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The purpose of this randomized controlled trial is to determine if patients who receive non-steroidal anti-inflammatory medications (NSAIDs) following elective lumbar spinal fusion have increased rates of symptomatic nonunion requiring revision spinal surgery at two-years follow-up, compared to those who do not receive NSAIDs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: NSAID Group | Active Comparator | Participants in the NSAID group will receive NSAIDs in addition to our standard postoperative regimen after their Lumbar spine fusion surgery |
|
| Group 2: Control Group | Active Comparator | Participants in the control group will only receive our standard postoperative regimen after their Lumbar spine fusion surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Naproxen 500 Mg | Drug | participants will receive Naproxen (500 mg) to take for 7 days after surgery as needed |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fusion failure | Failure of fusion surgery will be measured by the rate of revisions as demonstrated by participant x-rays | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rothman Orthopaedic Institute | Philadelphia | Pennsylvania | 19107 | United States |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D009288 | Naproxen |
| D020910 | Ketorolac |
| D010098 | Oxycodone |
| D013607 | Tablets |
| C011301 | metaxalone |
| ID | Term |
|---|---|
| D009280 | Naphthaleneacetic Acids |
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
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| Ketorolac | Drug | participants will receive Ketorolac (15 mg) immediately after surgery |
|
| OxyCODONE 5 mg Oral Tablet | Drug | participants will receive OxyCODONE (5 mg) to take for 7 days after surgery as needed |
|
| Metaxalone 800 MG | Drug | participants will receive Metaxalone (800 MG) to take for 7 days after surgery as needed |
|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |
| D007213 | Indomethacin |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D003061 | Codeine |
| D009022 | Morphine Derivatives |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
| D000470 | Alkaloids |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D010616 | Phenanthrenes |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |