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AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves | ||||
Clinical Trials2013 Clinical Trials Award $ 50,000 Deadline - January 1, 2013NREF Grant Assistance Program - Deadline October 1, 2012For further questions regarding both of these programs please contact Zoher Ghogawala, MDGrant Information and CoursesA Clinical Study of the GO-LIF® Approach for Lumbar Spinal Fixation A Clinical Study of the GO-LIF® Approach for Lumbar Spinal Fixation http://www.clinicaltrials.gov/ct/show/NCT00810433 Objective: Collect data regarding the safety and feasibility of the GO-LIF procedure for spinal fixation and stabilization, in conjunction with conventional approaches for interbody lumbar fusion. This is in order to allow for evidence-based comparison to pedicle-screw-based techniques. Design: Interventional; safety/efficacy; single group assignment; open-label; treatment. Enrollment: Enrollment: 40 A Clinical Trial to Evaluate the Safety, Tolerability and Preliminary Effectiveness of Single Administration Intradiscal rhGDF-5 for the Treatment of Early Stage Lumbar Disc Degeneration A Clinical Trial to Evaluate the Safety, Tolerability and Preliminary Effectiveness of Single Administration Intradiscal rhGDF-5 for the Treatment of Early Stage Lumbar Disc Degeneration http://www.clinicaltrials.gov/ct/show/NCT01182337 Objective: Study to show the safety, tolerability and preliminary effectiveness of Intradiscal rhGDF-5 in subjects with early lumbar disc degeneration. Design: Interventional; randomized; placebo control; safety/efficacy; parallel assignment; double blind (subject; investigator). Enrollment: Enrollment: 30 A Multicenter Prospective Study of Quality of Life in Adult Scoliosis (ASLS) A Multicenter Prospective Study of Quality of Life in Adult Scoliosis (ASLS) http://www.clinicaltrials.gov/ct/show/NCT00854828 Objective: Evaluate the effectiveness of non-operative and operative treatments. Design: Randomized, safety/efficacy; parallel assignment; open label; Treatment. Enrollment: 300 A Multicenter, Randomized, Double-blind, Placebo Controlled, Clinical Trial to Evaluate the Safety, Tolerability and Preliminary Effectiveness of 2 Doses of Intradiscal rhGDF-5 (Single Administration) for the Treatment of Early Stage Lumbar Disc Degeneration A Multicenter, Randomized, Double-blind, Placebo Controlled, Clinical Trial to Evaluate the Safety, Tolerability and Preliminary Effectiveness of 2 Doses of Intradiscal rhGDF-5 (Single Administration) for the Treatment of Early Stage Lumbar Disc Degeneration http://www.clinicaltrials.gov/ct/show/NCT01124006 Objective: Show the safety and tolerability of Intradiscal rhGDF-5 in subjects with early lumbar disc degeneration. Design: Interventional; randomized; placebo control; safety/efficacy; crossover assignment; double blind (subject; investigator); treatment. Enrollment: Enrollment: 30 A Pivotal Study of a Facet Replacement System to Treat Spinal Stenosis A Pivotal Study of a Facet Replacement System to Treat Spinal Stenosis http://www.clinicaltrials.gov/ct/show/NCT00401518 Objective: To determine if the ACADIA™ Facet Replacement System is effective in the treatment of spinal stenosis. Evaluate overall success rate of Anatomic Facet Replacement System in patients with spinal stenosis when compared to a posterior spinal fusion control. Design: Interventional; randomized; active control; safety/efficacy; parallel assignment; single blind; treatment. Enrollment: 300 A Post Market Surveillance Validation to evaluate the Effectiveness of the Following System: Polaris Deformity Spinal System A Post Market Surveillance Validation to evaluate the Effectiveness of the Following System: Polaris Deformity Spinal System http://www.clinicaltrials.gov/ct/show/NCT01220505 Objective: Evaluate the Effectiveness of the Following System: Polaris Deformity Spinal System Design: Observational; case only; prospective. Enrollment: 200 A Postmarket Surveillance Study of the Paradigm Spine Dynamic Stabilization System (DSS) A Postmarket Surveillance Study of the Paradigm Spine Dynamic Stabilization System (DSS) http://www.clinicaltrials.gov/ct/show/NCT01461005 Objective: Post-Market Surveillance study is to evaluate safety. Design: Interventional; endpoint classification study; single group assignment; open label; treatment. Enrollment: 150 A Prospective, Multicenter Observational Study on MAST (Minimal Access Spinal Technologies) Fusion Procedures for the Treatment of the Degenerative Lumbar Spine (MASTERS-D) A Prospective, Multicenter Observational Study on MAST (Minimal Access Spinal Technologies) Fusion Procedures for the Treatment of the Degenerative Lumbar Spine (MASTERS-D) http://www.clinicaltrials.gov/ct/show/NCT01143324 Objective: Observe and document surgical practice and evaluate patients' outcomes following a MAST single or double level instrumented fusion procedure using PLIF (Posterior Lumbar Interbody Fusion) or TLIF (Transforaminal Lumbar Interbody Fusion) techniques for the treatment of the degenerative lumbar spine in a "real-world" patient population. Design: Observational: case-only; prospective Enrollment: Enrollment: 200 A Study of the In-Space Device for Treatment of Moderate Spinal Stenosis A Study of the In-Space Device for Treatment of Moderate Spinal Stenosis http://www.clinicaltrials.gov/ct/show/NCT00697827 Objective: Evaluate safety and effectiveness of the In-Space compared to the X-STOP Interspinous Process distraction device for the treatment of patients experiencing intermittent neurogenic claudication secondary to moderate degenerative lumbar stenosis at one or two levels. Design: Treatment; randomized; parallel assignment; safety/efficacy study. Enrollment: 500 Accuracy of Lumbar Pedicle Screw Placement Assisted With Continuous Pulse-train Stimulation Accuracy of Lumbar Pedicle Screw Placement Assisted With Continuous Pulse-train Stimulation http://www.clinicaltrials.gov/ct/show/NCT01342588 Objective: Establish the accuracy of pedicle positioning using continuous electrical pulse during screw placement. Design: Interventional; safety/efficacy; single group assignment; open label; supportive care. Enrollment: 60 Actifuse ABX Versus INFUSE in Posterolateral Instrumented Lumbar Fusion (PLIF) With Interbody Fusion (APPRAISET1) Actifuse ABX Versus INFUSE in Posterolateral Instrumented Lumbar Fusion (PLIF) With Interbody Fusion (APPRAISET1) http://www.clinicaltrials.gov/ct/show/NCT01013389 Objective: Evaluate the success rates of Actifuse ABX and INFUSE in achieving bone fusion. The secondary objective of this clinical trial is to assess clinical outcome measurements Design: Interventional; randomized; parallel assignment; single blind (subject); treatment. Enrollment: Enrollment: 100 Activ-L™ Artificial Disc Treatment of Degenerative Disc Disease in the Treatment in the Treatment of Degenerative Disc Disease Activ-L™ Artificial Disc Treatment of Degenerative Disc Disease in the Treatment in the Treatment of Degenerative Disc Disease http://www.clinicaltrials.gov/ct/show/NCT00589797 Objective: To learn whether an investigational device called the Activ™-L Artificial Disc is safe and effective in the treatment of degenerative disc disease of the lower (lumbar) spine. Design: Treatment, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Safety/Efficacy Study. Enrollment: 414 An Evaluation of Interlaminar Lumbar Instrumented (ILIF) An Evaluation of Interlaminar Lumbar Instrumented (ILIF) http://www.clinicaltrials.gov/ct/show/NCT01019057 Objective: Evaluate ILIF to similar procedures. Design: Interventional; non-randomized; uncontrolled; safety/efficacy; single group assignment; open label; treatment. Enrollment: Enrollment: 50 Anterior vs. Posterior Procedures for Cervical Spondylotic Myelopathy: Prospective Randomized Trial (CSM) Anterior vs. Posterior Procedures for Cervical Spondylotic Myelopathy: Prospective Randomized Trial (CSM) http://www.clinicaltrials.gov/ct/show/NCT00876603 Objective: There is no difference in surgical outcomes for patients suffering from cervical spondylotic myelopathy treated with anterior decompression and fusion or posterior cervical laminoplasty. Design: Cohort, Prospective Enrollment: 100 Application of High Resolution Diffusion-weighted MR Imaging Pulse Sequence in Brain, Head and Neck, and Spine Cancer Application of High Resolution Diffusion-weighted MR Imaging Pulse Sequence in Brain, Head and Neck, and Spine Cancer http://clinicaltrials.gov/ct2/show/NCT01535898?term=spine&rank=54 Objective: Magnetic resonance imaging (MRI) is a diagnostic study that makes pictures of organs of the body using magnetic field and radio frequency pulses that can not be felt. The purpose of this study is to determine if a new MR imaging method can help tumor evaluation in head and neck cancer or spine metastases or primary or secondary brain tumors. The extra images will be obtained using Diffusion-weighted Magnetic Resonance Imaging which provides image contrast through detection of small restrictions in the movement of water molecules. This study may help us provide additional information about the tumor along with the picture of the organ. Design: Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic Enrollment: Arthroplasty versus Fusion in Anterior Cervical Surgery:Prospective Study of the Impact on the Adjacent Level. Arthroplasty versus Fusion in Anterior Cervical Surgery:Prospective Study of the Impact on the Adjacent Level. http://www.clinicaltrials.gov/ct/show/NCT00554528 Objective: evaluate impact of cervical disk surgery on the deterioration of adjacent levels. Design: Treatment; randomized; open label; active control; factorial assignment; efficacy study. Enrollment: 220 Assessment of P-15 Bone Putty in Anterior Cervical Fusion With Instrumentation Assessment of P-15 Bone Putty in Anterior Cervical Fusion With Instrumentation http://www.clinicaltrials.gov/ct/show/NCT00310440 Objective: Evaluate if P-15 bone putty is not inferior in effectiveness and safety to DBX when applied in instrumented anterior cervical discectomy and fusion with use of a structural allograft ring in patients with degenerative cervical disc disease. Design: Treatment, Randomized, Active Control, Parallel Assignment, Safety/Efficacy Study Enrollment: 204 Beta-Tricalcium Phosphate Bone Graft in Treating Patients Undergoing Surgery For Metastatic Spine Cancer Beta-Tricalcium Phosphate Bone Graft in Treating Patients Undergoing Surgery For Metastatic Spine Cancer http://www.clinicaltrials.gov/ct/show/NCT01407341 Objective: Studies beta-tricalcium phosphate bone graft in treating patients undergoing surgery for metastatic spine cancer. A bone graft may help healing and bone growth in patients undergoing surgery for spine cancer. Design: Non-Randomized; Efficacy Study; Single Group Assignment; Open Label; Supportive Care. Enrollment: 20 Bone Graft Materials Observational Registry (APPROACH-001) Bone Graft Materials Observational Registry (APPROACH-001) http://www.clinicaltrials.gov/ct/show/NCT00974623 Objective: Collect information on the clinical outcomes and "real world" use of approved and commercially available bone graft substitutes, autograft and allograft. Design: Cohort, Prospective Enrollment: 300 Center Blade Study Center Blade Study http://www.clinicaltrials.gov/ct/show/NCT01499680 Objective: Evaluate intraoperative neuromonitoring results in subjects who undergo eXtreme Lateral Interbody Fusion (XLIF) surgery at any number of levels inclusive of L4-5. Design: Observational; case control; prospective. Enrollment: 300 Cervical Spine; Movement Before and After Anterior Cervical Discectomy, With or Without a Cervical Disc Prosthesis Cervical Spine; Movement Before and After Anterior Cervical Discectomy, With or Without a Cervical Disc Prosthesis http://www.clinicaltrials.gov/ct/show/NCT00868335 Objective: Find out if use of a cervical disc prosthesis in the treatment of a cervical disc herniation preserves or restores normal mobility and movement in the cervical spine. Design: Treatment, Randomized, Open Label, Parallel Assignment, Efficacy Study Enrollment: 24 Clinical Evaluation of the Crosstrees Pod™ in the Treatment of Pathologic Fracture of the Vertebral Body (Levels T4-L5) in Adult Patients Clinical Evaluation of the Crosstrees Pod™ in the Treatment of Pathologic Fracture of the Vertebral Body (Levels T4-L5) in Adult Patients http://www.clinicaltrials.gov/ct/show/NCT00933036 Objective: Evaluate the performance of the Crosstrees System in reducing pain and decreasing the risk of cement leakage associated with vertebroplasty and kyphoplasty. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label; treatment. Enrollment: 118 Clinical Outcome Study of Minimally Invasive Decompression for Lumbar Spinal Stenosis (MEDLLSS) Clinical Outcome Study of Minimally Invasive Decompression for Lumbar Spinal Stenosis (MEDLLSS) http://www.clinicaltrials.gov/ct/show/NCT00737607 Objective: Evaluate effectiveness and treatment outcomes of endoscopic decompressive laminotomy with objective evaluation tools. Design: Case only; prospective Enrollment: 60 Clinical Outcomes of the Trinica(r) Anterior Lumbar Plate: Fixed Screws vs. Variable Screws Clinical Outcomes of the Trinica(r) Anterior Lumbar Plate: Fixed Screws vs. Variable Screws http://www.clinicaltrials.gov/ct/show/NCT00762723 Objective: Collect clinical outcomes data, including a comparison of different screw configurations, is needed to support the use of the Trinica(r) ALP System. Design: Open label, parallel assignment, randomized, treatment Enrollment: 120 Clinical Outcomes Study Evaluating the Zero-P PEEK Clinical Outcomes Study Evaluating the Zero-P PEEK http://www.clinicaltrials.gov/ct/show/NCT00945243 Objective: Evaluate the maintenance or improvement of the Neck Disability Index (NDI) scores in patients undergoing single-level anterior cervical discectomy and fusion (ACDF) for SCDD using the Zero-P PEEK device. Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study Enrollment: 114 Clinical Trial Comparing Decompression With and Without Coflex™ Treating Lumbar Spinal Stenosis Clinical Trial Comparing Decompression With and Without Coflex™ Treating Lumbar Spinal Stenosis http://www.clinicaltrials.gov/ct/show/NCT01316211 Objective: Verification of an improvement in the clinical outcome according to low back pain occurrence in patients with coflex™ implant compared to patients without coflex™ implant. Design: Interventional; randomized; safety/efficacy; parallel assignment; open label treatment. Enrollment: 230 Clinical Trial of Gabapentin to Improve Postoperative Pain in Surgical Patients Clinical Trial of Gabapentin to Improve Postoperative Pain in Surgical Patients http://www.clinicaltrials.gov/ct/show/NCT00221338 Objective: Patients will be randomized to receive either placebo or gabapentin preoperatively, and continued postoperatively until discharge; using an intention to treat strategy, we, the researchers at UCSF, will compare the amount of postoperative pain, narcotic requirements, and postoperative delirium and cognitive dysfunction between the two groups. Design: Treatment, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Safety/Efficacy Study Enrollment: 312 Clinical Trial to Evaluate Safety and Efficacy of Hyalospine® in Lumbar Laminectomy or Laminotomy Clinical Trial to Evaluate Safety and Efficacy of Hyalospine® in Lumbar Laminectomy or Laminotomy http://www.clinicaltrials.gov/ct/show/NCT00939406 Objective: Phase II trial to evaluate safety and efficacy of Hyalospine® in patients undergoing lumbar laminectomy or laminotomy for degenerative spinal stenosis or disk herniation. The device is an adjunct in lumbar spine surgery to prevent post-surgical fibrosis and adhesions. Design: Interventional; randomized; uncontrolled; safety/efficacy; parallel assignment; double blind; Treatment. Enrollment: 50 Comparative Effectiveness and Cost-Benefit Analysis of Vancomycin Powder in High Risk Spine Surgery Patients Comparative Effectiveness and Cost-Benefit Analysis of Vancomycin Powder in High Risk Spine Surgery Patients http://clinicaltrials.gov/ct2/show/NCT01566422?term=spine&rank=94 Objective: In this proposal the investigators will prospectively randomize patients undergoing posterior spinal stabilization for traumatic injuries into either receiving vancomycin powder into the surgical site (treatment) versus not receiving vancomycin powder (control) and subsequently follow infection rate, complications, and cost of care. The investigator's hypothesis is that i) vancomycin powder will decrease infection rates ii) have no systemic toxicity iii) and be a cost saving advancement in the safety of delivering spine surgical care. Design: Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Enrollment: Comparative Study of Balloon Kyphoplasty and Coservative Treatment (TRAMAA 1-2-3) Comparative Study of Balloon Kyphoplasty and Coservative Treatment (TRAMAA 1-2-3) http://www.clinicaltrials.gov/ct/show/NCT00749242 Objective: Compare two treatments in acute stable traumatic vertebral fractures Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study Enrollment: 200 Comparison of Balloon Kyphoplasty and Vertebroplasty in Subacute Osteoporotic Vertebral Fractures (OSTEO+6) Comparison of Balloon Kyphoplasty and Vertebroplasty in Subacute Osteoporotic Vertebral Fractures (OSTEO+6) http://www.clinicaltrials.gov/ct/show/NCT00749086 Objective: Compare two treatments in subacute (more than 6 week duration) non-traumatic (usually osteoporotic) vertebral fractures. Design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study Enrollment: 200 Comparison of Balloon Kyphoplasty, Vertebroplasty and Conservative Management in Acute Osteoporotic Vertebral Fractures Comparison of Balloon Kyphoplasty, Vertebroplasty and Conservative Management in Acute Osteoporotic Vertebral Fractures http://www.clinicaltrials.gov/ct/show/NCT00749060 Objective: Compare three treatments in recent (less than 6 week duration) non-traumatic ( usually osteoporotic) vertebral fractures. Design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study Enrollment: 300 Comparison of Cage Versus Plate in One Level Cervical Disc Disease Comparison of Cage Versus Plate in One Level Cervical Disc Disease http://www.clinicaltrials.gov/ct/show/NCT01011569 Objective: Compare 2 surgical methods for single for one-level cervical disc disease; cage only and plate/graft. Design: Observational Model: CohortTime Perspective: Prospective Enrollment: 80 Comparison of DISCOVER™ Artificial Cervical Disc and ACDF for Treatment of Cervical DDD (IDE Study) Comparison of DISCOVER™ Artificial Cervical Disc and ACDF for Treatment of Cervical DDD (IDE Study) http://www.clinicaltrials.gov/ct/show/NCT00432159 Objective: Compare safety and effectiveness of the DISCOVER™ Artificial Cervical Disk and ACDF in the treatment of DDD in 1 or 2 adjacent levels in the cervical spine C3-C7. Design: Treatment, randomized, single blind, active control, parallel assignment, safety/efficacy study. Enrollment: 820 Comparison of Outcomes Between Early Physical Therapy Intervention and Usual Care Following Anterior Cervical Fusion Surgery Comparison of Outcomes Between Early Physical Therapy Intervention and Usual Care Following Anterior Cervical Fusion Surgery http://clinicaltrials.gov/ct2/show/NCT01519115?term=spine&rank=14 Objective: The purpose of this study is to compare the effectiveness of clinical outcomes between an early PT intervention and usual care in patients who have undergone anterior cervical spine fusion (ACF) surgery. A study hypothesis is that outcomes will be improved with early PT intervention. Design: Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment Enrollment: Comparison of Standard Fusion With "Topping Off"-System in Lumbar Spine Comparison of Standard Fusion With "Topping Off"-System in Lumbar Spine http://clinicaltrials.gov/ct2/show/NCT01224379?term=spine&rank=61 Objective: Does a new "topping-off" device lead to a better clinical outcome compared to standard fusion? Does this device prevent the development of adjacent instability? Does radiological adjacent instability correlate with clinical outcome? Design: Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Enrollment: Condition of Approval Study (COAST) Condition of Approval Study (COAST) http://www.clinicaltrials.gov/ct/show/NCT00517751 Objective: Study designed to supplement pre-market safety/effectiveness data with information on long-term device performance. Design: Non-randomized; open-label; safety/efficacy study; single group assignment; treatment; uncontrolled. Enrollment: 240 Conformal High Dose Intensity Modulated Radiation Therapy for Disease to Thoracic and Lumbar Spine Conformal High Dose Intensity Modulated Radiation Therapy for Disease to Thoracic and Lumbar Spine http://clinicaltrials.gov/ct2/show/NCT01654068?term=spine&rank=81 Objective: The purpose of this study is to determine if Conformal High Dose Intensity Modulated Radiation Therapy is an appropriate option for treating cancer that has spread to the spinal column. This study involves patients who have been diagnosed with metastatic cancer to the thoracic and lumbar vertebral body levels and currently do not have symptoms caused from the area of concern. The goal is to prove that this is not only a safe form of treatment, but that Conformal High Dose Intensity Modulated Radiation Therapy can reduce the risk of cancer coming back in the area that the investigators treat which may reduce the risk of developing symptoms like pain in the future. Design: Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Enrollment: CopiOs Posterolateral Fusion Procedure CopiOs Posterolateral Fusion Procedure http://www.clinicaltrials.gov/ct/show/NCT01123850 Objective: Compare radiographic data collection from patients undergoing instrumented PLF with CopiOs (R) BVF or instrumented PLF with autologous bone and to assess overall clinical outcomes. Design: observational; cohort; prospective. Enrollment: 85 Diffusion Tensor (Magnetic Resonance) Imaging and Tractography in Herniation of the Cervical Spine Diffusion Tensor (Magnetic Resonance) Imaging and Tractography in Herniation of the Cervical Spine http://clinicaltrials.gov/ct2/show/NCT00599183?term=spine&rank=16 Objective: This is an investigator-iniated pilot study to determine if MRI with diffusion tensor imaging (DTI) and tractography will yield useful information in patients suspected of having cervical spine disc herniation to provide imaging confirmation of whether or not disease is progressing and to assess response to treatment (regardless of treatment provided). Design: Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic Enrollment: Direct Stimulation of Spinal Nerve Roots to Determine Sensory and Motor Innervation Patterns Direct Stimulation of Spinal Nerve Roots to Determine Sensory and Motor Innervation Patterns http://www.clinicaltrials.gov/ct/show/NCT00696501 Objective: Collect and analyze data while monitoring muscles and nerves during spine surgery to develop a map of human muscle innervations patterns. Design: Cohort; prospective. Enrollment: 1,000 Dose-Dense Temozolomide and Lapatinib for Recurrent Ependymoma Dose-Dense Temozolomide and Lapatinib for Recurrent