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Degenerative Disc DiseaseNCT04056520

Clinical and Radiological Outcomes of Posterior Cervical Fusion with Medtronic Infinity Occipitocervical-Upper Thoracic (OCT) System

An observational study of Degenerative Disc Disease, run by Ohio State University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is being done to prospectively collect data on subjects having posterior cervical fusion surgery using the Medtronic Infinity system. Researchers plan to collect information from patients having this type of surgery in order to learn more about patient how patients do after the surgery, including the rate… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Degenerative Disc Disease
What is being tested?
Medtronic Infinity Occipitocervical-Upper Thoracic System using the O-arm Imaging System and StealthStation Navigation system
Type of treatment
Medical device
How many people
54 participants
Where
1 siteUnited States
Study dates
1 Sep 2019to 13 Dec 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients undergoing posterior cervicothoracic fusions between C2 and upper thoracic will be enrolled.

Who may be able to join

  • ≥ 18 years old
  • Symptomatic multi-level degenerative spondylosis necessitating posterior cervical arthrodesis in the subaxial cervicothoracic spine (between C2-upper thoracic).
  • Surgery performed within the Department of Neurological Surgery at The Ohio State University Wexner Medical Center (OSUWMC)

Who cannot join

  • Traumatic injury
  • Co-morbidity requiring medication use that may interfere with bone or soft tissue healing (i.e., high dose oral or parenteral glucocorticoids, immunosuppressive agents, methotrexate) - at discretion of investigator
  • Severe co-morbidities (e.g., heart, respiratory, or renal disease)
  • Clinically diagnosed osteoporosis
  • Recent (<3 yrs) or co-incident spinal tumor or infection
  • Concurrent involvement in another investigational drug or device study that could confound study data
Show all 10Show fewer
  • History of substance abuse (recreational drugs, prescription drugs or alcohol) that could interfere with protocol assessments and/or with the subject's ability to complete the protocol required follow-up
  • Subjects who are pregnant or plan to become pregnant in the next 24 months
  • Prisoner
  • Other contraindications for Medtronic Infinity System

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The Ohio State University Wexner Medical Center

    Columbus, Ohio, 43210

Other trials in United States

About this study

This study is being done to prospectively collect data on subjects having posterior cervical fusion surgery using the Medtronic Infinity system. Researchers plan to collect information from patients having this type of surgery in order to learn more about patient how patients do after the surgery, including the rate of bone healing following surgery.

The goal is for 250 patients to take part in the study or for 500 screws to be used, whichever comes first. Each patient will need a varying amount of screws to be used during their surgery. Because we are measuring the accuracy of each individual screw and the surgeon will likely use multiple screws during each surgery, it is likely that the study will reach its goal of 500 screws before 250 patients are enrolled in the study.

Read the detailed description

This is a prospective single arm study of clinical and radiological outcomes as well as surgical data from posterior cervical fusion for treating degenerative disc disease (DDD). Patients undergoing posterior cervicothoracic fusions between C2 and upper thoracic will be enrolled.

Patients will be enrolled up to 250 patients (at maximum) or 500 screws, whichever is achieved first. This will adequately power the study assuming 95% screw accuracy, which is in line with published data, and assuming precision of +/- 2% with a confidence level of 9%.

The primary objective of this study is to show that the Medtronic Infinity System is safe and effective in posterior cervicothoracic fusion surgeries. Outcomes measures and complication rates will be compared to historical controls. Secondary objectives include screw accuracy rates/revision rates which can also be compared to historical controls. Other secondary objectives aim to clarify the workflow and operative time of using the O-arm and Stealth navigation for these types of cases.

Subjects will be monitored for adverse events throughout the duration of the study, particularly at and around the time of standard of care clinical assessments. The number of CT related adverse events will be evaluated. The monitoring will be performed by the investigator and study clinical research coordinator. The monitoring will occur both when a quarter and a half of the study patients have been enrolled. The study will be stopped should any significant CT related adverse events be identified.

The following data will be collected

Patient demographic and pre-operative clinical information will include:

  • Name
  • Age
  • Sex
  • Race (self-reported)
  • Vitals
  • Height, weight and body mass index (BMI)
  • General medical/surgical history
  • Medication regimen
  • Smoking status (current, former, never)
  • History of alcohol/substance abuse
  • PROMIS
  • Neurological Assessment (strength, sensory, reflexes, Hoffmann's response, Spurling's test)
  • Duration of disease
  • X-rays, CT, and MRI as available

Patient surgical details to be collected will include:

  • Diagnosis
  • Date of surgery
  • Operative Index levels
  • Operative time (incision open to close)
  • Implants used
  • Length of hospital stay
  • Estimated blood loss / Surgical complications
  • Somatosensory and motor intraoperative monitoring reports

Post-operative clinical information will include:

  • Medication regimen
  • PROMIS
  • Neurological Assessment (strength, sensory, reflexes, Hoffmann's response, Spurling's test)
  • X-rays, CT, and MRI as available
Being tested
Medtronic Infinity Occipitocervical-Upper Thoracic System using the O-arm Imaging System and StealthStation Navigation system
Medical subject headings
Intervertebral Disc Degeneration

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Medtronic Infinity Occipitocervical-Upper Thoracic System using the O-arm Imaging System and StealthStation Navigation systemDevice

    The INFINITY™ OCT System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the craniocervical junction, the cervical spine (C1 to C7), and the thoracic spine from T1-T3:

    • Traumatic spinal fractures and/or traumatic dislocations.
    • Instability or deformity.
    • Failed previous fusions (e.g. pseudarthrosis).
    • Tumors involving the cervical spine.
    • Degenerative disease, including intractable radiculopathy and/or myelopathy, neck and/ or arm pain of discogenic origin as confirmed by radiographic studies, and degenerative disease of the facets with instability.
Study groups in NCT04056520
Study groupRoleWhat they receive
Arm 1Subjects undergoing posterior cervicothoracic fusions between C2 and upper thoracic will be enrolled
Receives: Device: Medtronic Infinity Occipitocervical-Upper Thoracic System using the O-arm Imaging System and StealthStation Navigation system

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Related Adverse Events

    All Procedure related adverse events

    Measured: 49 Days

  2. Upper and Lower Extremity Motor Exam

    MMT Score 1-5 where higher score represents better outcome

    Measured: 49 Days

  3. Sensory Function

    Sensory Function Score 0-2 where higher score represents better outcome

    Measured: 49 Days

  4. Reflexes Score

    Reflex Score 0-4 where a score of 2 represents best outcome

    Measured: 49 Days

  5. PROMIS - 29 Profile v2.0 Physical Functioning Subscore

    Disease non-specific measure of health related physical functioning presented as T-scores with a mean of 50 and standard deviation of 10 with a higher score indicating better outcome

    Measured: 49 Days

  6. PROMIS - 29 Profile v2.0 Ability to Participate Subscore

    Disease non-specific measure of health related ability to participate presented as T-scores with a mean of 50 and standard deviation of 10 with a higher score indicating better outcome

    Measured: 49 Days

  7. PROMIS - 29 Profile v2.0 Anxiety Subscore

    Disease non-specific measure of health related anxiety presented as T-scores with a mean of 50 and standard deviation of 10 with a lower score indicating better outcome

    Measured: 49 Days

  8. PROMIS - 29 Profile v2.0 Depression Subscore

    Disease non-specific measure of health related depression presented as T-scores with a mean of 50 and standard deviation of 10 with a lower score indicating better outcome

    Measured: 49 Days

  9. PROMIS - 29 Profile v2.0 Fatigue Subscore

    Disease non-specific measure of health related fatigue presented as T-scores with a mean of 50 and standard deviation of 10 with a lower score indicating better outcome

    Measured: 49 Days

  10. PROMIS - 29 Profile v2.0 Sleep Subscore

    Disease non-specific measure of health related sleep presented as T-scores with a mean of 50 and standard deviation of 10 with a higher score indicating better outcome

    Measured: 49 Days

  11. PROMIS - 29 Profile v2.0 Pain Intensity Subscore

    Disease non-specific measure of health related pain intensity presented as T-scores with a mean of 50 and standard deviation of 10 with a lower score indicating better outcome

    Measured: 49 Days

  12. Cervical Sagittal Alignment

    Cervical Sagittal Alignment measured on pre- and post-operative radiographs

    Measured: 49 Days

  13. Hoffmann's Response Test

    Hoffmann's Response Test measured as Positive or Negative with negative representing the better outcome

    Measured: 49 Days

  14. Spurling's Compression Test

    Spurling's Compression Test measured a Positive or Negative with negative representing the better outcome

    Measured: 49 Days

  15. All Adverse Events

    All Adverse Events and Serious Adverse Events for study duration

    Measured: 49 Days

Secondary outcomes (8)
  1. Modified Gerzbein & Robbins Scale

    Screw placement accuracy assessed using modified Gertzbein \& Robbins Scale with a score range of 0-4 with lower score indicating better outcome

    Measured: 49 Days

  2. Screw Placement Time

    Time to place screw

    Measured: 49 Days

  3. Screw Intra-op Repositioning Rate

    Rate of Screw Repositioning Intraoperatively

    Measured: 49 Days

  4. Reference Frame Setup (Level of positioning)

    Level of Surgical Positioning

    Measured: 49 Days

  5. Perioperative AEs

    Rate of Perioperative AEs within 30 days post-op

    Measured: 30 Days

  6. OR Time

    Time from surgical procedure start to end

    Measured: 30 Days

  7. Blood Loss

    Blood Loss during surgery measured in cc

    Measured: 30 Days

  8. Length of Stay

    Length of Hospital Stay measured in days

    Measured: 30 Days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Aug 2019
  2. Study start1 Sep 2019
  3. Primary completion30 Nov 2023
  4. Study completion13 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
54 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04056520
Sponsor's protocol ID
2019H0161
Status last verified
Mar 2024
First submitted
23 Jul 2019
Last updated
21 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Waschke A, Walter J, Duenisch P, Reichart R, Kalff R, Ewald C. CT-navigation versus fluoroscopy-guided placement of pedicle screws at the thoracolumbar spine: single center experience of 4,500 screws. Eur Spine J. 2013 Mar;22(3):654-60. doi: 10.1007/s00586-012-2509-3. Epub 2012 Sep 23.

    PubMed 23001415
  • Silbermann J, Riese F, Allam Y, Reichert T, Koeppert H, Gutberlet M. Computer tomography assessment of pedicle screw placement in lumbar and sacral spine: comparison between free-hand and O-arm based navigation techniques. Eur Spine J. 2011 Jun;20(6):875-81. doi: 10.1007/s00586-010-1683-4. Epub 2011 Jan 21.

    PubMed 21253780
  • Luther N, Iorgulescu JB, Geannette C, Gebhard H, Saleh T, Tsiouris AJ, Hartl R. Comparison of navigated versus non-navigated pedicle screw placement in 260 patients and 1434 screws: screw accuracy, screw size, and the complexity of surgery. J Spinal Disord Tech. 2015 Jun;28(5):E298-303. doi: 10.1097/BSD.0b013e31828af33e.

    PubMed 23511642
  • Gertzbein SD, Robbins SE. Accuracy of pedicular screw placement in vivo. Spine (Phila Pa 1976). 1990 Jan;15(1):11-4. doi: 10.1097/00007632-199001000-00004.

    PubMed 2326693

Questions about this trial

What is this clinical trial studying?

An observational study of Degenerative Disc Disease, run by Ohio State University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Related Adverse Events (time frame: 49 Days). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04056520, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Mar 2025.

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