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The primary endpoints of the investigation will include assessment of the maintenance of disc height demonstrated by radiographic evidence based on plain radiographs and MRI and relief of pain as measured by Visual Analog Scale (VAS) at six months post-surgery. It is anticipated that outcomes with the InterCushion Disc Nucleus Prosthesis (DNP) will be comparable to or better than the historical published results for discectomy alone.
All patients will be followed for at least 24 months once enrolled in the study. Clinical evaluations will be conducted before surgery (baseline), intraoperative, 2 week (± 1 week), 6 week (± 1 week), 3 months (± 2 weeks), 6 months (± 1 month), 12 months (± 2 months) and 24 months (± 2 months).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Disc Nucleus Replacement | Disc Nucleus Replacement (InterCushion DNP) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Disc Nucleus Replacement (InterCushion DNP) | Device | The device is intended for spinal arthroplasty in skeletally mature patients with leg pain due to a herniated disc with or without back pain, who are having a discectomy at one level from L2 -S1. These patients should have no spondylolisthesis at the involved level. |
| Measure | Description | Time Frame |
|---|---|---|
| Decrease in ODI | Improvement in the Oswestry Disability Index (ODI) score i.e. decrease of 15% or better ODI. | 6 months |
| Decrease in VAS | Improvement in leg pain evidenced by decrease in pain score of at least 2 cm (i.e. 20 mm) on the visual analog scale (VAS) | 6 months |
| Maintenance of post-operative disc height | Disc at the treated level is collapsed by ≤ 15% when compared to an adjacent health level. | 6 months |
| Mobility of treated segment | Motion of ≥ 3 degrees on lateral flexion/extension radiographs | 6 months |
| Neurologic deficits | No new permanent neurological deficit or worsening of an existing permanent neurological deficit | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Maintenance or decrease in ODI | Maintenance of improvement or further improvement in the Oswestry Disability Index (ODI) score measured at six months i.e. decrease of 15% or better ODI. | 12 and 24 months |
| Maintenance or decrease in VAS |
| Measure | Description | Time Frame |
|---|---|---|
| Failures | Revision: is a procedure that adjusts or in any way modifies or removes part of the original implant configuration, with or without replacement of a component. Removal: is a procedure where the entire original system configuration is removed with or without replacement. Supplemental fixation: a procedure in which additional instrumentation not under study is implanted. | 6, 12 and 24 months |
Inclusion Criteria:
Exclusion Criteria:
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The protocol includes skeletally mature patients, both male and female, 18 to 60 years old suffering from a herniated disc (confirmed by X-ray, CT or MRI) with persistent leg pain.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Laurie E Lynch, PhD | Contact | 952-221-2468 | laurie.lynch@visi.com | |
| Felt Jeff, MD | Contact | 612-708-4838 | jfelt@vti-spine.com |
| Name | Affiliation | Role |
|---|---|---|
| Phillip F de Muelanaere, MD | Brandon General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brandon Regional Health Center | Recruiting | Brandon | Manitoba | R7A 2B3 | Canada |
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| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
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|
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Maintenance of improvement or further improvement in leg pain evidenced by decrease in pain score on the visual analog scale (VAS)
| 12 and 24 months |
| Maintenance of post-operative disc height. | Disc at the treated level is collapsed by ≤ 15% when compared to an adjacent health level. | 12 and 24 months |
| Mobility of treated segment | Motion of ≥ 3 degrees on lateral flexion/extension radiographs | 12 and 24 months |
| Neurological deficits | No new permanent neurological deficit or worsening of an existing permanent neurological deficit | 12 and 24 months |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |