Fusion of Spine, Lumbar Spondylosis
Conditions
Brief summary
The use of a lumbar brace following single-level lumbar fusion for degenerative spondylosis (non-traumatic) is variable between surgeons. Some surgeons prefer to prescribe a brace and others do not. There is a lack of guidelines and evidence to support either treatment option. The purpose of this study is to assess feasibility and collect preliminary data to conduct a larger, definitive trial to provide evidence as to whether prescribing a brace or not results in better or equal outcomes. Imaging by CT scan, one year after surgery, will be used to analyze bone fusion (healing), and functional and pain scores from patients during their recovery will be compared to identify differences between patients who wore a brace and those who did not.
Interventions
3 months of lumbar brace wear
Sponsors
Study design
Eligibility
Inclusion criteria
* Single-level lumbar instrumented postero-lateral fusion from L2-L5 * Life expectancy greater than 2 years
Exclusion criteria
* Previous lumbar surgery * Spine tumour/cancer * Documented osteoporosis * High grade (3 or 4) spondylolisthesis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of enrolment | 12 months | Feasibility measure to assess pilot project design. Assess ability to recruit 2 patients per month. |
| Rate of study completion | 12 months | Feasibility measure to assess pilot project design. Evaluate study visit and study completion rates. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lumbar bone fusion | 12 months | Status of bone fusion assessed radiologically by CT scan |
| Functional Status | 3 months, 6 months, 12 months | The Oswestry Disability Index |
| Pain Status | 3 months, 6 months, 12 months | Visual analog scale (0, no pain to 10, worst pain) |
Countries
Canada