Adolescent Idiopathic Scoliosis
Conditions
Brief summary
The ApiFix MID-C System is a unidirectional expandable rod, designed to be connected unilaterally to the spine via 2 anchor points on the concave side of a scoliotic deformity above and below the apex of the major curvature to treat adolescent idiopathic scoliosis. The MID-C System is designed to act as an internal brace. Patients implanted with the device in the US within 2 years of FDA's approval of H17001 should be enrolled in the study. A minimum number of 200 patients will be enrolled in this study.
Interventions
Minimal invasive deformity correction system for the treatment of AIS
Sponsors
Study design
Intervention model description
Prospective Registry, multi center, single arm, non-randomized, new enrollment cohort study
Eligibility
Inclusion criteria
* Adolescent Idiopathic Scoliosis classified as Lenke Type 1 or Type 5 curves; * Cobb angle between 35-60 degrees (inclusive); * Flexible curve that that reduces to ≤ 30 degrees on lateral side-bending radiographs or as evident by traction x-ray; * Kyphosis angles of ≤ 55 degrees measured from T5 to T12; * Appropriate candidate for posterior surgical approach; * Patient has good general health; * Patient has no known hypersensitivity or allergies to titanium; * Patient's guardian signs a written informed consent form (ICF).
Exclusion criteria
* Any type of non-idiopathic scoliosis; * Any main thoracic deformity that includes vertebral levels and cranial including to T2; * Known history of existing malignancy, or any systemic or local infection; * Spinal cord abnormalities that require treatment; * Known neurological deficit (defined as motor grade \< 5/5); * Known poor bone quality defined as T score -1.5 or less; * For female Patient, pregnancy; * Previous spine surgery that would prevent the successful performance of the MID-C system ; * Active systemic disease, such as AIDS, HIV, or active infection; * Active infection or the skin is compromised at the surgical site; * Systemic disease that would affect the Patient's welfare or overall outcome of the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maintenance of major Cobb angle ≤ 40° 5 years post-surgery | 5 years | Spinal Cobb angle will be measured at 5 years post op. the percent of patients with Cobb angle ≤ 40° 5 years post-surgery will be calculated |
Countries
United States