Ependymoma http://www.clinicaltrials.gov/ct/show/NCT00826241 Objective: To learn if Lapatinib given in combination with Temozolomide can help control recurrent ependymoma. Design: Interventional; single group assignment; open label; treatment. Enrollment: 50 DuraSeal Exact Spine Sealant System Post-Approval Study DuraSeal Exact Spine Sealant System Post-Approval Study http://clinicaltrials.gov/ct2/show/NCT01410864?term=spine&rank=37 Objective: This is a non-randomized, post-approval study to further evaluate the rate of post-operative CSF leaks in subjects who undergo a spinal procedure and receive DuraSeal Exact Spine Sealant System Design: Observational Model: Cohort Enrollment: Effect of Human Thrombin With Gelatin Matrix on Perioperative Blood Loss in Scoliosis Surgery Effect of Human Thrombin With Gelatin Matrix on Perioperative Blood Loss in Scoliosis Surgery http://www.clinicaltrials.gov/ct/show/NCT01451788 Objective: Clinical trial comparing Gelatin matrix with human derived thrombin (Floseal, Baxter) and without use of Floseal in adolescents undergoing posterior spinal deformity surgery for AIS (adolescent idiopathic scoliosis between 45 and 90 degrees). Design: Interventional; randomized; efficacy; parallel assignment; single blind (subject); treatment. Enrollment: 60 Effectiveness of Lumbar Fusion When NanOss Bioactive Is Used With Posterolateral Gutter Fusions Effectiveness of Lumbar Fusion When NanOss Bioactive Is Used With Posterolateral Gutter Fusions http://www.clinicaltrials.gov/ct/show/NCT01452516 Objective: Evaluate the use of nanOss Bioactive for intertransverse process posterolateral fusions. Design: Observational; case study; prospective. Enrollment: 100 Efficacy and Safety of Accell Evo3 DBM in Instrumented Posterolateral Lumbar Spine Fusion Efficacy and Safety of Accell Evo3 DBM in Instrumented Posterolateral Lumbar Spine Fusion http://www.clinicaltrials.gov/ct/show/NCT01430299 Objective: Evaluate the performance of Integra Accell Evo3 Demineralized Bone Matrix as an adjunct for posterolateral spine fusion with a retrospective comparison to a historical patient cohort. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label; treatment. Enrollment: 30 Efficacy and Safety Study of Lumbar Interbody Fusion With MatriTMBONE Associated With Autologous Bone Marrow (MatriBone) Efficacy and Safety Study of Lumbar Interbody Fusion With MatriTMBONE Associated With Autologous Bone Marrow (MatriBone) http://www.clinicaltrials.gov/ct/show/NCT01335243 Objective: Estimate the rate of intersomatic fusion observed 12 months after lumbar interbody fusion by posterior approach with PEEK interbody cage of fusion in PEEK performed with autologous bone of decortication and osseous substitute with a biomaterial (MatriBONE associated with the autologous bone marrow), associated with a posterolateral bone graft performed with MatriBone waxed with bone marrow. Indication is dedicated for patients by painful degenerative osteoarthritis, by narrow lumbar canal and\or spondylolisthesis. Design: Efficacy Study; Single Group Assignment; Open Label; Treatment Enrollment: 82 Efficacy of a Radio-Biological Based Re-Irradiation Strategy for Patients with Malignant Spinal Cord Compression Efficacy of a Radio-Biological Based Re-Irradiation Strategy for Patients with Malignant Spinal Cord Compression http://www.clinicaltrials.gov/ct/show/NCT00624507 Objective: Assess and evaluate the efficacy of re-irradiation in patients presenting with malignant spinal cord compression occurring in a previously irradiated area of the spinal cord. Design: Treatment; non-randomized; open label; dose comparison; parallel assignment; safety/efficacy study. Enrollment: 40 Efficacy of Riluzole in Surgical Treatment of Cervical Spondylotic Myelopathy (CSM-Protect) Efficacy of Riluzole in Surgical Treatment of Cervical Spondylotic Myelopathy (CSM-Protect) http://www.clinicaltrials.gov/ct/show/NCT01257828 Objective: Evaluate the potential benefit of adding a neuroprotective drug which aids in the treatment of patients with CSM whom are undergoing surgical decompression. Design: Interventional; efficacy; parallel assignment; double blind (subject; investigator; outcome assessor). Enrollment: 270 Efficacy of the Aspen Spinous Process System in Anterior Lumbar Interbody Fusion (ALIF) Efficacy of the Aspen Spinous Process System in Anterior Lumbar Interbody Fusion (ALIF) http://www.clinicaltrials.gov/ct/show/NCT01016314 Objective: Evaluate the clinical outcome of subjects with degenerative disc disease (DDD) treated with ALIF and supplemental posterior fixation using ASPEN Spinous Process System compared to pedicle screw instrumentation. Design: Interventional; randomized; parallel assignment; open label; treatment. Enrollment: Enrollment: 156 Establishment of a Brain and Spinal Cord Tissue Bank Establishment of a Brain and Spinal Cord Tissue Bank http://www.clinicaltrials.gov/ct/show/NCT00686387 Objective: Establish a Brain and Spinal Tumor Tissue/Specimen repository to serve as a resource for current and future scientific studies. Design: Observational Model: Case-Only; Time Perspective: Prospective Enrollment: 70 Evaluate Initial Safety of the HemiBridge™ System in Guided Spinal Growth Treatment of Progressive Idiopathic Scoliosis Evaluate Initial Safety of the HemiBridge™ System in Guided Spinal Growth Treatment of Progressive Idiopathic Scoliosis http://www.clinicaltrials.gov/ct/show/NCT01465295 Objective: Study a new method of treatment for patients who are diagnosed with idiopathic scoliosis and have abnormal and increasing curvature of the spine. The treatment consists of the surgical implantation of a new medical device called the "HemiBridge™ Clip". This procedure is intended to stop additional curvature of the spine by redirecting growth of the bones of the spine (vertebrae). Design: Interventional; safety; single group assignment; open label; treatment. Enrollment: 6 Evaluation of a Novel CT-On-Rails or Trilogy Stereotactic Spine Radiotherapy System (SSRS) Evaluation of a Novel CT-On-Rails or Trilogy Stereotactic Spine Radiotherapy System (SSRS) http://www.clinicaltrials.gov/ct/show/NCT00508443 Objective: Establish safety/feasibility of using novel CT-on-Rails or Trilogy stereotactic spine radiotherapy system to treat spine and para-spinal tumors. Design: Treatment, non-randomized, open label, uncontrolled, single group assignment, safety/efficacy study. Enrollment: 150 Evaluation of an 3D Imaging Intensifier Coupled to a Navigation Station in the Surgery of the Spine and Pelvis (FLUORONAV) Evaluation of an 3D Imaging Intensifier Coupled to a Navigation Station in the Surgery of the Spine and Pelvis (FLUORONAV) http://www.clinicaltrials.gov/ct/show/NCT01335841 Objective: Demonstrate an optimization of the establishment of orthopedic implants in surgery of the spine and pelvic ring by combining 3D fluoroscopy and navigation system versus conventional method involving anatomical landmarks and 2D fluoroscopy Design: Interventional; randomized; safety/efficacy; parallel assignment; single-blind (subject); treatment. Enrollment: 150 Evaluation of Radiculitis Following Use of Bone Morphogenetic Protein-2 for Interbody Arthrodesis in Spinal Surgery Evaluation of Radiculitis Following Use of Bone Morphogenetic Protein-2 for Interbody Arthrodesis in Spinal Surgery http://www.clinicaltrials.gov/ct/show/NCT00984672 Objective: Excess bone overgrowth around the spinal nerves in proximity to the fusion cage has been reported. No prospective studies have been performed assessing the incidence and etiology of this complication. The investigators propose a prospective study evaluating the incidence of this complication as well as postoperative imaging studies to help determine whether bony overgrowth is indeed occurring adjacent to the effected spinal nerves. Design: Observational; case-control; prospective Enrollment: Enrollment: 240 Evaluation of Single Session Stereotactic Body Radiotherapy Evaluation of Single Session Stereotactic Body Radiotherapy http://www.clinicaltrials.gov/ct/show/NCT00492817 Objective: Establish safety and efficacy of using stereotactic body radiotherapy to treat spine and paraspinal tumors in a single session. Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study. Enrollment: 60 Evaluation of the Safety of C-Spine Clearance by Paramedics Evaluation of the Safety of C-Spine Clearance by Paramedics http://clinicaltrials.gov/ct2/show/NCT01188447?term=spine&rank=3 Objective: The goal of this cohort study is to evaluate the safety and potential impact of an active strategy that allows paramedics to assess very low-risk trauma patients with the Canadian C-Spine Rule (CCR) and transport them to the Emergency Department without immobilization. The specific objectives of the study are to determine safety, determine the clinical impact and evaluate performance. Design: Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic Enrollment: Feasibility Study of NL-Prow Interspinous Spacer to Treat Lumbar Spinal Stenosis Feasibility Study of NL-Prow Interspinous Spacer to Treat Lumbar Spinal Stenosis http://www.clinicaltrials.gov/ct/show/NCT01053364 Objective: Evaluate the clinical safety and feasibility of the NL-Prow™ Interspinous Spacer implant and insertion procedure in the treatment of lumbar spinal stenosis Design: Intervention Model: Single Group Assignment; Masking: Open Label; Primary Purpose: Treatment Enrollment: 6 Freedom Lumbar Disc in the Treatment of Lumbar Degenerative Disc Disease (FLD) Freedom Lumbar Disc in the Treatment of Lumbar Degenerative Disc Disease (FLD) http://www.clinicaltrials.gov/ct/show/NCT00775801 Objective: The study will compare the safety and effectiveness of the FLD artificial lumbar disc to an already approved artificial lumbar disc. Design: Interventional; randomized; safety/efficacy; parallel assignment; open label; treatment. Enrollment: Enrollment: 300 Fusion Assessment Clinical Trial (FACT) Fusion Assessment Clinical Trial (FACT) http://www.clinicaltrials.gov/ct/show/NCT00736398 Objective: Assess clinical outcomes in patients who undergo spinal fusion. Design: Cohort; prospective Enrollment: 50 Gait and Postural Stability Assessment in Children With Idiopathic Scoliosis Undergoing Posterior Spine Instrumentation Gait and Postural Stability Assessment in Children With Idiopathic Scoliosis Undergoing Posterior Spine Instrumentation http://clinicaltrials.gov/ct2/show/NCT01109082?term=spine&rank=33 Objective: The goal of this study is to evaluate children and adolescents with idiopathic scoliosis who are undergoing spinal fusion using motion analysis, balance, and outcome questionnaires. Little research has been done to evaluate how different fusion levels impact walking patterns, range of motion, posture and balance following spine instrumentation in children with idiopathic scoliosis. Debate still continues whether posterior spinal instrumentation with the last instrumented vertebra at or above Lumbar 3 (L3) will provide sufficient spine correction, greater motion, and better posture and balance when compared to a child with instrumentation at Lumbar 4 (L4). Furthermore, how does the spine fusion endpoint (last instrumented vertebra) impact quality of life, participation, and impairment in children and adolescents with idiopathic scoliosis and how do they compare to healthy age-matched peers. The goal of this study is to compare these two end points using gait analysis, postural stability, and outcome tools with the hopes of providing better clinical care to children with idiopathic scoliosis. Design: Observational Model: Cohort Time Perspective: Prospective Enrollment: Genetic Determinants of Ankylosing Spondylitis Severity- Longitudinal Study Genetic Determinants of Ankylosing Spondylitis Severity- Longitudinal Study http://www.clinicaltrials.gov/ct/show/NCT00056719 Objective: Explore how genes may influence the severity of ankylosing spondylitis, a form of arthritis that affects the spine. Patients have inflammation of the joints of the spine, which may cause the bones of the spine to fuse, resulting in difficulty performing daily activities. Design: Natural History Enrollment: 300 Greenwich Lumbar Stenosis SLIP Study Greenwich Lumbar Stenosis SLIP Study http://www.clinicaltrials.gov/ct/show/NCT00109213 Objective: determine the proper use of lower back screws and rods (instrumentation) and bony fusion in subjects with one level of degenerative spinal narrowing (stenosis) compressing nerves to the legs with one spinal bone slipping forward on another (spondylolisthesis). Design: Treatment, Randomized, Open Label, Active Control, Crossover Assignment, Efficacy Study Enrollment: 75 IDE Clinical Trial Comparing Coflex vs. Fusion to Treat Lumbar Spinal Stenosis IDE Clinical Trial Comparing Coflex vs. Fusion to Treat Lumbar Spinal Stenosis http://www.clinicaltrials.gov/ct/show/NCT00534235 Objective: To evaluate the safety and effectiveness of coflex device compared to control. Design: Randomized, double-blind, parallel assignment, safety/efficacy study. Enrollment: 460 Identification of Microcirculation and Inflammation After Posterior Stabilization of the Spine (MicroSpine) Identification of Microcirculation and Inflammation After Posterior Stabilization of the Spine (MicroSpine) http://www.clinicaltrials.gov/ct/show/NCT01266200 Objective: In this project, with unstable vertebral fractures, the microcirculation of the skin and muscle (O2C, Laser-Doppler/White-light -Spectroscopy and contrast-enhanced sonography) will be evaluated in both conventional and in percutaneous minimally invasive technique (XIA versus Mantis) at the thoracolumbar junction. Design: Interventional; randomized; single group assignment; single blind (outcomes assessor); treatment. Enrollment: 100 Impact of Impaired Cerebral Autoregulation on Postoperative Delirium in Elderly Patients Undergoing Spine Surgery Impact of Impaired Cerebral Autoregulation on Postoperative Delirium in Elderly Patients Undergoing Spine Surgery http://clinicaltrials.gov/ct2/show/NCT01574950?term=spine&rank=41 Objective: Delirium (confusion) after surgery is common and associated with a longer hospitl stay and increased hopsital cost. There is very little information available about how often delirium occurs and the complications associated with it. Elderly patients are at high risk for delirium after surgery. This research is being done to measure how often delirium after spine surgery occurs and to see if there are ways to predict if delirium will develop. The results from this study will provide important information on a possible mechanism and predictor of delirium. Design: Observational Model: Cohort Time Perspective: Prospective Enrollment: Implanted Myoelectric Control for Restoration of Hand Function in Spinal Cord Injury Implanted Myoelectric Control for Restoration of Hand Function in Spinal Cord Injury http://www.clinicaltrials.gov/ct/show/NCT00583804 Objective: Evaluate effectiveness of an implanted stimulator and sensor for providing hand and arm function for individuals with cervical level spinal cord injury. Design: Treatment; open-label; single group assignment; safety/efficacy study. Enrollment: 50 Improvement of Transoperatory X-ray Visualization During Anterior Cervical Surgery Improvement of Transoperatory X-ray Visualization During Anterior Cervical Surgery http://www.clinicaltrials.gov/ct/show/NCT01342575 Objective: Establish which of five different maneuvers could bring the best trans-operatory x-ray exposure during anterior cervical surgeries with the higher security Design: Interventional; safety/efficacy; single group assignment; open label; supportive care. Enrollment: 50 Infuse® Bone Graft/PEEK Interbody Spacer/Anterior Cervical Plate Pivotal Clinical Trial Infuse® Bone Graft/PEEK Interbody Spacer/Anterior Cervical Plate Pivotal Clinical Trial http://www.clinicaltrials.gov/ct/show/NCT00485173 Objective: Establish safety/effectiveness of Infuse®Bone Graft, the PEEK Interbody Spacer, and anterior cervical plate in patients with cervical DDD. Design: Treatment, non-randomized, open label, historical control, single group assignment, safety/efficacy study. Enrollment: 225 Infuse® Bone Graft in Transforaminal Lumbar Interbody Fusion for Degenerative Disease of Lumbosacral Spine Infuse® Bone Graft in Transforaminal Lumbar Interbody Fusion for Degenerative Disease of Lumbosacral Spine http://www.clinicaltrials.gov/ct/show/NCT01415908 Objective: Provide safety and effectiveness information on the use of INFUSE® Bone Graft with the CAPSTONE® Spinal System and CD HORIZON® Spinal System with a Transforaminal Lumbar Interbody Fusion (TLIF) surgical approach at one or two adjacent levels from L2-S1 to treat subjects with advanced degenerative disease of the lumbosacral spine. Design: Non-randomized; safety/efficacy; parallel assignment; open label, treatment Enrollment: 534 Intraoperative Infusion of Precedex to Reduce Length of Stay After Lumbar Spine Fusion (DEXREDLOS) Intraoperative Infusion of Precedex to Reduce Length of Stay After Lumbar Spine Fusion (DEXREDLOS) http://www.clinicaltrials.gov/ct/show/NCT0080866 Objective: Evaluate whether DEX can help get patients out of the hospital faster after major spine surgery by reducing the inflammation associated with the procedure itself. Design: Interventional; randomized; pharmacodynamics study; parallel assignment; double blind (subject, caregiver; investigator; outcomes/assessor); treatment. Enrollment: 200 Investigating Superion™ In Spinal Stenosis (ISISS) Investigating Superion™ In Spinal Stenosis (ISISS) http://www.clinicaltrials.gov/ct/show/NCT00692276 Objective: Designed to evaluate the safety and effectiveness of Superion™ ISS compared to the XSTOP®IDP® device in healthy adults with moderate spinal stenosis symptoms who have been unresponsive to conservative care. Design: Treatment; randomized; open label; active control; parallel assignment; safety/efficacy study. Enrollment: 400 Kineflex-C Artificial Disc System to Treat Cervical DDD Kineflex-C Artificial Disc System to Treat Cervical DDD http://www.clinicaltrials.gov/ct/show/NCT00374413 Objective: The Kineflex-C Spinal System is no worse than conventional Anterior Cervical Diskectomy with Fusion (ACDF) in patients with single level degenerative disc disease at any cervical level from C3 toC7 Design: Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Bio-equivalence Study Enrollment: 350 Kypho-IORT: Intraoperative Radiotherapy During Kyphoplasty for Spinal Metastases Kypho-IORT: Intraoperative Radiotherapy During Kyphoplasty for Spinal Metastases http://www.clinicaltrials.gov/ct/show/NCT01280032 Objective: Define the maximum tolerable dose (MTD) for IORT during a kyphoplasty using specific MTD-criteria and evaluating the effectiveness of this combined treatment procedure. To determine the MTD 3 levels with increasing doses are planned. Design: Interventional; safety/efficacy; single group assignment; open label; treatment. Enrollment: 18 LDR Spine USA Mobi-C(R) Cervical Disc Prosthesis IDE LDR Spine USA Mobi-C(R) Cervical Disc Prosthesis IDE http://clinicaltrials.gov/ct2/show/NCT00389597?term=spine&rank=60 Objective: The purpose of this investigation is to establish the safety and effectiveness of the LDR Spine Mobi-C® Cervical Disc Prosthesis which is an anterior cervical interbody mechanical device. The primary objective of the study is to evaluate the overall success rate of the investigational device as compared to the control in the treatment of patients with symptomatic DDD with radiculopathy or myeloradiculopathy at one or two adjacent levels. Patients should be without prior cervical fusion between C3 and C7 and unresponsive to non-operative conservative treatment for six weeks after symptom onset or have the presence of progressive symptoms or signs of nerve/spinal cord compression despite continued non-operative conservative treatment. Design: Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Enrollment: Lumbar Disc Herniation Outcome Measures Lumbar Disc Herniation Outcome Measures http://www.clinicaltrials.gov/ct/show/NCT01041391 Objective: Examine outcome measurements on patients who undergo surgery to remove a damaged lumbar disc versus those who do not have surgery. Design: Observational; case control; prospective. Enrollment: 200 Lumbar Interbody Fusion Using the TelamonPeek Versus the Telamon Hydrosorb Fusion Device Lumbar Interbody Fusion Using the TelamonPeek Versus the Telamon Hydrosorb Fusion Device http://www.clinicaltrials.gov/ct/show/NCT00095095 Objective: Comparison of two fusion devices Design: Treatment, randomized, single blind, uncontrolled, parallel assignment, safety/efficacy study Enrollment: 210 Lumbar Spinal Fusion System Lumbar Spinal Fusion System http://www.clinicaltrials.gov/ct/show/NCT00758719 Objective: Evaluate effectiveness of the Biomet Lumbar Spinal Fusion System Design: Prospective Enrollment: 480 Lumbar to Sacral Ventral Nerve Re-Routing Lumbar to Sacral Ventral Nerve Re-Routing http://www.clinicaltrials.gov/ct/show/NCT00378664 Objective: Assess level of improvement in voiding function after lumbar to sacral ventral nerve re-routing procedure in spinal cord injury and spina bifida patients. Design: Treatment; non-randomized; open label; uncontrolled; single group assignment; efficacy study. Enrollment: none given Magnetic Resonance Imaging (MRI) Interpretations for Lumbar Spinal Stenosis (LSS) Magnetic Resonance Imaging (MRI) Interpretations for Lumbar Spinal Stenosis (LSS) http://www.clinicaltrials.gov/ct/show/NCT01017692 Objective: Establish a relationship between the degree of radiologically established anatomical stenosis and the severity of self-assessed outcome measures in patients that have undergone and MRI. Design: Observational Model: CohortTime Perspective: Prospective Enrollment: 100 Mild® Decompression Alternative to Open Surgery Epidural Steroid Injection Comparative Outcomes Study Mild® Decompression Alternative to Open Surgery Epidural Steroid Injection Comparative Outcomes Study http://www.clinicaltrials.gov/ct/show/NCT01315145 Objective: Compare patient outcomes following treatment with either the mild® procedure or epidural steroid injection in patients with moderate to severe lumbar spinal stenosis exhibiting neurogenic claudication. Design: Interventional; randomized; parallel assignment; open label; treatment Enrollment: 200 Natural History Study of Patients with Neurofibromatosis Type 2 Natural History Study of Patients with Neurofibromatosis Type 2 http://www.clinicaltrials.gov/ct/show/NCT00598351 Objective: Examine over the long-term progress of patients with neurofibromatosis type 2 to learn how fast their tumors grow and if certain factors might affect their growth. Examines effects of tumors on patient's activities of daily living. Design: Observational; prosective. Enrollment: 250 Neurogenic Intermittent Claudication Evaluation Study (NICE) Neurogenic Intermittent Claudication Evaluation Study (NICE) http://www.clinicaltrials.gov/ct/show/NCT00905359 Objective: Provide clinical evidence proving that the Aperius™ PercLID™ System is safe and non-inferior to standalone decompressive surgery with regards to clinical outcomes in patients suffering from Degenerative Lumbar Spinal Stenosis with