Neurosurgery Patient Outcomes in Treating Spinal Disorders (Neuropoint SD)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Alberta
-
Calgary, Alberta, Canada, T2N-2T9
- University of Calgary - Alberta Health Sevices
-
-
-
-
California
-
San Francisco, California, United States, 94143
- University of California - San Francisco
-
-
Connecticut
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Greenwich, Connecticut, United States, 06830
- Greenwich Hospital
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New Haven, Connecticut, United States, 06520
- Yale New Haven Hospital
-
-
Maryland
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Baltimore, Maryland, United States
- Johns Hopkins Hospital
-
-
Massachusetts
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Burlington, Massachusetts, United States, 01805
- Lahey Clinic
-
-
New Jersey
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Newark, New Jersey, United States, 07103
- University of Medicine and Dentistry - New Jersey
-
-
New York
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New York, New York, United States, 10032
- Columbia University - Neurological Institute
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Carolina Spine
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- University of Pennsylvania
-
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Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt University Medical Center
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-
Virginia
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Charlottesville, Virginia, United States, 22908
- University of Virginia
-
-
Wisconsin
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Madison, Wisconsin, United States, 53792
- University of Wisconsin
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Grade I degenerative or isthmic spondylolisthesis recalcitrant to non-invasive therapies for at least 3 months or Lumbar degenerative disc herniation with radiculopathy refractory to non-invasive therapies for at least 6 weeks
Exclusion Criteria:
- History of previous lumbar spine surgery
- Significant motor weakness (3/5) (i.e. foot drop)
- Cancer, infection, or fracture
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Lumbar Microdiscectomy
Patients aged 18-80 with symptomatic lumbar disc herniation resulting in single nerve root compression recalcitrant to non-invasive therapies for at least 6 weeks
|
Microsurgical removal of disc that is compressing a nerve root
|
|
Experimental: Single-Level Lumbar Fusion
Patients aged 18-80 with symptomatic grade I degenerative or isthmic spondylolisthesis with mechanical back pain with or without radiculopathy recalcitrant to non-invasive therapies for at least 3 months
|
pedicle screws with arthrodesis as directed by surgeon.
Fusion can be posterolateral, interbody, or both.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
SF-36 version 1
Time Frame: 1-Year
|
Health-realted quality of life outcome measure
|
1-Year
|
|
Site and Physician Compliance
Time Frame: 1 Year
|
Goal = 80% compliance in enrolling 20 patients over 1 year with completed outcomes instruments
|
1 Year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Oswestry Disability Index (ODI)
Time Frame: 1 Year
|
Validated lumbar spine disease-specific outcomes instrument
|
1 Year
|
|
Visual Analog Pain Score
Time Frame: 1 Year
|
Patient-reported pain intensity scored 1-10
|
1 Year
|
|
Return to Work
Time Frame: 1 Year
|
Return to work assessments will be performed at 1,3,6, and 12 months post-operatively
|
1 Year
|
|
30 day complications
Time Frame: 30 days
|
death, myocardial infarction (MI), pulmonary embolism (PE), readmission, wound infection, new neurological deficit, re-operation
|
30 days
|
|
Delayed Surgical Complications
Time Frame: 1 year
|
re-operation, fusion complication, problems with hardware, deformity
|
1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Zoher Ghogawala, MD FACS, Yale University
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Neuropoint SD
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