplemental fixation required to modify the device; and 3.) The incidence and severity of any psoas muscle injury, genital femoral nerve injury and lumbar plexus injury will be determined for all patients. Supplemental fixation of any kind may be included as long as the procedure is completed via a minimally invasive approach.

Interventions

None listed

Sponsors

K2M, Inc.
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Diagnosis of DDD with up to Grade 1 spondylolisthesis, confirmed clinically and radiographically, requiring surgical intervention at one or two contiguous levels between L2-S1 * Inadequate response to conservative medical care over a period of at least 6 months * Willing and able to comply with the requirements of the protocol including follow-up requirements * Willing and able to sign a study specific informed consent * Skeletally mature and ≥ 18 years of age at the time of enrollment

Exclusion criteria

* Previous anterior/posterior/lateral spine surgery at the index level * Previous posterior/lateral spine surgery (e.g., posterior element decompression) that destabilizes the lumbar spine * Active systemic infection or infection at the operative site * Co-morbid medical conditions of the spine or upper/lower extremities that may affect the lumbar spine neurological and/or pain assessment * Metabolic bone disease such as osteoporosis that contradicts spinal surgery * History of an osteoporotic fracture * History of an endocrine or metabolic disorder (e.g., Paget's disease) known to affect bone and mineral metabolism * Taking medications that may interfere with bony/soft tissue healing including chronic steroid use * Known allergy to titanium, cobalt chrome or PEEK * Rheumatoid arthritis or other autoimmune disease or a systemic disorder such as HIV, active hepatitis B or C or fibromyalgia * Current medical condition (e.g., unstable cardiac disease, cancer) that may result in patient death or have an effect on outcomes prior to study completion * Pregnant, or intend to become pregnant, during the course of the study * Severe obesity (Body Mass Index \> 40) * Physical or mental condition (e.g., psychiatric disorder, senile dementia, Alzheimer's disease, alcohol or drug addiction) that would interfere with patient self-assessment of function, pain or quality of life * Involved in current or pending spinal litigation where permanent disability benefits are being sought * Incarcerated at the time of study enrollment * Current participation in an investigational study that may impact study outcomes

Design outcomes

Primary

MeasureTime frameDescription
Visual Analog Scale (VAS) Change From Baseline24 monthsEvaluation of the change of the Back VAS, Hip VAS and the Leg VAS at the 24 month post-operative visit as compared to pre-op time periods. Information on all reports of pain/numbness/tingling and the location of symptoms were captured and evaluated. VAS scale ranged from 0 - 10cm with the 10cm accounting for the highest level of pain.
Number of Patients With Adverse Events AEs)Operative to 24 monthThe evaluation of all adverse events including device related, procedure related and additional serious adverse events.

Secondary

MeasureTime frameDescription
Change in Health-Related Quality of Life From Baseline (Pre-op)time of discharge, an average of 4.5 days, up to 8 weeks post-operatively, 3 months, 6 months, 12 months, 24 monthsHealth-related quality of life was evaluated in all study subjects using the SF-12v2 Health Survey. This shortened and simplified version of the SF-36 makes the questionnaire less ambiguous for patients. It has a self-administered form that makes it easy to read and complete, and that reduces missing responses. The physical and mental component summary scales, referred to as PCS-12 and MCS-12 were evaluated against published normative values and a 15% improvement in these scores was used as an assessment of success. In calculating the true value of a treatment, the scores from the SF-12v2 were converted into a utility index (SF-6D), which considered not only how many years a medical intervention could have added to a patient's life, but also the quality of that life. Use of the SF-6D did not expand the questions administered to the patients. The scale ranged from 0-100% with 100% being the best quality of life.
Radiographic Assessments12 mo to 24 moQuantitative and qualitative radiographic assessment of the pre and post-operative AP, and Lateral, Flexion/Extension images were performed. Radiographic and qualitative assessments performed include: * Device Condition: looks at both the cage inside the vertebrae and the hardware outside the vertebrae. It looks at whether or not the device is intact or not (subsidence or migration) * Fusion/Non-fusion: whether bone has grown within the space between the spinal vertebrae. If fusion occurs, it results in Bony Bridging
Patient Satisfaction12 month and 24 monthAt the 12 month and 24 month follow-up visits, subjects were asked whether they were satisfied with the outcome of their surgery (Yes/No) and whether they would repeat the operation (Yes/No).
Odom's Criteria24 monthsAt the 24 month follow-up visit, the Investigator rated the clinical disposition of each study subject according to Odom's Criteria as follows: Excellent: all pre-operative symptoms relieved, able to carry out daily occupations without impairment. Good: minimum persistence of pre-operative symptoms, able to carry out daily occupations without significant interference. Fair/Satisfactory: relief of some pre-operative symptoms but physical activity is significantly limited. Poor: symptoms or signs unchanged or worse.
Surgery TimeDuring operation.The length of the surgical procedure from the initial incision to final closure were captured from the Anesthesia Record.
Change in Pain/Dysesthesia Score From Baseline (Pre-Operative)time of discharge, an average of 4.5 days, up to 8 weeks post-operatively, 3 months, 6 months, 12 months, 24 monthsNeurological evaluation of the patient, with specific evaluation of psoas muscle weakness, radiating radicular pain, knee extension weakness, dorsiflexion weakness, plantarflexion weakness and anterior thigh numbness was performed using Patient symptom Questionnaire (0-100mm analog scale with 100mm being the highest pain/weakness/numbness)
Estimated Blood LossDuring OperationThe amount of blood loss over the entire length of the surgery, documented on the Anesthesia Record, was captured.
Number of Participants With Abnormal Neuromonitoring System ResultsDuring operationAbnormal result(s) of neuromonitoring systems (Train of Four, Electromyography (EMG), Triggered EMG, Somato Sensory Evoked Potential (SSEP) and Motor Evoked Potential (MEP)) utilized during the surgery were captured.
Length of Hospital StayFrom admission to dischargeThe length of hospital stay from the date of hospital admission to the date of discharge was calculated.
Change in Work/School Status Compared to BaselinePre-operative to 24 monthsThe ability to and the time it takes for the subject to be cleared to return to work/school from the date of surgery was documented.
Change in Use of Narcotics Post-Surgery Compared to BaselinePre-operative to 24 monthsThe types and dosages of any narcotics taken by the patient post-surgery were documented.
Anesthesia TimeDuring operation.The length of time the patient is under anesthesia were captured from the Anesthesia Record.
Change in Oswestry Disability Index From Baseline (Pre-Operative)time of discharge, an average of 4.5 days, up to 8 weeks post-operatively, 3 months, 6 months, 12 months, 24 monthsThe Oswestry Disability Index (ODI) is a validated instrument including items that relate to subjective symptomatology and activities of daily living (pain intensity, personal care, lifting, walking, sitting, standing, sex life, traveling). This patient-reported outcome measure is a 10 item questionnaire that evaluates disability and functional impairment associated with back problems. Each item is scored from O up to 5, with higher scores corresponding to greater disability. A total ODI score is determined by adding the scores of the individual questions and dividing that total by the maximum possible score (i.e., 50 if all questions are answered) to yield a percentage. Therefore, the ODI score ranges from 0% to 100%.

Participant flow

Participants by arm

ArmCount
Demographics and Baseline Characteristics
This is a demographic and baseline characteristics of the patient population. This includes parameters such as Age, Gender, Height, Weight Body Mass Index (BMI) and Tobacco Usage.
125
Total125

Baseline characteristics

CharacteristicDemographics and Baseline Characteristics
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
48 Participants
Age, Categorical
Between 18 and 65 years
77 Participants
Age, Continuous61.8 years
STANDARD_DEVIATION 9.7
Body Mass Index (BMI)28.48 lbs/(in^2)*703
STANDARD_DEVIATION 4.4
Height65.96 inches
STANDARD_DEVIATION 3.9
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
0 Participants
Region of Enrollment
United States
125 Participants
Sex: Female, Male
Female
78 Participants
Sex: Female, Male
Male
47 Participants
Tobacco Use
Currently Use
19 Participants
Tobacco Use
Missing
0 Participants
Tobacco Use
Never
63 Participants
Tobacco Use
Quit
43 Participants
Weight177.2 pounds
STANDARD_DEVIATION 36.7

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 125
other
Total, other adverse events
73 / 125
serious
Total, serious adverse events
30 / 125

Outcome results

Primary

Number of Patients With Adverse Events AEs)

The evaluation of all adverse events including device related, procedure related and additional serious adverse events.

Time frame: Operative to 24 month

Population: This is an analysis of the number of participants that reported any form of adverse event. Participants were evaluated for all adverse events including device related, procedure related, and additional serious adverse events.~9 of the 30 SAE participants did not experience a non-SAE events. The other 21 participants had events in both categories

ArmMeasureGroupValue (NUMBER)
BackNumber of Patients With Adverse Events AEs)Any AE : Procedure Related23 participants
BackNumber of Patients With Adverse Events AEs)Any SAE : Severe5 participants
BackNumber of Patients With Adverse Events AEs)Any SAE : Moderate4 participants
BackNumber of Patients With Adverse Events AEs)Any SAE : Mild3 participants
BackNumber of Patients With Adverse Events AEs)Any SAE : Device Related1 participants
BackNumber of Patients With Adverse Events AEs)Any SAE : Procedure Related4 participants
BackNumber of Patients With Adverse Events AEs)Any Serious Adverse Event (SAE)10 participants
BackNumber of Patients With Adverse Events AEs)Any AE : Severe5 participants
BackNumber of Patients With Adverse Events AEs)Any AE45 participants
BackNumber of Patients With Adverse Events AEs)Any AE : Moderate21 participants
BackNumber of Patients With Adverse Events AEs)Any AE : Mild28 participants
BackNumber of Patients With Adverse Events AEs)Any AE : Device Related4 participants
Left HipNumber of Patients With Adverse Events AEs)Any AE16 participants
Left HipNumber of Patients With Adverse Events AEs)Any AE : Procedure Related3 participants
Left HipNumber of Patients With Adverse Events AEs)Any AE : Device Related2 participants
Left HipNumber of Patients With Adverse Events AEs)Any AE : Mild7 participants
Left HipNumber of Patients With Adverse Events AEs)Any AE : Moderate7 participants
Left HipNumber of Patients With Adverse Events AEs)Any AE : Severe4 participants
Left HipNumber of Patients With Adverse Events AEs)Any Serious Adverse Event (SAE)4 participants
Left HipNumber of Patients With Adverse Events AEs)Any SAE : Procedure Related0 participants
Left HipNumber of Patients With Adverse Events AEs)Any SAE : Device Related1 participants
Left HipNumber of Patients With Adverse Events AEs)Any SAE : Mild0 participants
Left HipNumber of Patients With Adverse Events AEs)Any SAE : Moderate1 participants
Left HipNumber of Patients With Adverse Events AEs)Any SAE : Severe3 participants
Right HipNumber of Patients With Adverse Events AEs)Any AE : Severe3 participants
Right HipNumber of Patients With Adverse Events AEs)Any AE : Device Related3 participants
Right HipNumber of Patients With Adverse Events AEs)Any SAE : Device Related0 participants
Right HipNumber of Patients With Adverse Events AEs)Any SAE : Procedure Related0 participants
Right HipNumber of Patients With Adverse Events AEs)Any Serious Adverse Event (SAE)3 participants
Right HipNumber of Patients With Adverse Events AEs)Any AE : Procedure Related4 participants
Right HipNumber of Patients With Adverse Events AEs)Any AE : Mild7 participants
Right HipNumber of Patients With Adverse Events AEs)Any SAE : Moderate1 participants
Right HipNumber of Patients With Adverse Events AEs)Any AE : Moderate15 participants
Right HipNumber of Patients With Adverse Events AEs)Any SAE : Severe2 participants
Right HipNumber of Patients With Adverse Events AEs)Any AE22 participants
Right HipNumber of Patients With Adverse Events AEs)Any SAE : Mild0 participants
Left LegNumber of Patients With Adverse Events AEs)Any SAE : Mild1 participants
Left LegNumber of Patients With Adverse Events AEs)Any AE : Mild19 participants
Left LegNumber of Patients With Adverse Events AEs)Any AE : Severe5 participants
Left LegNumber of Patients With Adverse Events AEs)Any AE : Moderate12 participants
Left LegNumber of Patients With Adverse Events AEs)Any SAE : Moderate1 participants
Left LegNumber of Patients With Adverse Events AEs)Any Serious Adverse Event (SAE)7 participants
Left LegNumber of Patients With Adverse Events AEs)Any SAE : Procedure Related1 participants
Left LegNumber of Patients With Adverse Events AEs)Any SAE : Device Related0 participants
Left LegNumber of Patients With Adverse Events AEs)Any SAE : Severe5 participants
Left LegNumber of Patients With Adverse Events AEs)Any AE : Procedure Related6 participants
Left LegNumber of Patients With Adverse Events AEs)Any AE33 participants
Left LegNumber of Patients With Adverse Events AEs)Any AE : Device Related2 participants
Right LegNumber of Patients With Adverse Events AEs)Any AE : Device Related2 participants
Right LegNumber of Patients With Adverse Events AEs)Any SAE : Severe6 participants
Right LegNumber of Patients With Adverse Events AEs)Any AE : Severe6 participants
Right LegNumber of Patients With Adverse Events AEs)Any SAE : Device Related1 participants
Right LegNumber of Patients With Adverse Events AEs)Any AE : Mild9 participants
Right LegNumber of Patients With Adverse Events AEs)Any AE : Moderate14 participants
Right LegNumber of Patients With Adverse Events AEs)Any SAE : Mild2 participants
Right LegNumber of Patients With Adverse Events AEs)Any AE23 participants
Right LegNumber of Patients With Adverse Events AEs)Any Serious Adverse Event (SAE)10 participants
Right LegNumber of Patients With Adverse Events AEs)Any AE : Procedure Related4 participants
Right LegNumber of Patients With Adverse Events AEs)Any SAE : Moderate3 participants
Right LegNumber of Patients With Adverse Events AEs)Any SAE : Procedure Related1 participants
OverallNumber of Patients With Adverse Events AEs)Any SAE : Moderate10 participants
OverallNumber of Patients With Adverse Events AEs)Any SAE : Procedure Related6 participants
OverallNumber of Patients With Adverse Events AEs)Any AE82 participants
OverallNumber of Patients With Adverse Events AEs)Any Serious Adverse Event (SAE)30 participants
OverallNumber of Patients With Adverse Events AEs)Any AE : Procedure Related34 participants
OverallNumber of Patients With Adverse Events AEs)Any AE : Severe20 participants
OverallNumber of Patients With Adverse Events AEs)Any SAE : Mild6 participants
OverallNumber of Patients With Adverse Events AEs)Any SAE : Device Related2 participants
OverallNumber of Patients With Adverse Events AEs)Any SAE : Severe18 participants
OverallNumber of Patients With Adverse Events AEs)Any AE : Mild51 participants
OverallNumber of Patients With Adverse Events AEs)Any AE : Moderate52 participants
OverallNumber of Patients With Adverse Events AEs)Any AE : Device Related10 participants
Primary

Visual Analog Scale (VAS) Change From Baseline

Evaluation of the change of the Back VAS, Hip VAS and the Leg VAS at the 24 month post-operative visit as compared to pre-op time periods. Information on all reports of pain/numbness/tingling and the location of symptoms were captured and evaluated. VAS scale ranged from 0 - 10cm with the 10cm accounting for the highest level of pain.

Time frame: 24 months

Population: All patients were accounted for

ArmMeasureValue (MEAN)Dispersion
BackVisual Analog Scale (VAS) Change From Baseline-4.3 score on a scaleStandard Deviation 3.7
Left HipVisual Analog Scale (VAS) Change From Baseline-2.3 score on a scaleStandard Deviation 3.8
Right HipVisual Analog Scale (VAS) Change From Baseline-4.0 score on a scaleStandard Deviation 3.7
Left LegVisual Analog Scale (VAS) Change From Baseline-2.1 score on a scaleStandard Deviation 3.4
Right LegVisual Analog Scale (VAS) Change From Baseline-3.5 score on a scaleStandard Deviation 4
Secondary

Anesthesia Time

The length of time the patient is under anesthesia were captured from the Anesthesia Record.

Time frame: During operation.

Population: 3 of 125 subjects did not have surgery time included. There were 12 staged procedures increasing the overall number of procedures to 134

ArmMeasureValue (MEAN)Dispersion
BackAnesthesia Time219.8 MinutesStandard Deviation 84.9
Secondary

Change in Health-Related Quality of Life From Baseline (Pre-op)

Health-related quality of life was evaluated in all study subjects using the SF-12v2 Health Survey. This shortened and simplified version of the SF-36 makes the questionnaire less ambiguous for patients. It has a self-administered form that makes it easy to read and complete, and that reduces missing responses. The physical and mental component summary scales, referred to as PCS-12 and MCS-12 were evaluated against published normative values and a 15% improvement in these scores was used as an assessment of success. In calculating the true value of a treatment, the scores from the SF-12v2 were converted into a utility index (SF-6D), which considered not only how many years a medical intervention could have added to a patient's life, but also the quality of that life. Use of the SF-6D did not expand the questions administered to the patients. The scale ranged from 0-100% with 100% being the best quality of life.

Time frame: time of discharge, an average of 4.5 days, up to 8 weeks post-operatively, 3 months, 6 months, 12 months, 24 months

Population: The number analyzed in Mental Health and Physical Health rows for 6 Months and 12 Months differ due to the inability for a participant to complete the required forms for those two intervals.

ArmMeasureGroupValue (MEAN)Dispersion
BackChange in Health-Related Quality of Life From Baseline (Pre-op)Mental Health0.01 score on a scaleStandard Deviation 10
BackChange in Health-Related Quality of Life From Baseline (Pre-op)Physical Health0.6 score on a scaleStandard Deviation 6.8
Left HipChange in Health-Related Quality of Life From Baseline (Pre-op)Mental Health4.0 score on a scaleStandard Deviation 12.4
Left HipChange in Health-Related Quality of Life From Baseline (Pre-op)Physical Health4.6 score on a scaleStandard Deviation 9.3
Right HipChange in Health-Related Quality of Life From Baseline (Pre-op)Mental Health4.8 score on a scaleStandard Deviation 11.6
Right HipChange in Health-Related Quality of Life From Baseline (Pre-op)Physical Health8.2 score on a scaleStandard Deviation 9.2
Left LegChange in Health-Related Quality of Life From Baseline (Pre-op)Mental Health7.6 score on a scaleStandard Deviation 12.7
Left LegChange in Health-Related Quality of Life From Baseline (Pre-op)Physical Health9.7 score on a scaleStandard Deviation 11.5
Right LegChange in Health-Related Quality of Life From Baseline (Pre-op)Mental Health7.6 score on a scaleStandard Deviation 10.7
Right LegChange in Health-Related Quality of Life From Baseline (Pre-op)Physical Health12.9 score on a scaleStandard Deviation 9
OverallChange in Health-Related Quality of Life From Baseline (Pre-op)Mental Health7.1 score on a scaleStandard Deviation 11.9
OverallChange in Health-Related Quality of Life From Baseline (Pre-op)Physical Health11.5 score on a scaleStandard Deviation 10.1
Secondary

Change in Oswestry Disability Index From Baseline (Pre-Operative)

The Oswestry Disability Index (ODI) is a validated instrument including items that relate to subjective symptomatology and activities of daily living (pain intensity, personal care, lifting, walking, sitting, standing, sex life, traveling). This patient-reported outcome measure is a 10 item questionnaire that evaluates disability and functional impairment associated with back problems. Each item is scored from O up to 5, with higher scores corresponding to greater disability. A total ODI score is determined by adding the scores of the individual questions and dividing that total by the maximum possible score (i.e., 50 if all questions are answered) to yield a percentage. Therefore, the ODI score ranges from 0% to 100%.

Time frame: time of discharge, an average of 4.5 days, up to 8 weeks post-operatively, 3 months, 6 months, 12 months, 24 months

Population: 131 patients started the study at Pre-op, 6 patients did not complete the survey; 125 started operative, 34 patients did not complete the survey at Discharge; 121 started the Post-operative interval, 4 patients did not complete the survey; 111 patients started at 3 Month interval, 4 patients did not complete the survey; All patients who started at 6 months and 24 months completed their surveys at their respective intervals.

ArmMeasureValue (MEAN)Dispersion
BackChange in Oswestry Disability Index From Baseline (Pre-Operative)7.7 score on a scaleStandard Deviation 19.5
Left HipChange in Oswestry Disability Index From Baseline (Pre-Operative)-10.1 score on a scaleStandard Deviation 21.1
Right HipChange in Oswestry Disability Index From Baseline (Pre-Operative)-17.3 score on a scaleStandard Deviation 18.5
Left LegChange in Oswestry Disability Index From Baseline (Pre-Operative)-22.7 score on a scaleStandard Deviation 19
Right LegChange in Oswestry Disability Index From Baseline (Pre-Operative)-26.9 score on a scaleStandard Deviation 17.5
OverallChange in Oswestry Disability Index From Baseline (Pre-Operative)-24.3 score on a scaleStandard Deviation 17.6
Secondary

Change in Pain/Dysesthesia Score From Baseline (Pre-Operative)

Neurological evaluation of the patient, with specific evaluation of psoas muscle weakness, radiating radicular pain, knee extension weakness, dorsiflexion weakness, plantarflexion weakness and anterior thigh numbness was performed using Patient symptom Questionnaire (0-100mm analog scale with 100mm being the highest pain/weakness/numbness)

Time frame: time of discharge, an average of 4.5 days, up to 8 weeks post-operatively, 3 months, 6 months, 12 months, 24 months

Population: The overall number of patients participated in each interval differed from the number of patients that were evaluated for the body location measurements.

ArmMeasureGroupValue (MEAN)Dispersion
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Cross Leg Weakness6.1 score on a scaleStandard Deviation 37.1
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Cross Leg Weakness16.8 score on a scaleStandard Deviation 41.1
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Stairs Weakness6.1 score on a scaleStandard Deviation 38
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Left Hip Weakness7.8 score on a scaleStandard Deviation 37.9
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Groin Pain-0.3 score on a scaleStandard Deviation 28.3
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Stairs Weakness0.4 score on a scaleStandard Deviation 36.2
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Right Knee-15.3 score on a scaleStandard Deviation 33.8
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Right Hip Weakness-2.8 score on a scaleStandard Deviation 33.1
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Right Hip Weakness-0.3 score on a scaleStandard Deviation 34.1
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Left Hip Weakness8.6 score on a scaleStandard Deviation 39.7
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Groin Pain-7.2 score on a scaleStandard Deviation 29.9
BackChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Left Knee-3.9 score on a scaleStandard Deviation 28.6
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Groin Pain-15.1 score on a scaleStandard Deviation 33.4
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Right Hip Weakness-17.3 score on a scaleStandard Deviation 34.7
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Left Hip Weakness-10.6 score on a scaleStandard Deviation 39.7
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Left Knee-14.3 score on a scaleStandard Deviation 38.2
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Stairs Weakness-20.7 score on a scaleStandard Deviation 39.6
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Right Knee-21.3 score on a scaleStandard Deviation 35.8
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Cross Leg Weakness-13.4 score on a scaleStandard Deviation 39
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Stairs Weakness-15.9 score on a scaleStandard Deviation 42.5
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Right Hip Weakness-15.6 score on a scaleStandard Deviation 36.2
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Groin Pain-10.4 score on a scaleStandard Deviation 33.5
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Cross Leg Weakness-8.2 score on a scaleStandard Deviation 42.7
Left HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Left Hip Weakness-7.4 score on a scaleStandard Deviation 40.1
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Left Hip Weakness-14.0 score on a scaleStandard Deviation 30.1
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Left Knee-20 score on a scaleStandard Deviation 34.3
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Right Knee-26.9 score on a scaleStandard Deviation 33.9
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Groin Pain-11.8 score on a scaleStandard Deviation 30.8
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Groin Pain-15.7 score on a scaleStandard Deviation 31.6
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Left Hip Weakness-15.1 score on a scaleStandard Deviation 33.3
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Right Hip Weakness-17.6 score on a scaleStandard Deviation 34
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Right Hip Weakness-16.2 score on a scaleStandard Deviation 36.5
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Stairs Weakness-20.5 score on a scaleStandard Deviation 38.9
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Stairs Weakness-24.3 score on a scaleStandard Deviation 37.7
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Cross Leg Weakness-16.7 score on a scaleStandard Deviation 40.1
Right HipChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Cross Leg Weakness-21.6 score on a scaleStandard Deviation 36.5
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Left Hip Weakness-17.8 score on a scaleStandard Deviation 33.2
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Stairs Weakness-29.7 score on a scaleStandard Deviation 36.4
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Right Hip Weakness-23.5 score on a scaleStandard Deviation 33.8
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Right Knee-29.2 score on a scaleStandard Deviation 33.9
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Left Hip Weakness-16.9 score on a scaleStandard Deviation 30.7
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Stairs Weakness-24.7 score on a scaleStandard Deviation 36.8
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Groin Pain-19.9 score on a scaleStandard Deviation 33.1
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Cross Leg Weakness-21.0 score on a scaleStandard Deviation 34.7
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Groin Pain-14.5 score on a scaleStandard Deviation 28.7
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Cross Leg Weakness-25.2 score on a scaleStandard Deviation 35.8
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Left Knee-18.7 score on a scaleStandard Deviation 33.8
Left LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Right Hip Weakness-24.4 score on a scaleStandard Deviation 32.3
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Stairs Weakness-26.8 score on a scaleStandard Deviation 36.6
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Right Hip Weakness-24.7 score on a scaleStandard Deviation 31.7
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Groin Pain-15.1 score on a scaleStandard Deviation 31.1
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Left Hip Weakness-16.8 score on a scaleStandard Deviation 33.4
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Right Hip Weakness-24.4 score on a scaleStandard Deviation 33.1
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Right Knee-31 score on a scaleStandard Deviation 31.4
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Cross Leg Weakness-25.5 score on a scaleStandard Deviation 36.3
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Left Knee-22.4 score on a scaleStandard Deviation 34.6
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Cross Leg Weakness-27.8 score on a scaleStandard Deviation 32.4
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Stairs Weakness-30.1 score on a scaleStandard Deviation 35.2
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Left Hip Weakness-20.0 score on a scaleStandard Deviation 32.2
Right LegChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Groin Pain-20.3 score on a scaleStandard Deviation 31
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Left Hip Weakness-12.5 score on a scaleStandard Deviation 29.2
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Stairs Weakness-27.8 score on a scaleStandard Deviation 35.5
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Cross Leg Weakness-19.2 score on a scaleStandard Deviation 31.8
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Hip Cross Leg Weakness-25.6 score on a scaleStandard Deviation 32.8
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Right Knee-31.2 score on a scaleStandard Deviation 31.8
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Right Groin Pain-23.2 score on a scaleStandard Deviation 30.5
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Left Hip Weakness-11.0 score on a scaleStandard Deviation 30.6
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Hip Stairs Weakness-20.0 score on a scaleStandard Deviation 33.7
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Pain Above Left Knee-17.8 score on a scaleStandard Deviation 34
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Left Groin Pain-10.8 score on a scaleStandard Deviation 25.2
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Flexing Right Hip Weakness-20.4 score on a scaleStandard Deviation 34.1
OverallChange in Pain/Dysesthesia Score From Baseline (Pre-Operative)Extending Right Hip Weakness-22.4 score on a scaleStandard Deviation 34.9
Secondary

Change in Use of Narcotics Post-Surgery Compared to Baseline

The types and dosages of any narcotics taken by the patient post-surgery were documented.

Time frame: Pre-operative to 24 months

Population: All patients who participated in each interval were accounted for including the missing category

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
BackChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsMissing0 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIntermittent short-acting narcotics21 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily long-acting narcotics16 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNone15 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIV or injected narcotics0 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily long-acting narcotics1 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily short-acting narcotics30 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNone103 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNon-narcotics or NSAIDs14 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIntermittent short-acting narcotics2 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIV or injected narcotics1 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsMissing0 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNon-narcotics or NSAIDs42 Participants
BackChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily short-acting narcotics5 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily short-acting narcotics5 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNone97 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNon-narcotics or NSAIDs14 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNone15 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIV or injected narcotics0 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNon-narcotics or NSAIDs20 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIntermittent short-acting narcotics38 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily short-acting narcotics24 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsMissing0 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily long-acting narcotics2 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily long-acting narcotics19 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIntermittent short-acting narcotics4 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIV or injected narcotics6 Participants
Left HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsMissing0 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily long-acting narcotics7 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNon-narcotics or NSAIDs25 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily short-acting narcotics2 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNone23 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIV or injected narcotics1 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsMissing1 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIV or injected narcotics1 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNon-narcotics or NSAIDs11 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily short-acting narcotics20 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsMissing1 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIntermittent short-acting narcotics6 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily long-acting narcotics0 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIntermittent short-acting narcotics34 Participants
Right HipChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNone90 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsMissing0 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNone26 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNon-narcotics or NSAIDs28 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIntermittent short-acting narcotics27 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily short-acting narcotics17 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily long-acting narcotics6 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIV or injected narcotics0 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsMissing0 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNone79 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNon-narcotics or NSAIDs17 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIntermittent short-acting narcotics5 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily short-acting narcotics2 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily long-acting narcotics1 Participants
Left LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIV or injected narcotics0 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIntermittent short-acting narcotics7 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily long-acting narcotics3 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily long-acting narcotics0 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsMissing3 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIntermittent short-acting narcotics16 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily short-acting narcotics1 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNone30 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNon-narcotics or NSAIDs29 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIV or injected narcotics0 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsMissing3 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNone64 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIV or injected narcotics1 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNon-narcotics or NSAIDs22 Participants
Right LegChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily short-acting narcotics15 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNon-narcotics or NSAIDs12 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIV or injected narcotics1 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsMissing0 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIntermittent short-acting narcotics1 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily long-acting narcotics1 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily short-acting narcotics2 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsChronic daily short-acting narcotics9 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsIntermittent short-acting narcotics7 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNon-narcotics or NSAIDs14 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsChronic daily long-acting narcotics0 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsNone24 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsNone41 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineNon-Back MedsIV or injected narcotics0 Participants
OverallChange in Use of Narcotics Post-Surgery Compared to BaselineBack MedsMissing0 Participants
Secondary

Change in Work/School Status Compared to Baseline

The ability to and the time it takes for the subject to be cleared to return to work/school from the date of surgery was documented.

Time frame: Pre-operative to 24 months

Population: All patients who participated in each interval were accounted for including the missing category

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BackChange in Work/School Status Compared to BaselineUnemployed, unrelated to back/leg conditions16 Participants
BackChange in Work/School Status Compared to BaselineNot attending work/school by choice42 Participants
BackChange in Work/School Status Compared to BaselineUnable to go due to back/leg pain/conditions30 Participants
BackChange in Work/School Status Compared to BaselineAttending work/school with some restrictions25 Participants
BackChange in Work/School Status Compared to BaselineAttending work/school with no restrictions12 Participants
BackChange in Work/School Status Compared to BaselineMissing0 Participants
Left HipChange in Work/School Status Compared to BaselineNot attending work/school by choice35 Participants
Left HipChange in Work/School Status Compared to BaselineAttending work/school with some restrictions15 Participants
Left HipChange in Work/School Status Compared to BaselineMissing1 Participants
Left HipChange in Work/School Status Compared to BaselineUnemployed, unrelated to back/leg conditions25 Participants
Left HipChange in Work/School Status Compared to BaselineUnable to go due to back/leg pain/conditions41 Participants
Left HipChange in Work/School Status Compared to BaselineAttending work/school with no restrictions5 Participants
Right HipChange in Work/School Status Compared to BaselineMissing1 Participants
Right HipChange in Work/School Status Compared to BaselineAttending work/school with no restrictions14 Participants
Right HipChange in Work/School Status Compared to BaselineAttending work/school with some restrictions14 Participants
Right HipChange in Work/School Status Compared to BaselineUnable to go due to back/leg pain/conditions24 Participants
Right HipChange in Work/School Status Compared to BaselineUnemployed, unrelated to back/leg conditions22 Participants
Right HipChange in Work/School Status Compared to BaselineNot attending work/school by choice36 Participants
Left LegChange in Work/School Status Compared to BaselineAttending work/school with some restrictions15 Participants
Left LegChange in Work/School Status Compared to BaselineNot attending work/school by choice31 Participants
Left LegChange in Work/School Status Compared to BaselineUnable to go due to back/leg pain/conditions18 Participants
Left LegChange in Work/School Status Compared to BaselineMissing1 Participants
Left LegChange in Work/School Status Compared to BaselineAttending work/school with no restrictions17 Participants
Left LegChange in Work/School Status Compared to BaselineUnemployed, unrelated to back/leg conditions22 Participants
Right LegChange in Work/School Status Compared to BaselineUnemployed, unrelated to back/leg conditions16 Participants
Right LegChange in Work/School Status Compared to BaselineAttending work/school with no restrictions20 Participants
Right LegChange in Work/School Status Compared to BaselineNot attending work/school by choice35 Participants
Right LegChange in Work/School Status Compared to BaselineUnable to go due to back/leg pain/conditions16 Participants
Right LegChange in Work/School Status Compared to BaselineAttending work/school with some restrictions8 Participants
Right LegChange in Work/School Status Compared to BaselineMissing2 Participants
OverallChange in Work/School Status Compared to BaselineAttending work/school with some restrictions5 Participants
OverallChange in Work/School Status Compared to BaselineUnable to go due to back/leg pain/conditions10 Participants
OverallChange in Work/School Status Compared to BaselineAttending work/school with no restrictions12 Participants
OverallChange in Work/School Status Compared to BaselineMissing0 Participants
OverallChange in Work/School Status Compared to BaselineNot attending work/school by choice21 Participants
OverallChange in Work/School Status Compared to BaselineUnemployed, unrelated to back/leg conditions8 Participants
Secondary

Estimated Blood Loss

The amount of blood loss over the entire length of the surgery, documented on the Anesthesia Record, was captured.

Time frame: During Operation

Population: 11 of 125 subjects did not have blood loss included. There were 12 staged procedures increasing the overall number of procedures to 126.

ArmMeasureValue (MEAN)Dispersion
BackEstimated Blood Loss76.5 Cubic CentimetersStandard Deviation 78.9
Secondary

Length of Hospital Stay

The length of hospital stay from the date of hospital admission to the date of discharge was calculated.

Time frame: From admission to discharge

ArmMeasureValue (MEAN)Dispersion
BackLength of Hospital Stay4.5 DaysStandard Deviation 3.3
Secondary

Number of Participants With Abnormal Neuromonitoring System Results

Abnormal result(s) of neuromonitoring systems (Train of Four, Electromyography (EMG), Triggered EMG, Somato Sensory Evoked Potential (SSEP) and Motor Evoked Potential (MEP)) utilized during the surgery were captured.

Time frame: During operation

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
BackNumber of Participants With Abnormal Neuromonitoring System Results1 Participants
Left HipNumber of Participants With Abnormal Neuromonitoring System Results0 Participants
Right HipNumber of Participants With Abnormal Neuromonitoring System Results0 Participants
Left LegNumber of Participants With Abnormal Neuromonitoring System Results0 Participants
Right LegNumber of Participants With Abnormal Neuromonitoring System Results0 Participants
Secondary

Odom's Criteria

At the 24 month follow-up visit, the Investigator rated the clinical disposition of each study subject according to Odom's Criteria as follows: Excellent: all pre-operative symptoms relieved, able to carry out daily occupations without impairment. Good: minimum persistence of pre-operative symptoms, able to carry out daily occupations without significant interference. Fair/Satisfactory: relief of some pre-operative symptoms but physical activity is significantly limited. Poor: symptoms or signs unchanged or worse.

Time frame: 24 months

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BackOdom's CriteriaExcellent33 Participants
BackOdom's CriteriaGood17 Participants
BackOdom's CriteriaFair/Satisfactory5 Participants
BackOdom's CriteriaNot Reported1 Participants
Secondary

Patient Satisfaction

At the 12 month and 24 month follow-up visits, subjects were asked whether they were satisfied with the outcome of their surgery (Yes/No) and whether they would repeat the operation (Yes/No).

Time frame: 12 month and 24 month

Population: Patient self-assessment of the procedure at 12M and 24M

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
BackPatient SatisfactionSatisfiedYes80 Participants
BackPatient SatisfactionSatisfiedNo11 Participants
BackPatient SatisfactionSatisfiedNot Reported6 Participants
BackPatient SatisfactionRepeat ProcedureYes80 Participants
BackPatient SatisfactionRepeat ProcedureNo11 Participants
BackPatient SatisfactionRepeat ProcedureNot Reported6 Participants
Left HipPatient SatisfactionRepeat ProcedureNo5 Participants
Left HipPatient SatisfactionSatisfiedYes51 Participants
Left HipPatient SatisfactionRepeat ProcedureYes51 Participants
Left HipPatient SatisfactionSatisfiedNo5 Participants
Left HipPatient SatisfactionRepeat ProcedureNot Reported0 Participants
Left HipPatient SatisfactionSatisfiedNot Reported0 Participants
Secondary

Radiographic Assessments

Quantitative and qualitative radiographic assessment of the pre and post-operative AP, and Lateral, Flexion/Extension images were performed. Radiographic and qualitative assessments performed include: * Device Condition: looks at both the cage inside the vertebrae and the hardware outside the vertebrae. It looks at whether or not the device is intact or not (subsidence or migration) * Fusion/Non-fusion: whether bone has grown within the space between the spinal vertebrae. If fusion occurs, it results in Bony Bridging

Time frame: 12 mo to 24 mo

Population: The numbers are different from the overall number analyzed due to the different number of people who participated in each visit's radiographic analysis

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
BackRadiographic Assessments12 Month Cage ConditionNot Applicable0 Participants
BackRadiographic Assessments12 Month Hardware ConditionIntact48 Participants
BackRadiographic Assessments24 Month FusionOther0 Participants
BackRadiographic Assessments24 Month Cage ConditionFracture0 Participants
BackRadiographic Assessments12 Month Hardware ConditionLoosening0 Participants
BackRadiographic Assessments24 Month FusionMigration0 Participants
BackRadiographic Assessments24 Month FusionBridging / Fusion29 Participants
BackRadiographic Assessments12 Month Hardware ConditionFracture0 Participants
BackRadiographic Assessments12 Month Cage ConditionOther0 Participants
BackRadiographic Assessments24 Month Cage ConditionNot Applicable0 Participants
BackRadiographic Assessments12 Month Hardware ConditionNot Applicable11 Participants
BackRadiographic Assessments24 Month FusionSubsidence2 Participants
BackRadiographic Assessments12 Month Cage ConditionUnable to Assess0 Participants
BackRadiographic Assessments12 Month Hardware ConditionUnable to Assess1 Participants
BackRadiographic Assessments24 Month Cage ConditionUnable to Assess0 Participants
BackRadiographic Assessments12 Month FusionUnable to Assess15 Participants
BackRadiographic Assessments12 Month Hardware ConditionSubsidence0 Participants
BackRadiographic Assessments24 Month Cage ConditionAbsent0 Participants
BackRadiographic Assessments12 Month Cage ConditionIntact58 Participants
BackRadiographic Assessments12 Month Hardware ConditionMigration0 Participants
BackRadiographic Assessments24 Month Cage ConditionSubsidence0 Participants
BackRadiographic Assessments24 Month FusionUnable to Assess0 Participants
BackRadiographic Assessments12 Month FusionSubsidence & Migration0 Participants
BackRadiographic Assessments12 Month Hardware ConditionSubsidence & Migration0 Participants
BackRadiographic Assessments12 Month Hardware ConditionAbsent0 Participants
BackRadiographic Assessments24 Month Cage ConditionMigration0 Participants
BackRadiographic Assessments12 Month Hardware ConditionOther0 Participants
BackRadiographic Assessments24 Month Cage ConditionPartial Consolidation0 Participants
BackRadiographic Assessments12 Month Cage ConditionSubsidence2 Participants
BackRadiographic Assessments24 Month Hardware ConditionAbsent0 Participants
BackRadiographic Assessments12 Month Cage ConditionFracture0 Participants
BackRadiographic Assessments12 Month FusionSubsidence0 Participants
BackRadiographic Assessments24 Month Hardware ConditionPartial Consolidation0 Participants
BackRadiographic Assessments12 Month Cage ConditionMigration0 Participants
BackRadiographic Assessments24 Month Hardware ConditionBridging / Fusion0 Participants
BackRadiographic Assessments24 Month Cage ConditionSubsidence & Migration0 Participants
BackRadiographic Assessments12 Month FusionMigration0 Participants
BackRadiographic Assessments24 Month Hardware ConditionIntact28 Participants
BackRadiographic Assessments24 Month FusionSubsidence & Migration0 Participants
BackRadiographic Assessments24 Month FusionIntact0 Participants
BackRadiographic Assessments24 Month Hardware ConditionLoosening0 Participants
BackRadiographic Assessments24 Month Cage ConditionBridging / Fusion0 Participants
BackRadiographic Assessments24 Month Cage ConditionOther0 Participants
BackRadiographic Assessments24 Month Hardware ConditionFracture0 Participants
BackRadiographic Assessments12 Month Cage ConditionLoosening0 Participants
BackRadiographic Assessments12 Month Hardware ConditionPartial Consolidation0 Participants
BackRadiographic Assessments24 Month Hardware ConditionNot Applicable3 Participants
BackRadiographic Assessments12 Month FusionAbsent2 Participants
BackRadiographic Assessments24 Month FusionLoosening0 Participants
BackRadiographic Assessments24 Month Hardware ConditionUnable to Assess0 Participants
BackRadiographic Assessments12 Month FusionOther0 Participants
BackRadiographic Assessments24 Month Cage ConditionIntact31 Participants
BackRadiographic Assessments24 Month Hardware ConditionSubsidence0 Participants
BackRadiographic Assessments12 Month FusionPartial Consolidation10 Participants
BackRadiographic Assessments12 Month FusionFracture0 Participants
BackRadiographic Assessments24 Month Hardware ConditionMigration0 Participants
BackRadiographic Assessments12 Month Cage ConditionSubsidence & Migration0 Participants
BackRadiographic Assessments24 Month FusionFracture0 Participants
BackRadiographic Assessments24 Month Hardware ConditionSubsidence & Migration0 Participants
BackRadiographic Assessments24 Month FusionPartial Consolidation0 Participants
BackRadiographic Assessments12 Month FusionBridging / Fusion33 Participants
BackRadiographic Assessments24 Month Hardware ConditionOther0 Participants
BackRadiographic Assessments12 Month Hardware ConditionBridging / Fusion0 Participants
BackRadiographic Assessments12 Month FusionIntact0 Participants
BackRadiographic Assessments12 Month Cage ConditionAbsent0 Participants
BackRadiographic Assessments24 Month FusionAbsent0 Participants
BackRadiographic Assessments24 Month FusionNot Applicable0 Participants
BackRadiographic Assessments12 Month Cage ConditionPartial Consolidation0 Participants
BackRadiographic Assessments24 Month Cage ConditionLoosening0 Participants
BackRadiographic Assessments12 Month FusionLoosening0 Participants
BackRadiographic Assessments12 Month Cage ConditionBridging / Fusion0 Participants
BackRadiographic Assessments12 Month FusionNot Applicable0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionBridging / Fusion0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionIntact16 Participants
Left HipRadiographic Assessments12 Month Cage ConditionLoosening0 Participants
Left HipRadiographic Assessments24 Month FusionUnable to Assess0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionFracture0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionUnable to Assess0 Participants
Left HipRadiographic Assessments24 Month FusionSubsidence0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionSubsidence1 Participants
Left HipRadiographic Assessments12 Month Cage ConditionMigration0 Participants
Left HipRadiographic Assessments12 Month FusionOther0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionSubsidence & Migration1 Participants
Left HipRadiographic Assessments12 Month Cage ConditionOther0 Participants
Left HipRadiographic Assessments24 Month FusionMigration0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionAbsent0 Participants
Left HipRadiographic Assessments12 Month FusionNot Applicable0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionPartial Consolidation0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionBridging / Fusion0 Participants
Left HipRadiographic Assessments24 Month FusionSubsidence & Migration0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionIntact13 Participants
Left HipRadiographic Assessments24 Month Cage ConditionLoosening0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionFracture0 Participants
Left HipRadiographic Assessments24 Month FusionOther0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionNot Applicable0 Participants
Left HipRadiographic Assessments12 Month FusionLoosening0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionUnable to Assess0 Participants
Left HipRadiographic Assessments24 Month FusionAbsent1 Participants
Left HipRadiographic Assessments24 Month Cage ConditionSubsidence0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionMigration0 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionAbsent0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionSubsidence & Migration0 Participants
Left HipRadiographic Assessments12 Month FusionFracture0 Participants
Left HipRadiographic Assessments24 Month Cage ConditionOther0 Participants
Left HipRadiographic Assessments12 Month FusionAbsent3 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionPartial Consolidation0 Participants
Left HipRadiographic Assessments12 Month FusionPartial Consolidation2 Participants
Left HipRadiographic Assessments12 Month FusionIntact0 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionBridging / Fusion0 Participants
Left HipRadiographic Assessments24 Month FusionPartial Consolidation0 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionIntact17 Participants
Left HipRadiographic Assessments12 Month FusionSubsidence0 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionLoosening1 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionFracture0 Participants
Left HipRadiographic Assessments24 Month FusionBridging / Fusion12 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionNot Applicable0 Participants
Left HipRadiographic Assessments12 Month FusionBridging / Fusion11 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionUnable to Assess0 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionSubsidence0 Participants
Left HipRadiographic Assessments12 Month FusionUnable to Assess2 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionMigration0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionPartial Consolidation0 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionSubsidence & Migration0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionNot Applicable0 Participants
Left HipRadiographic Assessments12 Month Hardware ConditionOther0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionAbsent0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionBridging / Fusion0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionIntact12 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionLoosening1 Participants
Left HipRadiographic Assessments24 Month FusionIntact0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionFracture0 Participants
Left HipRadiographic Assessments12 Month FusionMigration0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionNot Applicable0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionUnable to Assess0 Participants
Left HipRadiographic Assessments24 Month FusionLoosening0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionSubsidence0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionMigration0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionSubsidence & Migration0 Participants
Left HipRadiographic Assessments24 Month FusionFracture0 Participants
Left HipRadiographic Assessments24 Month Hardware ConditionOther0 Participants
Left HipRadiographic Assessments12 Month FusionSubsidence & Migration0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionAbsent0 Participants
Left HipRadiographic Assessments12 Month Cage ConditionPartial Consolidation0 Participants
Left HipRadiographic Assessments24 Month FusionNot Applicable0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionNot Applicable0 Participants
Right HipRadiographic Assessments12 Month FusionLoosening0 Participants
Right HipRadiographic Assessments12 Month FusionFracture0 Participants
Right HipRadiographic Assessments12 Month FusionUnable to Assess2 Participants
Right HipRadiographic Assessments12 Month FusionNot Applicable0 Participants
Right HipRadiographic Assessments12 Month FusionSubsidence0 Participants
Right HipRadiographic Assessments12 Month FusionMigration0 Participants
Right HipRadiographic Assessments12 Month FusionSubsidence & Migration0 Participants
Right HipRadiographic Assessments12 Month FusionOther0 Participants
Right HipRadiographic Assessments24 Month FusionAbsent1 Participants
Right HipRadiographic Assessments24 Month FusionPartial Consolidation0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionSubsidence1 Participants
Right HipRadiographic Assessments24 Month FusionBridging / Fusion12 Participants
Right HipRadiographic Assessments24 Month FusionIntact0 Participants
Right HipRadiographic Assessments24 Month FusionLoosening0 Participants
Right HipRadiographic Assessments24 Month FusionFracture0 Participants
Right HipRadiographic Assessments24 Month FusionNot Applicable0 Participants
Right HipRadiographic Assessments24 Month FusionUnable to Assess0 Participants
Right HipRadiographic Assessments24 Month FusionSubsidence0 Participants
Right HipRadiographic Assessments24 Month FusionMigration0 Participants
Right HipRadiographic Assessments24 Month FusionSubsidence & Migration0 Participants
Right HipRadiographic Assessments24 Month FusionOther0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionAbsent0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionPartial Consolidation0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionBridging / Fusion0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionIntact17 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionLoosening1 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionFracture0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionNot Applicable0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionUnable to Assess0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionSubsidence0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionMigration0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionSubsidence & Migration0 Participants
Right HipRadiographic Assessments12 Month Hardware ConditionOther0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionAbsent0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionPartial Consolidation0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionBridging / Fusion0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionIntact12 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionLoosening1 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionFracture0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionNot Applicable0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionUnable to Assess0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionSubsidence0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionMigration0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionSubsidence & Migration0 Participants
Right HipRadiographic Assessments24 Month Hardware ConditionOther0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionAbsent0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionPartial Consolidation0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionBridging / Fusion0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionIntact15 Participants
Right HipRadiographic Assessments12 Month Cage ConditionLoosening0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionFracture0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionNot Applicable0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionUnable to Assess0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionMigration1 Participants
Right HipRadiographic Assessments12 Month Cage ConditionSubsidence & Migration0 Participants
Right HipRadiographic Assessments12 Month Cage ConditionOther1 Participants
Right HipRadiographic Assessments24 Month Cage ConditionAbsent0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionPartial Consolidation0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionBridging / Fusion0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionIntact11 Participants
Right HipRadiographic Assessments24 Month Cage ConditionLoosening0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionFracture0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionUnable to Assess0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionSubsidence1 Participants
Right HipRadiographic Assessments24 Month Cage ConditionMigration0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionSubsidence & Migration0 Participants
Right HipRadiographic Assessments24 Month Cage ConditionOther1 Participants
Right HipRadiographic Assessments12 Month FusionAbsent3 Participants
Right HipRadiographic Assessments12 Month FusionPartial Consolidation2 Participants
Right HipRadiographic Assessments12 Month FusionBridging / Fusion11 Participants
Right HipRadiographic Assessments12 Month FusionIntact0 Participants
Secondary

Surgery Time

The length of the surgical procedure from the initial incision to final closure were captured from the Anesthesia Record.

Time frame: During operation.

Population: 3 of 125 subjects did not have surgery time included. There were 12 staged procedures increasing the overall number of procedures to 134

ArmMeasureValue (MEAN)Dispersion
BackSurgery Time142 MinutesStandard Deviation 62.7

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026