Neurogenic Intermittent Claudication, relieved by flexion. Allocation: Randomized Design: Allocation: RandomizedEndpoint Classification: Efficacy StudyIntervention Model: Parallel Assignment Masking: Open Label;Primary Purpose: Treatment Enrollment: 280 Neurosurgery Patient Outcomes in Treating Spinal Disorders (Neuropoint-SD) Neurosurgery Patient Outcomes in Treating Spinal Disorders (Neuropoint-SD) http://www.clinicaltrials.gov/ct/show/NCT01220921 Objective: The creation of a multi-center cooperative research group encompassing academic and community-based spinal practices to evaluate outcomes after spine surgery in patients with symptomatic lumbar disc herniation and Grade I Spondylolisthesis. Design: Non-randomized; safety/efficacy; parallel assignment; open label; health services research. Enrollment: Enrollment: 200 Optimal Treatment for Spinal Cord Injury Associated with Cervical Canal Stenosis (OSCIS) Study Optimal Treatment for Spinal Cord Injury Associated with Cervical Canal Stenosis (OSCIS) Study http://www.clinicaltrials.gov/ct/show/NCT01485458 Objective: Compare two strategies: early surgery within 24 hours after admission and delayed surgery following at least 2 weeks of conservative treatment. The purpose of this study is to examine whether early surgery would result in greater improvement in motor function as compared with delayed surgery. Design: Interventional; randomized; safety/efficacy; parallel assignment; open label; treatment. Enrollment: 100 OsseoFix™ Spinal Fracture Reduction System in Treating Spinal Compression Fracture OsseoFix™ Spinal Fracture Reduction System in Treating Spinal Compression Fracture http://www.clinicaltrials.gov/ct/show/NCT00961714 Objective: Provide reasonable assurance on safety and effectiveness of the OsseoFix Spinal Fracture Reduction System for market release approval in the US. This investigational device is intended to restore biomechanical integrity to a vertebral body that has suffered a painful compression fracture in the thoracic or lumbar spine between levels T6 and L5. Design: Interventional; non-randomized; safety/efficacy; parallel assignment; open label; treatment. Enrollment: 125 Osteocel(r)Plus in Anterior Cervical Discectomy and Fusion (ACDF) Osteocel(r)Plus in Anterior Cervical Discectomy and Fusion (ACDF) http://www.clinicaltrials.gov/ct/show/NCT00942045 Objective: Compare the use of Osteocel(r) Plus in subjects who receive ACDF surgery at one or two levels Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study Enrollment: 175 PEEK and Allograft Spacers Evaluation in Spinal Fusion Surgeries PEEK and Allograft Spacers Evaluation in Spinal Fusion Surgeries http://www.clinicaltrials.gov/ct/show/NCT 01406405 Objective: Prospectively compare clinical and radiographic clinical outcomes in patients undergoing cervical or lumbar interbody fusions and randomized to receive either polyetheretherketone (PEEK) or cortical allografts. Design: Observational; case control; prospective. Enrollment: 240 Percutaneous Diskectomy Spine Jet® x Open Microdiskectomy in Treatment of Lumbar Radiculopathy (PDOP_TLR) Percutaneous Diskectomy Spine Jet® x Open Microdiskectomy in Treatment of Lumbar Radiculopathy (PDOP_TLR) http://www.clinicaltrials.gov/ct/show/NCT01367860 Objective: Compare outcomes of patients with contained or extruded disc herniation, with complaints of radiculopathy, concordant with the imaging findings. With treatment by surgical technique or the traditional by SpineJet ®, in order to determine whether percutaneous discectomy with SpineJet ® will produce results comparable to open microdiskectomy. Design: Interventional; randomized; safety/efficacy; parallel assignment; single blind (outcomes assessor); treatment. Enrollment: 60 Percutaneous Dynamic Stabilization (PDS) System Versus Fusion for Treating degenerative Disc Disease Percutaneous Dynamic Stabilization (PDS) System Versus Fusion for Treating degenerative Disc Disease http://www.clinicaltrials.gov/ct/show/NCT00878579 Objective: Evaluate the safety and effectiveness of the PDS System compared to the surgical control of posterolateral fusion with autograft and pedicle screw fixation for the treatment of one Design: or two levels from L3-S1 to relieve back pain associated with degenerative disc disease. Enrollment: Design: Treatment, Performance of Inductigraft in Spinal Fusion Performance of Inductigraft in Spinal Fusion http://www.clinicaltrials.gov/ct/show/NCT01452022 Objective: Evaluate the performance of Inductigraft (osteoinductive synthetic bone graft) in patients receiving posterolateral lumbar spine fusion through assessment of successful fusion at 12 months post operation using x-rays and CT scans. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label; treatment. Enrollment: 230 Perioperative Pain Management In Spine Surgery Patients: Part I Perioperative Pain Management In Spine Surgery Patients: Part I http://clinicaltrials.gov/ct2/show/NCT01447888?term=spine&rank=38 Objective: The purpose of this study is a comparison of pain management in opioid-tolerant spine surgery patients using a perioperative dosing goal of 150% of patient's baseline oral morphine equivalent (OME), as compared to standard perioperative dosing, which does not currently account for patients' baseline opiate use. Design: Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Enrollment: Pilot Study on the Effect of Dexmedetomidine on Inflammatory Responses in Patients Undergoing Lumbar Spinal Fusion Pilot Study on the Effect of Dexmedetomidine on Inflammatory Responses in Patients Undergoing Lumbar Spinal Fusion http://www.clinicaltrials.gov/ct/show/NCT 01377623 Objective: Examine the effect of DEX on the inflammatory response in major surgery and correlate changes in the concentration of inflammatory mediators with meaningful clinical outcomes. Design: Observational; cohort; prospective. Enrollment: 56 Pilot Study to Assess the Safety/Preliminary Effectiveness of Prefix in Subjects with Degenerative Disc Disease (DDD) Undergoing Spine Fusion Surgery Pilot Study to Assess the Safety/Preliminary Effectiveness of Prefix in Subjects with Degenerative Disc Disease (DDD) Undergoing Spine Fusion Surgery http://www.clinicaltrials.gov/ct/show/NCT00798902 Objective: Evaluate Safety and Preliminary Effectiveness of Prefix as Compared to Autogenous Bone for Spinal Fusion Procedures in Skeletally Mature Subjects with Degenerative Disc Disease at One Level from L2-S1. Design: Active control; open label; parallel assignment; randomized; safety/efficacy study; treatment. Enrollment: 22 Pilot Study to Evaluate Feasability of Densi Probe Spine Assessing Bone Strength in Spinal Surgery Pilot Study to Evaluate Feasability of Densi Probe Spine Assessing Bone Strength in Spinal Surgery http://www.clinicaltrials.gov/ct/show/NCT01126385 Objective: Investigate the handling and feasibility of the DensiProbe Spine measurement device. Design: Observational; case-only; prospective. Enrollment: 30 Postural Balance of the Adult (POSTURADULT) Postural Balance of the Adult (POSTURADULT) http://www.clinicaltrials.gov/ct/show/NCT00926432 Objective: Describe the geometrical configuration of the skeleton with regard to gravity line by patients suffering from spinal disorders that may induce postural trouble. Design: Diagnostic, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study Enrollment: 100 Potential Vertebroplasty Use in the Treatment of Vertebral Metastases from Breast and Prostate Cancer Potential Vertebroplasty Use in the Treatment of Vertebral Metastases from Breast and Prostate Cancer http://www.clinicaltrials.gov/ct/show/NCT00294151 Objective: Aims to evaluate if adding vertebroplasty to radiotherapy, in the treatment of spine metastasis from breast and prostate cancer, is preferable to radiotherapy alone. Design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Efficacy Study. Enrollment: 30 Pre-operative Embolization in Surgical Treatment of Spinal Metastases Pre-operative Embolization in Surgical Treatment of Spinal Metastases http://www.clinicaltrials.gov/ct/show/NCT01365715 Objective: Assess the efficacy of preoperative embolization in decreasing operative blood loss, decreasing the need for intraoperative transfusion and facilitate surgical resection in metastatic spine surgery. Design: Interventional; randomized; efficacy; parallel assignment; single blind (caregiver) Enrollment: 64 Predictors of Mortality and Morbidity in the Surgical Management of Primary Tumors of the Spine Predictors of Mortality and Morbidity in the Surgical Management of Primary Tumors of the Spine http://clinicaltrials.gov/ct2/show/NCT01643174?term=spine&rank=46 Objective: Within defined groups of primary malignant and benign bone and soft tissue spine tumors, what variables (clinical, diagnostic, therapeutic, and/or demographic) are associated with overall survival? Design: Observational Model: Case-Only Time Perspective: Retrospective Enrollment: PRESTIGE Observational Study PRESTIGE Observational Study http://www.clinicaltrials.gov/ct/show/NCT00875810 Objective: Collect prospective observational data on the quality of life of patients with the PRESTIGE artificial disc replacement. Design: Observational; Prospective. Enrollment: 225 Prestige® Cervical Disc Post-Approval Study Prestige® Cervical Disc Post-Approval Study http://www.clinicaltrials.gov/ct/show/NCT00642876 Objective: Assess long-term performance of the PRESTIGE® Cervical Disc in the treatment of patients with cervical degenerative disc disease. Design: Interventional; randomized; safety/efficacy; parallel assignment; open label; treatment Enrollment: 541 Prospective Clinical Evaluation of the New Aegis Plate for Anterior Interbody Fusion Prospective Clinical Evaluation of the New Aegis Plate for Anterior Interbody Fusion http://www.clinicaltrials.gov/ct/show/NCT00555659 Objective: Assess and compare clinical outcomes and fusion rates in patients undergoing an instrumented ALIF procedure. Comparisons in all variables will be made across diagnostic categories. Comparisons between type of interbody spacer, graft type, and type of instrumentation will also be made. Design: Treatment, Non-Randomized, Open Label, Single Group Assignment. Enrollment: 200 Prospective Pilot Study Validating the Canadian C-Spine Rule Pre-hospital Prospective Pilot Study Validating the Canadian C-Spine Rule Pre-hospital http://clinicaltrials.gov/ct2/show/NCT01278511?term=spine&rank=2 Objective: This study is designed to evaluate the safety, level of performance and level of comfort with the Canadian C-Spine rule in a prehospital setting by emergency medicine undergraduates. Design: Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic Enrollment: Prospective, Multi-Center Clinical Outcomes Study Evaluating the chromos Strip Combined With Bone Marrow Aspirate Prospective, Multi-Center Clinical Outcomes Study Evaluating the chromos Strip Combined With Bone Marrow Aspirate http://www.clinicaltrials.gov/ct/show/NCT00943384 Objective: Evaluation of the chronOS Strip, combined with autogenous blood and/or bone marrow aspirate, or autograft such as may be obtained from the posterior spinal elements, is intended to be used in the spine for posterolateral fusion. Following placement into the bony void, chronOS Strip resorbs and is replaced with bone during the healing process. Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study Enrollment: 100 Proton Therapy for Chordomas and/or Chondrosarcomas Outcomes Protocol (CHO1) Proton Therapy for Chordomas and/or Chondrosarcomas Outcomes Protocol (CHO1) http://www.clinicaltrials.gov/ct/show/NCT00797602 Objective: Collect information from medical records to see what effects proton beam radiation has on cancer and analyze outcome data on tumor control and normal tissue morbidity. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label Enrollment: 300 Radiation Naive Patients Radiation Naive Patients http://www.clinicaltrials.gov/ct/show/NCT01254903 Objective: Learn the feasibility of using a single session of radiation, known as spine stereotactic radiosurgery (SSRS), to treat metastatic epidural spinal cord compression. Design: Non-Randomized;Safety/Efficacy Study; Single Group Assignment; Open Label; Treatment Enrollment: 36 Radiation Therapy in Treating Patients with Malignant Spinal Cord Compression Who Were Previously Treated With Radiation Therapy Radiation Therapy in Treating Patients with Malignant Spinal Cord Compression Who Were Previously Treated With Radiation Therapy http://www.clinicaltrials.gov/ct/show/NCT00974168 Objective: Study radiation therapy in treating patients with malignant spinal cord compression. Design: Treatment, Open Label Enrollment: 40 Radiation Therapy in Treating Patients with Metastatic Spinal Cord Compression Radiation Therapy in Treating Patients with Metastatic Spinal Cord Compression http://www.clinicaltrials.gov/ct/show/NCT00727584 Objective: Compare two radiation therapy regimes (single fraction vs. multi fraction) to see how well they work in treating patients with metastatic spinal cord compression. Design: Treatment; randomized. Enrollment: 100 Radiographic and Clinical Outcomes of PureGen in Posterior Lumbar (PLIF) and Transforaminal Interbody Fusion (TLIF) Radiographic and Clinical Outcomes of PureGen in Posterior Lumbar (PLIF) and Transforaminal Interbody Fusion (TLIF) http://www.clinicaltrials.gov/ct/show/NCT01293981 Objective: Assess the safety and efficacy of PureGen Osteoprogenitor Cell Allograft in patients undergoing Posterior Lumbar or Transforaminal Interbody fusion. Design: Observational; cohort; prospective. Enrollment: 150 Reorganization of brain Functions in Patients with Spinal Cord Compression using fMRI Reorganization of brain Functions in Patients with Spinal Cord Compression using fMRI http://www.clinicaltrials.gov/ct/show/NCT00447343 Objective: Use fMRI to investigate the relationship between clinical symptoms and recovery of brain activation following surgery. Design: Screening; longitudinal; defined population; prospective study. Enrollment: 35 Response Shift in Patient Expectations and Functional Outcome Response Shift in Patient Expectations and Functional Outcome http://www.clinicaltrials.gov/ct/show/NCT00289393 Objective: Evaluate the results of elective lumbar spinal surgery as it relates to shifting patient expectations for outcome. Patients undergoing elective posterior spinal surgery for degenerative conditions of the spine at SWCHSC will be evaluated. Design: Longitudinal, Defined Population, Retrospective/Prospective Study Enrollment: Not listed Robotic-Assisted Surgery in Treating Patients With Spine Tumors Robotic-Assisted Surgery in Treating Patients With Spine Tumors http://clinicaltrials.gov/ct2/show/NCT01345903?term=spine&rank=96 Objective: This pilot clinical trial studies robotic-assisted surgery in treating patients with spine tumors. Robotic-assisted surgery is a less invasive type of surgery for spine tumors and may have fewer side effects and improve recovery Design: Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Enrollment: Safety and Efficacy of the Transdiscal System versus Medical Management in Treating Chronic Discogenic Low Back Pain Safety and Efficacy of the Transdiscal System versus Medical Management in Treating Chronic Discogenic Low Back Pain http://www.clinicaltrials.gov/ct/show/NCT01263054 Objective: Evaluate Discal System (TDS) in treating discogenic pain of the lumbar spine using a modified disc biacuplasty procedure. Design: Interventional; randomized; safety/efficacy; parallel assignment; open label; treatment. Enrollment: 136 Safety and Efficacy Study of NeoFuse in Subjects Requiring Posterolateral Lumbar Fusion Safety and Efficacy Study of NeoFuse in Subjects Requiring Posterolateral Lumbar Fusion http://www.clinicaltrials.gov/ct/show/NCT00810212 Objective: Evaluate safety and efficacy of NeoFusetm in subjects with a diagnosis of degenerative disc disease in 1 or 2 adjacent vertebral levels between L1 and L2 and undergoing posterolateral lumbar fusion. Design: active control; parallel assignment; randomized; safety study; single blind (outcomes assessment); treatment. Enrollment: 120 Safety and Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy and Fusion Safety and Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy and Fusion http://www.clinicaltrials.gov/ct/show/NCT01106417 Objective: Evaluate the safety and preliminary efficacy of NeoFuse in subjects with a diagnosis of degenerative disc disease (DDD) at 2 or more adjacent cervical vertebral levels between C3-C4 to C7-T1. All subjects in this study will undergo 2 or 3 level anterior cervical discectomy and fusion with Anterior Cervical Plate Fixation. Design: Interventional; randomized; safety/efficacy; parallel assignment; single blind (outcome assessor); treatment. Enrollment: Enrollment: 12 Safety and Performance of the Elaspine System in the Treatment of the Lumbar Spine Safety and Performance of the Elaspine System in the Treatment of the Lumbar Spine http://www.clinicaltrials.gov/ct/show/NCT01323543 Objective: Evaluate the safety and efficacy of the TransDiscal System (TDS) in treating discogenic pain of the lumbar spine using a modified disc biacuplasty procedure. Design: Interventional; safety/efficacy; single group assignment; open label; treatment Enrollment: 40 Safety and Preliminary Efficacy Study of NeoFuse in Subjects Requiring Lumbar Interbody Fusion Safety and Preliminary Efficacy Study of NeoFuse in Subjects Requiring Lumbar Interbody Fusion http://www.clinicaltrials.gov/ct/show/NCT00996073 Objective: Evaluate the safety and preliminary efficacy of NeoFuse in subjects with a diagnosis of degenerative disc disease (DDD) in 1 or 2 adjacent vertebral levels between L1 and S1. All subjects in this study will undergo interbody fusion via Transforaminal Lumbar Interbody Fusion (TLIF) or Posterior Lumbar Interbody Fusion (PLIF) procedures with Food and Drug Administration (FDA) approved/cleared supplemental posterior instrumentation. Design: Interventional; randomized; active control safety/efficacy; parallel assignment; single blind; treatment. Enrollment: Enrollment: 24 Safety and Preliminary Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy Safety and Preliminary Efficacy Study of NeoFuse in Subjects Undergoing Multi-Level Anterior Cervical Discectomy http://www.clinicaltrials.gov/ct/show/NCT01097486 Objective: Evaluate the safety and preliminary efficacy of NeoFuse in subjects with a diagnosis of degenerative disc disease (DDD) at 2 or more adjacent cervical vertebral levels between C3-C4 to C7-T1. All subjects in this study will undergo 2 or 3 level anterior cervical discectomy and fusion with anterior cervical plate fixation. Design: Interventional; randomized; active control; safety/efficacy; parallel assignment; single blind (outcome assessor); treatment. Enrollment: Enrollment: 24 Safety Study of Preservon-Treated Bone Implants for Cervical Fusion in the Treatment of Cervical Radiculopathy or Myelopathy Safety Study of Preservon-Treated Bone Implants for Cervical Fusion in the Treatment of Cervical Radiculopathy or Myelopathy http://www.clinicaltrials.gov/ct/show/NCT00344890 Objective: compare the safety and efficacy of Preservon(TM) treated allograft bone dowels to traditional freeze-dried allograft bone dowels (control) for fusion of degenerated cervical intervertebral discs in the treatment of cervical radiculopathy or myelopathy. Design: Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Safety/Efficacy Study Enrollment: 120 Salient Aquamantys Spine Trial Salient Aquamantys Spine Trial http://www.clinicaltrials.gov/ct/show/NCT01331499 Objective: Assess the effectiveness of Aquamantys in reducing peri-operative blood loss compared with standard electrocautery Design: Interventional; randomized; efficacy; parallel assignment; open label; health services research Enrollment: 128 Scoliosis Surgery Using the PASS® LP System Scoliosis Surgery Using the PASS® LP System http://www.clinicaltrials.gov/ct/show/NCT01019109 Objective: Find out the outcomes of using the PASS LP System to correct idiopathic scoliosis. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label; treatment. Enrollment: 120 Short-Term Effects of Combined Manual Therapy to the Cervical and Thoracic Spine Short-Term Effects of Combined Manual Therapy to the Cervical and Thoracic Spine http://clinicaltrials.gov/ct2/show/NCT01318720?term=spine&rank=32 Objective: Neck pain continues to be a prevalent condition in our society. Manual therapy (hands on techniques for the treatment of neck pain is an intervention commonly implemented in clinical practice. Recently researchers and clinicians have implemented manual therapy techniques to the thoracic spine (midback) to treat patients with neck pain. To date no studies have examined the short-term combined effects of thoracic spine manual therapy and cervical spine manual therapy in the treatment of patients with mechanical neck pain. The purpose this study is to assess the combined effects of thoracic spine thrust manipulation with cervical spine non-thrust manipulation in patients with neck pain. Design: Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment Enrollment: Side Effects of Radiation Therapy in Young patients with CNS Tumors Side Effects of Radiation Therapy in Young patients with CNS Tumors http://www.clinicaltrials.gov/ct/show/NCT00401037 Objective: To study the side effects of radiation therapy in young patients with CNS tumors. Design: Observational. Enrollment: 150 Single Session Spine Stereotactic Radiosurgery in Metastatic Epidural Spinal Cord Compression Single Session Spine Stereotactic Radiosurgery in Metastatic Epidural Spinal Cord Compression http://www.clinicaltrials.gov/ct/show/NCT01256554 Objective: Learn the feasibility of using a single session of radiation, known as spine stereotactic radiosurgery (SSRS), to treat metastatic epidural spinal cord compression. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label; treatment. Enrollment: Enrollment: 36 Solas® Spinal Surgery Registry Solas® Spinal Surgery Registry http://www.clinicaltrials.gov/ct/show/NCT01372592 Objective: A prospective multi-center observational data collection initiative, to capture clinical and radiographic outcomes in candidates for spine surgery with degenerative, deformity, and traumatic pathologies Design: Observational; cohort; prospective Enrollment: 10,000 Spinal Abnormalities in Neurofibromatosis -Type I Spinal Abnormalities in Neurofibromatosis -Type I http://www.clinicaltrials.gov/ct/show/NCT00844129 Objective: Determine the Incidence and Clinical History of Neurofibromatosis Type I-related spinal abnormalities. Design: Observational, cohort, prospective. Enrollment: over 4 years; number Spinal Cord Stimulation to Restore Cough Spinal Cord Stimulation to Restore Cough http://www.clinicaltrials.gov/ct/show/NCT00116337 Objective: Determine efficacy of spinal cord stimulator to produce an effective cough in patients with spinal cord injuries. Design: Open label; safety/efficacy study; single group assignment; treatment; uncontrolled. Enrollment: 18 Spinal Cord Stimulation with Precision® SCS System versus Reoperation for Failed Back Surgery Syndrome (Evidence) Spinal Cord Stimulation with Precision® SCS System versus Reoperation for Failed Back Surgery Syndrome (Evidence) http://www.clinicaltrials.gov/ct/show/NCT01036529 Objective: Randomized controlled trial comparing the therapeutic effectiveness and cost-effectiveness of the Precision® Spinal Cord Stimulation with that of reoperation as a treatment of pain in patients with Failed Back Surgery Syndrome (FBSS). Design: Interventional; randomized; efficacy; single group assignment; open label; treatment. Enrollment: 132 Spinal met_radiosurgery/SBRT Study Spinal met_radiosurgery/SBRT Study http://clinicaltrials.gov/ct2/show/NCT01231061?term=spine&rank=74 Objective: Demonstrate the technical feasibility of treating spine metastases with image-guided radiosurgery/SBRT Design: Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Enrollment: Spine Reference Parameters on EOS Imaging Spine Reference Parameters on EOS Imaging http://clinicaltrials.gov/ct2/show/NCT01406743?term=spine&rank=5 Objective: The lumbar pain caring consists from a 3D reconstruction of the spine obtained to scan or radiography, determining the lumbar pain cause and gravity, to propose a conservative treatment in first intention or a adapted spine surgery in first or second intention (Fritzell and al ., on 2001). The analysis and the correction of postural disorders pass inevitably by a good knowledge of the not pathological posture. The validation of the acquisition 2D / 3D reconstruction by EOS ™ technology demonstrated its interest for the diagnosis and the lumbar pain caring. However, the EOS technology ™ is recent and few data were acquired with this technology for healthy population. So, this clinical study with EOS ™technology would allow to obtain a precise knowledge of the standing skeleton in position (to an asymptomatic adult population), by displaying the gravity constraints on the joints, and the compensation phenomena in normal situation. This functional information for a given age bracket would allow to propose to the patients with lumbar pain, adapted interventions to the gravity constraints considering the skeleton evolution for age bracket. Design: Observational Model: Cohort Time Perspective: Prospective Enrollment: Spine Research with Roentgen Stereophotogrammetric Analysis (Spine RSA) Spine Research with Roentgen Stereophotogrammetric Analysis (Spine RSA) http://www.clinicaltrials.gov/ct/show/NCT00493558 Objective: Gather information on effectiveness of a new spine implant for patients who require spinal fusion surgery. Design: Treatment; open label; uncontrolled; single group assignment; efficacy study. Enrollment: 25 SPONGIT: Comparison of Two Surgical Approaches in the Treatment of Degenerative Spondylolysthesis SPONGIT: Comparison of Two Surgical Approaches in the Treatment of Degenerative Spondylolysthesis http://www.clinicaltrials.gov/ct/show/NCT00869882 Objective: This trial, conducted in adult patients with degenerative spondylolisthesis needing surgical treatment at one level, aimed at comparing two approaches of spinal fusion. Design: Allocation: Randomized Control: Active Control; Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment; Masking: Open Label; Primary Purpose: Treatment Enrollment: 70 Stabilimax Investigational Device Exemption (IDE) Clinical Investigation Patient Followup Study Stabilimax Investigational Device Exemption (IDE) Clinical Investigation Patient Followup Study http://www.clinicaltrials.gov/ct/show/NCT01485289 Objective: Complete the collection of clinical data on subjects enrolled in the Stabilimax Dynamic Spine Stabilization IDE clinical trial (#G060214) sponsored by the now defunct Applied Spine Technologies Inc. Design: Observational; case-only; prospective Enrollment: 25 Stereotactic Body Radiation Therapy and Vertebroplasty in Treating Patients With Localized Spinal Metasis Stereotactic Body Radiation Therapy and Vertebroplasty in Treating Patients With Localized Spinal Metasis http://www.clinicaltrials.gov/ct/show/NCT00855803 Objective: To study how well giving stereotactic body radiation therapy together with vertebroplasty works in treating patients with localized spinal metastasis. Design: Treatment, Open Label Enrollment: 42 Stereotactic Body Radiotherapy (SBRT) for Spinal/Para-Spinal Metastases (Spine SBRT) Stereotactic Body Radiotherapy (SBRT) for Spinal/Para-Spinal Metastases (Spine SBRT) http://www.clinicaltrials.gov/ct/show/NCT01290562 Objective: Proposes to treat patients with a uniform spine SBRT approach, and collect prospective outcome data as a basis for future randomized trial design. Design: Interventional; non-randomized; efficacy; single group assignment; open label; treatment. Enrollment: 90 Stereotactic Body Radiotherapy for Spine Tumors Stereotactic Body Radiotherapy for Spine Tumors http://www.clinicaltrials.gov/ct/show/NCT01347307 Objective: Evaluate the local control rate as well as acute and late toxicity rates of stereotactic body radiotherapy (SBRT) for the treatment of spine metastases and benign spine tumors. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label; treatment Enrollment: 50 Stereotactic Radiosurgery Stereotactic Radiosurgery http://www.clinicaltrials.gov/ct/show/NCT00593320 Objective: Evaluate the most effective radiation dose for spine metastases. Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study. Enrollment: 72 Strategy for Maintaining Partial Neuromuscular Blockade Adequate for Motor Evoked Potential During Neurosurgery Strategy for Maintaining Partial Neuromuscular Blockade Adequate for Motor Evoked Potential During Neurosurgery http://www.clinicaltrials.gov/ct/show/NCT01388868 Objective: Find the optimal initial dose of vecuronium infusion and determine the adequate goal of neuromuscular blocking as guided by neuromuscular transmission module. Design: Interventional; randomized; safety study; parallel assignment; single blind (outcomes assessor); treatment Enrollment: 90 Study Evaluating the Safety and Effectiveness of the FLEXUS™ Interspinous Spacer Study Evaluating the Safety and Effectiveness of the FLEXUS™ Interspinous Spacer http://www.clinicaltrials.gov/ct/show/NCT01156675 Objective: Evaluate safety and efficacy of the FLEXUS™ Interspinous Spacer as compared to the XSTOP® spacer for the treatment of patients suffering from spinal stenosis at one or two contiguous levels. Design: Interventional; randomized; active control; safety/efficacy study; parallel assignment; single blind; treatment. Enrollment: 500 Study of 3 Doses of NeoFuse Combined With Mastergraft Granules in Subjects Requiring Posterolateral Lumbar fusion (PLF) Study of 3 Doses of NeoFuse Combined With Mastergraft Granules in Subjects Requiring Posterolateral Lumbar fusion (PLF) http://www.clinicaltrials.gov/ct/show/NCT00549913 Objective: 1st-in-human dose escalation study to evaluate feasibility, safety and tolerability of 3 different doses of NeoFuse when combined with MasterGraft. Design: Treatment; randomized; open label; parallel assignment; safety study. Enrollment: 40 Study of Epidural Steroid Injection (ESI) Versus Minimally Invasive Lumbar Decompression (MILD®) in Patients With Symptomatic Lumbar Central Canal Stenosis Study of Epidural Steroid Injection (ESI) Versus Minimally Invasive Lumbar Decompression
(MILD®) in Patients With Symptomatic Lumbar Central Canal Stenosis http://www.clinicaltrials.gov/ct/show/NCT00995371 Objective: Assess the clinical application and outcomes with MILD® devices versus epidural steroid injection in patients with symptomatic moderate to severe central canal spinal stenosis. Design: Single-center, randomized, prospective, double-blind clinical study Enrollment: 40 Study of MILD(r) Devices in Patients with Symptomatic Lumbar Spinal Stenosis Study of MILD(r) Devices in Patients with Symptomatic Lumbar Spinal Stenosis http://www.clinicaltrials.gov/ct/show/NCT00956631 Objective: Assess the clinical application and outcomes of Minimally Invasive Lumbar Decompression with the MILD(r) devices in patients with symptomatic lumbar spinal stenosis. Design: Treatment, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study Enrollment: 75 Study of the Safety and Effectiveness DIAM™ Spinal Stabilization System vs. Conservative Care Study of the Safety and Effectiveness DIAM™ Spinal Stabilization System vs. Conservative Care http://www.clinicaltrials.gov/ct/show/NCT00456378 Objective: Establish the safety and effectiveness of the DIAM™ Spinal Stabilization System in the treatment of moderate single-level lumbar degenerative disc disease. Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study. Enrollment: 306 Study on the Treatment of Degenerative lumbar Spine Stenosis with a Percutaneous Interspinous Implant Study on the Treatment of Degenerative lumbar Spine Stenosis with a Percutaneous Interspinous Implant http://www.clinicaltrials.gov/ct/show/NCT01057641 Objective: Study to investigate the safety and the benefit of a minimally invasive percutaneous IPD-device in comparison with the best non-surgical operative treatment of lumbar spinal stenosis. Design: Interventional; randomized; efficacy study; parallel assignment; open label; treatment Enrollment: 22 Study on the Treatment of Degenerative Lumbar Spine Stenosis With a Percutaneous Interspinous Implant Study on the Treatment of Degenerative Lumbar Spine Stenosis With a Percutaneous Interspinous Implant http://clinicaltrials.gov/ct2/show/NCT01057641?term=spine&rank=83 Objective: The study is intended as a randomised, monocentre study to investigate the safety and the benefit of a minimally invasive percutaneous IPD-device in comparison with the best non-surgical operative treatment of lumbar spinal stenosis. Design: Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Enrollment: Surgery versus Standardized Non-operative Care for the Treatment of Lumbar Disc Herniations: A Canadian Trial Surgery versus Standardized Non-operative Care for the Treatment of Lumbar Disc Herniations: A Canadian Trial http://www.clinicaltrials.gov/ct/show/NCT01335646 Objective: Determine if surgery is superior to non-operative care for sciatica caused by a lumbar disc herniation. Design: Interventional; randomized; parallel assignment; single blind (subject);treatment Enrollment: 140 Surgical Management of Spinal Cord Injuries In Neck Surgical Management of Spinal Cord Injuries In Neck http://www.clinicaltrials.gov/ct/show/NCT00475748 Objective: In acute traumatic central cord syndrome, compare surgical decompression of the spinal cord within 5 days with decompression 6 weeks following injury. Design: Single center prospective randomized study. Enrollment: 30 Surgical Treatment of Cervical Spondylotic Myelopathy Surgical Treatment of Cervical Spondylotic Myelopathy http://www.clinicaltrials.gov/ct/show/NCT00565734 Objective: Compare anterior and posterior surgical approach in treatment of CSM and to compare variations in treatment and outcomes of CSM worldwide. Design: Treatment, Open Label, Active Control, Single Group Assignment, Efficacy Study. Enrollment: 375 Surgical Versus Nonoperative Treatment of Metastatic Epidural Spinal Cord Compression (MESCC) Surgical Versus Nonoperative Treatment of Metastatic Epidural Spinal Cord Compression (MESCC) http://www.clinicaltrials.gov/ct/show/NCT00634426 Objective: Evaluate differences in pain relief, neurological function, quality of life and survival in patients with metastatic epidural spinal cord compression who are managed with a combo of surgery and radiotherapy versus radiotherapy alone. Design: Cohort; prospective Enrollment: 432 Synvisc Injections for Lumbar Facet Joint Pain Synvisc Injections for Lumbar Facet Joint Pain http://www.clinicaltrials.gov/ct/show/NCT00325845 Objective: Evaluate the safety and efficacy of viscosupplementation in treating symptomatic lumbar facet joint arthropathy. Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study. Enrollment: 15 Targeted Disc Decompression (TDD) for Contained Herniated Lumbar Disc Targeted Disc Decompression (TDD) for Contained Herniated Lumbar Disc http://www.clinicaltrials.gov/ct/show/NCT01429363 Objective: Aims to prove the hypothesis that Targeted Disc Decompression (TDD) reduces the pain in patients suffering from radicular leg pain secondary to a contained focal disc protrusion (Lumboradicular Syndrome). Secondary objective will be to prove that the treatment Group will have less disability and better quality of life. Design: Interventional; non-randomized; efficacy study; single group assignment; open label; treatment Enrollment: 20 The CSM Trial: A Multicenter Study Comparing ventral to Dorsal Surgery for Cervical Spondylotic Myelopathy The CSM Trial: A Multicenter Study Comparing ventral to Dorsal Surgery for
Cervical Spondylotic Myelopathy http://www.clinicaltrials.gov/ct/show/NCT00506558 Objective: To determine the optimal surgical approach (ventral versus dorsal) for patients with multi-level cervical spondylotic myelopathy (CSM). Design: Treatment, non-randomized, open label, active control, parallel assignment, safety/efficacy study Enrollment: 100 The Effect of Prolonged Postoperative Antibiotics Administration on Rate of Infection in Patients Undergoing Posterior Spine Surgery Requiring a Hemovac Drain The Effect of Prolonged Postoperative Antibiotics Administration on Rate of Infection in Patients Undergoing Posterior Spine Surgery Requiring a Hemovac Drain http://clinicaltrials.gov/ct2/show/NCT01458223?term=spine&rank=34 Objective: The proposed study will compare two patient populations who will receive various lengths of post-operative antibiotics. One will receive only 24 hours worth, and the other will receive antibiotics for 72 hours after surgery and the rate of complicated infection compared between the two. Design: Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention Enrollment: The iO-Flex® Study: Evaluation of the Baxano iO-Flex® System for Decompressive Lumbar Surgery The iO-Flex® Study: Evaluation of the Baxano iO-Flex® System for Decompressive Lumbar Surgery http://www.clinicaltrials.gov/ct/show/NCT01067014 Objective: Evaluate the safety and effectiveness of the iO-Flex® System in reducing pain and symptom severity in patients with one or two level lumbar spinal stenosis that requires surgery. Design: Observational; case-only; prospective Enrollment: 75 The Kiva® System as a Vertebral Augmentation Treatment The Kiva® System as a Vertebral Augmentation Treatment http://www.clinicaltrials.gov/ct/show/NCT01123572 Objective: Evaluate the safety and effectiveness of the Kiva VCF Treatment system in comparison to balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures of the thoracic or lumbar spine. Design: Interventional; randomized; safety/efficacy; parallel assignment; open label; treatment Enrollment: 425 The Value of Traction in the Treatment of Cervical Radiculopathy The Value of Traction in the Treatment of Cervical Radiculopathy http://www.clinicaltrials.gov/ct/show/NCT00979108 Objective: Determine the effectiveness of adding mechanical traction to standard physical therapy treatments for patients with neck and arm pain. Design: Interventional; randomized; active study; control; parallel assignment; single blind (investigator); open ; treatment Enrollment: 192 Thoracic Manipulation in Patients With Cervical Radiculopathy Thoracic Manipulation in Patients With Cervical Radiculopathy http://clinicaltrials.gov/ct2/show/NCT01495728?term=spine&rank=53 Objective: The group of Cervical Radiculopathy patients receiving thoracic thrust manipulation will demonstrate immediate and short term significant clinically important changes in outcomes when compared to the sham manipulation group. Design: Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment Enrollment: Total Facet Arthroplasty System (TFAS) Clinical Trial Total Facet Arthroplasty System (TFAS) Clinical Trial http://www.clinicaltrials.gov/ct/show/NCT00418197 Objective: TFAS is a non-fusion spinal implant for treatment of moderate to severe spinal stenosis as an alternative to rigid spinal fusion. Design: Treatment, randomized, open label, active control, parallel assignment, safety/efficacy study. Enrollment: 450 Tranexamic Acid (TXA) Versus Epsilon Aminoceproic Acid (EACA) Versus Placebo for Spine Surgery Tranexamic Acid (TXA) Versus Epsilon Aminoceproic Acid (EACA) Versus Placebo for Spine Surgery http://www.clinicaltrials.gov/ct/show/NCT00958581 Objective: Compare TXA with both EACA and placebo in reducing blood loss for corrective spinal surgery. Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Efficacy Study Enrollment: 390 Treatment of Cervical Radiculopathy with Arthroplasty Compared with Discectomy and Fusion and Cage (ACDF) Treatment of Cervical Radiculopathy with Arthroplasty Compared with Discectomy and Fusion and Cage (ACDF) http://www.clinicaltrials.gov/ct/show/NCT00735176 Objective: Compare cervical arthroplasty with cervical discectomy and fusion in treatment of cervical radiculopathy. Design: Active control; efficacy study; parallel assignment; randomized; single blind(subject); treatment. Enrollment: 146 Treatment of Lumbar Spinal Stenosis; Comparison of Two Different Surgical Methods; Mini-invasive Decompression to XSTOP (LSSS) Treatment of Lumbar Spinal Stenosis; Comparison of Two Different Surgical Methods; Mini-invasive Decompression to XSTOP (LSSS) http://www.clinicaltrials.gov/ct/show/NCT00546949 Objective: Compare two operation methods on lumbar spinal stenosis. Design: Treatment; randomized; open label; parallel assignment; safety/efficacy study. Enrollment: 180 Treatment of Symptomatic Lumbar Internal Disc Disruption (IDD) With the Biostat® System Treatment of Symptomatic Lumbar Internal Disc Disruption (IDD) With the Biostat® System http://www.clinicaltrials.gov/ct/show/NCT01011816 Objective: Establish the safety and efficacy of the Biostat System when used for treatment of chronic low back (lumbar) pain due to symptomatic internal disc disruptions (IDD) by comparing safety and efficacy outcome measures between one group receiving BIOSTAT BIOLOGX® Fibrin Sealant through the Biostat® Delivery Device and another group receiving a preservative-free normal saline control delivered with the Biostat Delivery. Design: Interventional; randomized; placebo controlled; safety/efficacy; parallel assignment; double blind (subject/outcome assessor); treatment. Enrollment: Enrollment: 260 Trial Evaluating the Safety and Effectiveness of NUBAC™ Disc Arthroplasty Trial Evaluating the Safety and Effectiveness of NUBAC™ Disc Arthroplasty http://www.clinicaltrials.gov/ct/show/NCT00931515 Objective: Demonstrate non-inferiority compared to ProDisc. Design: Interventional; randomized; active control; safety/efficacy study; single group assignment; single blind (subject); treatment Enrollment: 400 Trinity Evolution in Anterior Cervical Discectomy and Fusion (ACDF) Trinity Evolution in Anterior Cervical Discectomy and Fusion (ACDF) http://www.clinicaltrials.gov/ct/show/NCT00951938 Objective: Utilize Trinity Evolution in conjunction with an interbody spacer and supplemental anterior fixation of the surgeon's choice and to follow the patients to measure the clinical outcomes and rate of fusion. Design: Case-Only, Prospective Enrollment: 200 TRIUMPH Lumbar Artificial Disc IDE: A Pilot Study TRIUMPH Lumbar Artificial Disc IDE: A Pilot Study http://www.clinicaltrials.gov/ct/show/NCT01198470 Objective: Evaluate the safety and effectiveness of the TRIUMPH® Lumbar Artificial Disc for the treatment of patients who are suffering from Degenerative Disc Disease (DDD) at one level from L1 to S1. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label; treatment. Enrollment: Enrollment: 50 Use of Forteo (Teriparatide) in Posterolateral Lumbar Spine Fusion Use of Forteo (Teriparatide) in Posterolateral Lumbar Spine Fusion http://www.clinicaltrials.gov/ct/show/NCT01292252 Objective: Determine the effects of 12 weeks of daily treatment with teriparatide on spine fusion in adult patients who are undergoing multi-level posterolateral spine fusion surgery for degenerative conditions of the lumbar spine. Design: Interventional; randomized; efficacy; parallel assignment; open label; treatment Enrollment: 90 VEPTR Implantation to Treat Children with Early Onset Scoliosis Without Rib Abnormalities VEPTR Implantation to Treat Children with Early Onset Scoliosis Without Rib Abnormalities http://www.clinicaltrials.gov/ct/show/NCT00689533 Objective: Evaluate the use of unilateral or bilateral VEPTR devices, with or without expansion thoracoplasty, for preventing further progression of the Cobb angle, allowing for spinal growth and improving pulmonary function in the treatment of children with progressive scoliosis without rib abnormalities. Design: Observational; Cohort; Prospective Enrollment: 250 Vertos Mild® Patient Outcomes 02 Vertos Mild® Patient Outcomes 02 http://www.clinicaltrials.gov/ct/show/NCT01082159 Objective: Patient outcomes assessment of Minimally Invasive Lumbar Decompression with the Mild® devices in patients with symptomatic central canal spinal stenosis. Design: Multi-center;prospective; historical control; safety/efficacy study; single group assignment; open label; treatment Enrollment: 50 Voice and Swallowing Outcomes Following Revision Anterior Cervical Spine Surgery Voice and Swallowing Outcomes Following Revision Anterior Cervical Spine Surgery http://www.clinicaltrials.gov/ct/show/NCT01017055 Objective: Evaluate voice and swallowing outcomes post operatively. Design: Observational; cohort; prospective. Enrollment: Enrollment: 50 Vorinostat and Temozolomide in Treating Young Patients with Relapsed or Refractory Primary Brain Tumors or Spinal Cord Tumors Vorinostat and Temozolomide in Treating Young Patients with Relapsed or Refractory Primary Brain Tumors or Spinal Cord Tumors http://www.clinicaltrials.gov/ct/show/NCT01076530 Objective: Phase I trial to study side effects and best dose of Vorinostat when given together with Temozolomide in treating young patients with relapsed or refractory primary brain tumors or spinal cord tumors. Design: Interventional; open label; treatment. Enrollment: 27 XL TDR® eXtreme Lateral Total Disc Replacement for the Treatment of Lumbar Degenerative Disc Disease (DDD) XL TDR® eXtreme Lateral Total Disc Replacement for the Treatment of Lumbar Degenerative Disc Disease (DDD) http://www.clinicaltrials.gov/ct/show/NCT00927238 Objective: Evaluate the safety and effectiveness of XL TDR in patients with single-level degenerative disc disease compared to other devices approved by the FDA for the same or similar indications. Design: Interventional; non-randomized; safety/efficacy; single group assignment; open label; treatment. Enrollment: Enrollment: 300 XLIF® vs. MAS®TLIF for the Treatment of Symptomatic Lumbar Degenerative Spondylolisthesis With or Without Central Stenosis XLIF® vs. MAS®TLIF for the Treatment of Symptomatic Lumbar Degenerative Spondylolisthesis With or Without Central Stenosis http://www.clinicaltrials.gov/ct/show/NCT01024699 Objective: Determine differences in the XLIF and TLIF procedures with respect to perioperative variables in adult patients with low-grade symptomatic spondylolisthesis. Design: Observational; cohort; prospective Enrollment: 110 |
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