Trial Outcomes & Findings for Slotted Hole Versus Fixed Hole C-Tek (NCT NCT00585923)

NCT ID: NCT00585923

Last Updated: 2019-03-05

Results Overview

The fusion criteria will include radiographic evidence of no motion at the affected levels on flexion/extension and evidence of bony bridging and no lucent lines on AP/lateral views. Fusion Grading "fused" "probably fused" "pseudarthrosis" This determination was made by Dr. Nunley and there was never any more specific details given on how the determination was made between fused and probably fused.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

115 participants

Primary outcome timeframe

Last Follow-Up (Last follow-up ranged from no visit after surgery to 24 months of follow-up)

Results posted on

2019-03-05

Participant Flow

Recruitment was done through the population of Dr. Nunley's practice. Once Dr. Nunley decided that the patient was a candidate for cervical fusion, he discussed the study with the patient. After subject signed the informed consent subject was randomized to the Slotted Hole or the Fixed Hole C Tek™ Anterior Cervical Plate.

Patients were included in this study if the answer to all of the inclusion criteria was yes and the answer to all of the exclusion questions was no.

Participant milestones

Participant milestones
Measure
Fixed Hole C-Tek Plate
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
Slotted Hole C-Tek Plate for ACDF
Overall Study
STARTED
56
59
Overall Study
COMPLETED
25
26
Overall Study
NOT COMPLETED
31
33

Reasons for withdrawal

Reasons for withdrawal
Measure
Fixed Hole C-Tek Plate
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
Slotted Hole C-Tek Plate for ACDF
Overall Study
Physician decided not to continue
31
33

Baseline Characteristics

Slotted Hole Versus Fixed Hole C-Tek

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fixed Hole C-Tek Plate
n=56 Participants
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
n=59 Participants
Slotted Hole C-Tek Plate for ACDF
Total
n=115 Participants
Total of all reporting groups
Age, Customized
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Age, Customized
Between 18 and 65 years
46 Participants
n=39 Participants
50 Participants
n=41 Participants
96 Participants
n=35 Participants
Age, Customized
>=65 years
5 Participants
n=39 Participants
7 Participants
n=41 Participants
12 Participants
n=35 Participants
Age, Customized
Unknown
5 Participants
n=39 Participants
2 Participants
n=41 Participants
7 Participants
n=35 Participants
Age, Continuous
49.46 years
STANDARD_DEVIATION 10.26 • n=39 Participants
50.03 years
STANDARD_DEVIATION 10.04 • n=41 Participants
49.76 years
STANDARD_DEVIATION 10.10 • n=35 Participants
Sex: Female, Male
Female
32 Participants
n=39 Participants
34 Participants
n=41 Participants
66 Participants
n=35 Participants
Sex: Female, Male
Male
24 Participants
n=39 Participants
25 Participants
n=41 Participants
49 Participants
n=35 Participants

PRIMARY outcome

Timeframe: Last Follow-Up (Last follow-up ranged from no visit after surgery to 24 months of follow-up)

Population: Fusion Status is shown for the last office visit which the patient attended before the doctor withdrew from the study

The fusion criteria will include radiographic evidence of no motion at the affected levels on flexion/extension and evidence of bony bridging and no lucent lines on AP/lateral views. Fusion Grading "fused" "probably fused" "pseudarthrosis" This determination was made by Dr. Nunley and there was never any more specific details given on how the determination was made between fused and probably fused.

Outcome measures

Outcome measures
Measure
Fixed Hole C-Tek Plate
n=56 Participants
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
n=59 Participants
Slotted Hole C-Tek Plate for ACDF
Fusion Success
Solid Fused
27 participants
29 participants
Fusion Success
Probably Fused
15 participants
22 participants
Fusion Success
Pseudarthrosis (Failed Fusion)
5 participants
0 participants
Fusion Success
No Fusion Result
9 participants
8 participants

SECONDARY outcome

Timeframe: Baseline and Last Follow-Up visit (Last follow-up ranged from no visit after surgery to 24 months of follow-up)

Pain is calculated by patient making an X on a visual analog scale (VAS) line at each visit. Mark on x is measured via a mm ruler. Number of Participants with the Level of Pain at Rest Improved, Maintained or Worsened from Baseline to "last follow-up visit". This is calculated by subtracting the pain at the last follow-up from the pain at the baseline visit. Best Case is 0 and worst case is 100.

Outcome measures

Outcome measures
Measure
Fixed Hole C-Tek Plate
n=56 Participants
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
n=59 Participants
Slotted Hole C-Tek Plate for ACDF
Pain at Rest
Improved
49 Participants
45 Participants
Pain at Rest
Maintained
1 Participants
2 Participants
Pain at Rest
Worsened
4 Participants
0 Participants
Pain at Rest
No Pain Recorded at Last Visit
2 Participants
12 Participants

SECONDARY outcome

Timeframe: Baseline and Last follow-up visit (Last follow-up ranged from no visit after surgery to 24 months of follow-up)

Pain is calculated by patient making an X on a visual analog scale (VAS) line at each visit. Mark on x is measured via a mm ruler. Number of Participants with the Level of Pain with Activity Improved, Maintained or Worsened from Baseline to "last follow-up visit". This is calculated by subtracting the pain at the last follow-up from the pain at the baseline visit. Scores range from 0 to 100 with 0 being the best score.

Outcome measures

Outcome measures
Measure
Fixed Hole C-Tek Plate
n=56 Participants
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
n=59 Participants
Slotted Hole C-Tek Plate for ACDF
Pain With Activity
Improved
42 Participants
46 Participants
Pain With Activity
Maintained
1 Participants
1 Participants
Pain With Activity
Worsened
6 Participants
4 Participants
Pain With Activity
No pain recorded at last visit
7 Participants
8 Participants

SECONDARY outcome

Timeframe: Baseline and Last follow-up visit (Last follow-up ranged from no visit after surgery to 24 months of follow-up)

Patients were categorized as maintained, improved or decreased Neurological Status. This was assessed pre-operatively and at each follow-up visit but reported on last follow-up. Motor Function was measured at each cervical level Reflex Function (0: Not elicitable; 1: Elicited with reinforcement; 2: Normal; 3:Brisk; 4:Clonus, unsustained; 5: Clonus, sustained) was measured for Bicep, Brachioradialis, and Triceps Sensory Function (0: Sensation is absent; 1: Sensating is diminished; 2: Sensation is normal; 3: Sensation is present, but pathological, was measured at each cervical dermatome

Outcome measures

Outcome measures
Measure
Fixed Hole C-Tek Plate
n=56 Participants
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
n=59 Participants
Slotted Hole C-Tek Plate for ACDF
Neurological Status Change in Neurological Status Since Surgery.
Improved
21 Participants
27 Participants
Neurological Status Change in Neurological Status Since Surgery.
Maintained
17 Participants
16 Participants
Neurological Status Change in Neurological Status Since Surgery.
Decreased
1 Participants
3 Participants
Neurological Status Change in Neurological Status Since Surgery.
Not Measured at last visit
17 Participants
13 Participants

SECONDARY outcome

Timeframe: Baseline and Last follow-up visit (Last follow-up ranged from no visit after surgery to 24 months of follow-up)

Number of patients who have an improved, maintained or decreased level of function based on the results of their NDI (Neck Disabillity Index) from surgery to last follow-up visit. The NDI scale ranges from 0-100. If a subject has a score of 0, it means that they have no limitations and no pain. This is calculated by subtracting the NDI at the last follow-up from the NDI at the baseline visit.

Outcome measures

Outcome measures
Measure
Fixed Hole C-Tek Plate
n=56 Participants
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
n=59 Participants
Slotted Hole C-Tek Plate for ACDF
Level of Function (Neck Disability Index)
Improved
39 Participants
43 Participants
Level of Function (Neck Disability Index)
Maintained
1 Participants
2 Participants
Level of Function (Neck Disability Index)
Decreased
8 Participants
7 Participants
Level of Function (Neck Disability Index)
Not Measured at last visit
8 Participants
7 Participants

Adverse Events

Fixed Hole C-Tek Plate

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Slotted Hole C-Tek Plate

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Fixed Hole C-Tek Plate
n=56 participants at risk
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
n=59 participants at risk
Slotted Hole C-Tek Plate for ACDF
Surgical and medical procedures
Instrument Failure - Screw Breakage
1.8%
1/56 • Number of events 1 • Adverse event data was collected through the 24 mnth visit
0.00%
0/59 • Adverse event data was collected through the 24 mnth visit
Surgical and medical procedures
Instrument Failure - Screw Back-out
1.8%
1/56 • Number of events 1 • Adverse event data was collected through the 24 mnth visit
0.00%
0/59 • Adverse event data was collected through the 24 mnth visit

Other adverse events

Other adverse events
Measure
Fixed Hole C-Tek Plate
n=56 participants at risk
Fixed Hole C-Tek Plate for Anterior Cervical Discectomy \& Fusion (ACDF)
Slotted Hole C-Tek Plate
n=59 participants at risk
Slotted Hole C-Tek Plate for ACDF
Infections and infestations
Mild Wound Drainage
1.8%
1/56 • Number of events 1 • Adverse event data was collected through the 24 mnth visit
0.00%
0/59 • Adverse event data was collected through the 24 mnth visit

Additional Information

Jacquelyn Hughes

Biomet

Phone: 973-299-9300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place