- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03640338
The Efficacy of Continuous Cold-Therapy on Postoperative Pain and Narcotics Use Following Spinal Fusion
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The purpose of this study is to determine if postoperative cryotherapy with a cold-therapy system reduces postoperative pain and narcotic consumption following single and multi-level spinal fusion.
The investigators hypothesize that patients undergoing lumbar spinal fusion who receive postoperative cryotherapy treatment with a cold-therapy system will have reduced inpatient pain scores and require less narcotics as compared to patients that receive standard care (ice pack).
Study Type
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Single or multi-level lumbar spinal fusion for degenerative pathology, including: radiculopathy, central spinal stenosis, foraminal stenosis, herniated nucleus pulposus, degenerative disc disease, and isthmic or degenerative spondylolisthesis.
- Patient able to provide informed consent
Exclusion Criteria:
- Chronic preoperative narcotic use defined as daily narcotic use for the past 6 months prior to surgery
- Workers' compensation insurance claim
- Active or history of malignancy
- Unable to speak, read, or comprehend English language
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cold-therapy system
Patients will receive a cold-therapy system postoperatively (Polar Care Kodiak, Breg®) and will use the system during inpatient stay and during the first 14 days post-discharge.
|
After surgery, participants assigned to this group will receive the cold-therapy system to use at the hospital and during the first 2 weeks following discharge.
Other Names:
|
No Intervention: Standard care (ice-pack)
Patients will use disposable ice-pack as per standard of care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative Pain
Time Frame: 2 year postoperative
|
Average daily Visual Analog Scale (VAS) survey, which measures pain, for the duration of hospital stay and postoperative VAS scores will be recorded for 2 years postoperatively. This information will be collected through a survey that will be administered upon patient discharge. Patients will be asked to return the completed survey to the research team. VAS scale ranges from 0 - 100 mm, with 100 representing maximum pain and 0 representing no pain. |
2 year postoperative
|
Narcotics Consumption
Time Frame: 2 weeks postoperative
|
Total, daily, and hourly narcotics consumption during the hospitalization.
Narcotic consumption will be recorded for 2 weeks following discharge.
Patients will be asked to report the number of narcotic pills taken each day.
This information will be collected through a survey that will be administered upon patient discharge.
Patients will be asked to return the completed survey to the research team.
|
2 weeks postoperative
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bony fusion
Time Frame: 2 year postoperative
|
Postoperative radiographs and CT scan will be used to assess fusion.
|
2 year postoperative
|
Disability
Time Frame: 2 year postoperative
|
Postoperative Oswestry Disability Index (ODI) survey scores will be compared to preoperative values. ODI measures disability for lumbar patients. The scale ranges from 0% to 100%. 0-20% represents minimal disability, 21-40% represents moderate disability, 41-60% represents severe disability, 61%-80% represents a crippled state, and 81-100% represents a bed-bound patient. |
2 year postoperative
|
Physical Function: Patient-Reported Outcomes Measurement Information System (PROMIS)
Time Frame: 2 year postoperative
|
Postoperative PROMIS scores will be compared to preoperative values. PROMIS evaluates physical function through a series of questions covering level of difficulty with normal daily activities. A score of 5 represents "without any difficulty" and a score of 1 represents "unable to do". |
2 year postoperative
|
General Health Status: Short-Form (SF-12)
Time Frame: 2 year postoperative
|
Postoperative SF-12 scores will be compared to preoperative values. SF-12 evaluates the general health status of the patient. A minimum score of 0 represents the lowest level of health, while a maximum score of 100 represents the highest level of health. |
2 year postoperative
|
Length of Stay
Time Frame: Up to 2 weeks
|
The number of hours of hospitalization from entering the recovery room (time zero) until patient meets discharge criteria.
|
Up to 2 weeks
|
Disposition on discharge
Time Frame: Up to 2 weeks
|
This outcome evaluates where the patient will return to after their inpatient stay.
This could include, but is not limited to, their home, a rehabilitation facility, or a skilled nursing facility.
|
Up to 2 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Nervous System Diseases
- Postoperative Complications
- Pain
- Neurologic Manifestations
- Musculoskeletal Diseases
- Neuromuscular Diseases
- Peripheral Nervous System Diseases
- Pathological Conditions, Anatomical
- Spinal Diseases
- Bone Diseases
- Spondylolysis
- Spondylosis
- Pain, Postoperative
- Intervertebral Disc Degeneration
- Radiculopathy
- Constriction, Pathologic
- Spinal Stenosis
- Spondylolisthesis
Other Study ID Numbers
- 18050401
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Degenerative Disc Disease
-
Assistance Publique - Hôpitaux de ParisTerminatedCervical Degenerative Disc Disease | Kyphosis | Lumbar Degenerative Disc DiseaseFrance
-
Assiut UniversityNot yet recruiting
-
Spine BioPharma, IncMCRARecruitingLumbar Degenerative Disc DiseaseUnited States
-
AxioMed Spine CorporationUnknownDegenerative Disc Disease (DDD)United States, Germany
-
Synthes USA HQ, Inc.CompletedLumbar Degenerative Disc Disease
-
DePuy InternationalTerminatedCervical Degenerative Disc DiseaseAustralia, Germany, Italy, Malaysia, Netherlands, Spain, United Kingdom
-
Synergy Spine SolutionsMCRARecruitingCervical Degenerative Disc DiseaseUnited States
-
Orthofix Inc.TerminatedCervical Degenerative Disc DiseaseUnited States
-
Yuhan CorporationCompletedDisc Degenerative DiseaseKorea, Republic of
-
ReGelTec, Inc.Not yet recruitingDegenerative Disc Disease (DDD)
Clinical Trials on Cold-Therapy System
-
Cairo UniversityCompleted
-
Cleveland Clinic FloridaCompletedPain, PostoperativeUnited States
-
Karamanoğlu Mehmetbey UniversityKaraman Training and Research HospitalRecruitingPain, Postoperative | Cold TherapyTurkey
-
Yuksek Ihtisas UniversityCompleted
-
Dokuz Eylul UniversityUnknown
-
Universidade Federal de Sao CarlosCompletedOsteoarthritis, KneeBrazil
-
Dow University of Health SciencesCompletedKnee Osteoarthritis | Pes Anserine BursitisPakistan
-
University Hospital, ToulouseRecruitingAnterior Cruciate Ligament RuptureFrance
-
Pamukkale UniversityCompletedPain | Patient Satisfaction | Knee Prosthesis | CryotherapyTurkey
-
Universiti Teknologi MalaysiaRecruiting