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.
TERMINATED
NA
115 participants
Last Follow-Up (Last follow-up ranged from no visit after surgery to 24 months of follow-up)
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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
Slotted Hole C-Tek Plate
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
| 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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place