A Postmarket Surveillance Study of the Paradigm Spine Dynamic Stabilization System (DSS) (DSS)
A Postmarket Surveillance Study of the Paradigm Spine Dynamic Stabilization System(DSS)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Sacramento, California, United States, 95816
- University of California, Davis Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient is skeletally mature (21-85 years old).
- Patient has degenerative spondylolisthesis (Grade 1-3) with objective evidence of neurologic impairment, kyphosis, and/or failed previous fusion (pseudarthrosis) at index level.
- Capable and willing to comply with the requirements unique to the study, adhere to the post-operative treatment and management program, and return for required follow-up examinations.
- Surgeon has determined that DSS™ System is an appropriate treatment for the patient without regard to the study.
Exclusion Criteria:
- The need for interbody cages, allograft, or any other assistance during surgery. Device is only to be used with autograft per FDA approved indications.
- Any medical, mental or surgical condition precluding the potential benefit of spinal surgery or surgery in general.
- Acute or chronic systemic, spinal or localized infections.
- Active, severe systemic and metabolic diseases.
- Obesity defined as Body Mass Index > 35.
- Subject is pregnant or interested in becoming pregnant in the next 36 months.
- Dependency on pharmaceutical drugs, drug abuse, or alcoholism.
- Lack of patient cooperation.
- Foreign body sensitivity to the implant material.
- Degenerative scoliosis greater than 25 degrees.
- Grade 4 degenerative spondylolisthesis (>75% slip).
- Significant osteopenia A screening questionnaire for osteopenia, SCORE (Simple Calculated Osteoporosis Risk Estimation), will be used to screen patients who require a DEXA bone mineral density measurement. If DEXA is required*, exclusion will be defined as a DEXA bone density measured T score of ≤ -1.0 (The World Health Organization definition of osteopenia).
- Soft tissue deficit not allowing wound closure.
- Congenital abnormalities, tumors or other conditions that would prevent secure component fixation that has the potential to decrease the useful life of the device.
- Inadequate pedicles or vertebral body geometry of the thoracic, lumbar and sacral vertebrae.
- Bony lumbar spinal stenosis not related to the primary degenerative spondylolisthesis indication.
- Pars defect.
- Clinically compromised vertebral bodies at affected level due to current or past trauma.
- Prisoner or ward of the state.
- Currently in litigation regarding a spinal condition.
- Known allergy to titanium, titanium alloys, CoCrMo, polyethylene or MR contrast agents.
- Is currently involved in a study of another investigational product for similar purpose.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dynamic Stabilization System
Dynamic Stabilization System (DSS) System
|
Dynamic Stabilization System
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants Who Have an Incidence of Serious or Device Related Adverse Events Due to Device or Procedure.
Time Frame: 6 months
|
The safety endpoint is defined as the incidence of serious or device related adverse events attributable to the device or procedure.
Reoperations, revisions or removals of the Dynamic Stabilization System (DSS) System implant will be evaluated.
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Measurement of Lower Back Pain as Assessed by Visual Analog Scale
Time Frame: 6 months
|
Lower back pain as measured by the Visual Analog Scale (VAS) on the scale from 0 (no pain) to 100 (worst imaginable pain)
|
6 months
|
|
Measurement of Right Leg Pain as Assessed by Visual Analog Scale
Time Frame: 6 months
|
Right leg pain as measured by the Visual Analog Scale (VAS) on the scale from 0 (no pain) to 100 (worst imaginable pain)
|
6 months
|
|
Measurement of Left Leg Pain as Assessed by Visual Analog Scale
Time Frame: 6 months
|
Left leg pain as measured by the Visual Analog Scale (VAS) on the scale from 0 (no pain) to 100 (worst imaginable pain)
|
6 months
|
|
Number of Participants With Improved Health as Measured by the EuroQOL Health Related Qualify of Life- 5 Dimensions-3 Level (EQ-5D-3L) Health Questionnaire Compared to Baseline.
Time Frame: Pre-Op, 6 weeks, 6 months, 12 months, and 24 months
|
The EQ-5D-3L is a standardized instrument used as a measure of health outcomes.
It contains questions in 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and provides a simple descriptive profile and single index for health status preference.
In addition, there is a Visual Analog Scale (VAS).
The VAS is the participant's rating of their health on a scale of 0 "worst imaginable health state" to 100 "best imaginable health state".
|
Pre-Op, 6 weeks, 6 months, 12 months, and 24 months
|
|
Assessment of Back Pain Using the Oswestry Low Back Pain Disability Index (ODI).
Time Frame: 6 months
|
ODI is a questionnaire that provides information on back and the affects on managing every day life by diving questions into 10 sections.
The total possible score for each section is 0-5.
The scores are then converted into percentages ranging from 0% (minimal disability) to 100% (maximum possible disability).
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Gitela Gandelman, Paradigm Spine LLC
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 (Actual)
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
- Dynamic Stabilization System
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