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N/A N=322 Randomized Single-blind Treatment

Post-Approval Clinical Trial Comparing the Long Term Safety and Effectiveness Coflex vs. Fusion to Treat Lumbar Spinal Stenosis

Spinal Stenosis

Enrolled (actual)
322
Serious AEs
53.7%
Results posted
Feb 2019
Primary outcome: Primary: Number of Subjects With Improvement of at Least 15 Points in ODI — 41; 101 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Decompression (Procedure); Posterolateral Fusion and Implantation of Pedicle Screws (Device); Implantation of coflex Interlaminar Technology (Device)
Age
Pediatric, Adult, Older Adult
Sex
All
Sponsor
Paradigm Spine
Primary completion
Dec 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Subjects With Improvement of at Least 15 Points in ODI
41; 101
PRIMARY
Number of Subjects With no Reoperations, Revisions, Removals, or Supplemental Fixation
87; 179
PRIMARY
Number of Subjects With no Major Device Related Complications
100; 212
PRIMARY
Number of Subjects With no Epidural Injection(s)
84; 177
PRIMARY
Number of Subjects With no Persistent New or Increasing Sensory or Motor Deficit
70; 135
PRIMARY
Number of Subjects With no Persistent New or Increasing Sensory Deficit
72; 137
PRIMARY
Number of Subjects With no Persistent New or Increasing Motor Deficit
72; 144
PRIMARY
Number of Subjects With no Reoperations or Epidural (Up to Day 1825)
71; 149
SECONDARY
Number of Subjects With a Decrease in Zurich Claudication Questionnaire (ZCQ) Symptom Severity of at Least 0.5 Points
40; 100
SECONDARY
Number of Subjects With Decrease in Zurich Claudication Questionnaire (ZCQ) Physical Function of at Least 0.5 Points
38; 98
SECONDARY
Number of Subjects With Maintenance or Improvement in SF-12 Physical Function Component
34; 93
SECONDARY
Number of Subjects With Maintenance or Improvement in SF-12 Mental Health Component
31; 72
SECONDARY
Number of Subjects With a Decrease in VAS Back Pain of at Least 20mm
40; 104
SECONDARY
Number of Subjects With Decrease VAS Worse Leg Pain of at Least 20mm
41; 99
SECONDARY
Mean Oswestry Disability Index (ODI) Score
26.1; 24.5
SECONDARY
Mean Visual Analog Scale Back Pain Score
29.0; 25.4
SECONDARY
Mean Visual Analog Scale Leg (Worse) Pain Score
25.2; 22.8
SECONDARY
Mean Visual Analog Scale (VAS) Leg (Right) Pain Score
16.0; 14.9
SECONDARY
Mean Visual Analog Scale (VAS) Leg (Left) Pain Score
17.0; 18.4
SECONDARY
Number of Subjects With a Decrease in VAS Right Leg Pain of at Least 20mm
36; 90
SECONDARY
Number of Subjects With a Decrease in VAS Left Leg Pain of at Least 20mm
37; 78
SECONDARY
Mean Zurich Claudication Questionnaire (ZCQ) Symptom Severity Score
2.17; 2.08
SECONDARY
Mean Zurich Claudication Questionnaire (ZCQ) Physical Function Score
1.81; 1.67
SECONDARY
Mean Short Form-12 Physical Component Score
42.1; 42.1
SECONDARY
Mean Short Form-12 Mental Component Score
54.8; 54.1
SECONDARY
Patient Survey: Satisfaction
72; 151
SECONDARY
Patient Survey: Recommendation of Treatment
70; 145
SECONDARY
Pain Management: Class II Narcotics Usage by Device Group
17; 32
SECONDARY
Pain Management: NSAIDs/ASA/Acetaminophen Usage by Device Group
24; 55

Summary

Post-Approval Clinical Study Comparing the Long Term Safety and Effectiveness of coflex vs. Fusion to Treat Lumbar Spinal Stenosis
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00534235). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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