Adjacent Level Disease, Degenerative Disc Disease
Conditions
Brief summary
The purpose of this study is to evaluate the clinical, radiological, and surgical outcomes of the Annex™ Adjacent Level System for the treatment of adjacent level disease of the lumbar spine. The Annex™ Adjacent Level System is a spinal fixation system intended to be used with commercially available pedicle screw fixation systems in order to extend existing pedicle screw constructs. Subjects will be evaluated over a 2 year period and compared to historical control.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Men or women 18-85 years of age * Single level adjacent level segment disease (ALD) in the lumbar spine (L1-S1).
Exclusion criteria
* trauma, tumor, pseudoarthrosis, revision, or same-level recurrent stenosis * cervical fusion candidates * extraspinal cause of back pain * local or systemic infection * pregnant / able to become pregnant and not following a reliable contraceptive method * Severe osteoporosis or osteopenia * Morbid obesity defined as BMI \> 40 * Anatomy or other factors that prohibit safe surgical access to the surgical site * Allergy or sensitivity to any component of the treatment procedure * Inadequate tissue coverage over the operative site * Inadequate bone stock or bone quality * Fever or leukocytosis * Uncorrectable coagulopathy or hemorrhagic diathesis * Cardiopulmonary conditions that present prohibitive anesthesia risk * Neuromuscular disease or disorder * Mental illness * Has an active workman's compensation claim
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| % Improvement in Operative/Discharge parameters including surgical time and hospital stay | within 30 days after treatment |
| Surgical Complication rate compared to retrospective chart review | Within 30 days of treatment |
Secondary
| Measure | Time frame |
|---|---|
| % Pain reduction on VAS | Up to 2 years post-treatment |
| % Improvement in Disability using ODI | Up to 2 years post-treatment |
| % Improvement in Quality of Life using SF-36 | Up to 2 years post-treatment |
| % Patient Satisfaction with procedure | Up to 2 years post-treatment |
Countries
United States