Bone Marrow Clot for Posterior Lumbar Fusion
NCT05936047 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2023-10-11
Summary
Bone marrow aspirate (BMA) in association to graft substitutes has long been introduced as a promising alternative to iliac crest bone graft in spinal fusion. However, BMA use is limited by the absence of a standardized technique, of a physical texture and by the possibility of dispersion away from the implant site. Recently, the potential use of a new formulation of BMA, named BMA clot, has been preclinically described. A prospective pilot clinical study designed to assessing the safety and efficacy of autologous vertebral BMA (vBMA) clot as multifunctional bio-scaffold in instrumental posterior lumbar fusion will be performed.
Conditions
- Spinal Fusion
Interventions
- BIOLOGICAL
-
Vertebral bone marrow clot
vBMA will be harvested from each patient vertebral pedicle with the preparation of the site for pedicle screw insertion during spinal surgery. After the positioning of pedicle screws, the decompression of the cauda and nerve roots will be achieved with a hemilaminectomy and foraminotomy. vBMA clot will be opposed on the hemi-laminae and transvers process on the contralateral side of the hemilaminectomy. On the hemilaminectomy side, foramino-arthrectomy will be performed to insert the interbody fusion cage if necessary. After aspiration, the vBMA will be clotted and used for surgical procedure. vBMA clot will be applied on each side of the vertebra according to the number of segments to be fused.
Sponsors & Collaborators
-
Istituto Ortopedico Rizzoli
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-11-27
- Primary Completion
- 2022-07-19
- Completion
- 2023-06-27
Countries
- Italy
Study Locations
More Related Trials
-
Prospective Study of Thoracolumbar Spinal Fusion Graft
NCT02297256 ·Status: COMPLETED ·Phase: NA
-
The Effect of Using Autologous Platelet Rich Plasma on Posterior Lumbar Interbody Fusion
NCT03261843 ·Status: UNKNOWN ·Phase: PHASE4
-
Evaluation of Radiculitis Following Use of Bone Morphogenetic Protein-2 for Interbody Arthrodesis in Spinal Surgery
NCT00984672 ·Status: COMPLETED
-
Comparison of Posterior Cellular Bonegraft Options for Single Level Lumbar Spinal Fusion
NCT07187362 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Pilot Study of rhBMP-2/ACS/Allograft Bone Dowel for Anterior Lumbar Interbody Fusion in Patients With Symptomatic Degenerative Disc Disease
NCT01494428 ·Status: COMPLETED ·Phase: NA
-
Autologous Bone Marrow Concentrate in Elective Tranforaminal Lumbar Interbody Fusion Surgery
NCT03793530 ·Status: UNKNOWN ·Phase: NA
-
Injection of Autologous Bone Marrow Aspirate in Patients With Degenerative Disc Disease.
NCT05146583 ·Status: UNKNOWN
-
Bone Marrow Concentrate (BMC) Injection in Intervertebral Discs
NCT04559295 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Midline Lumbar Fusion Versus Posterior Lumbar Interbody Fusion
NCT02290314 ·Status: UNKNOWN ·Phase: NA
-
Clinical Outcome and Fusion Rate of 3D Printed Interbody Fusion Cages and Titanium Coated PEEK Cages
NCT05237908 ·Status: ACTIVE_NOT_RECRUITING
-
Utilization of Autologous Mesenchymal Cells in Posterolateral Spinal Fusion in Degenerative Spine Disease
NCT03827096 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Interbody Spacers With map3® Cellular Allogeneic Bone Graft in Anterior or Lateral Lumbar Interbody Fusion
NCT02628210 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety Study of Lumbar Interbody Fusion With MatriTMBONE Associated With Autologous Bone Marrow
NCT01335243 ·Status: COMPLETED ·Phase: PHASE2
-
Spinal Stimulation to Treat Low Back Pain
NCT02128672 ·Status: WITHDRAWN ·Phase: NA
-
Bone Marrow Aspirate Concentration in Posterior Cervical Fusion
NCT02068547 ·Status: TERMINATED ·Phase: NA
-
Safety of Cultured Autologous Adult Adipose Derived Mesenchymal Stem Cell Versus Cultured Allogeneic Adult Umbilical-cord Derived Mesenchymal Stem Cell Intrathecal Injection for SCI
NCT05018793 ·Status: RECRUITING ·Phase: PHASE1
-
Pilot Study of rhBMP-2/BCP in Patients With Spinal Degeneration With Instability Requiring Surgical Fusion
NCT01495234 ·Status: COMPLETED ·Phase: NA
-
Prospective Observational Study on Vertebral Metastasis
NCT05985434 ·Status: COMPLETED
-
Novel Technique Lumber Spine Fusion: Unilateral Pedicular Screws Fixation Combined With Contralateral Interbody Cage
NCT05238662 ·Status: UNKNOWN ·Phase: NA
-
Safety and Efficacy Assessment of Using the zLOCK Facet Stabilization System
NCT05266521 ·Status: RECRUITING ·Phase: NA
-
Evaluation of Safety of HEMOBLAST Bellows in Spine Surgery
NCT04734535 ·Status: COMPLETED ·Phase: NA
-
Natural Matrix Protein
NCT07217964 ·Status: ENROLLING_BY_INVITATION
-
Pilot Study of rhBMP/BCP With or Without the TSRH® Spinal System for Posterolateral Lumbar Fusion in Patients With Degenerative Disc Disease
NCT01494441 ·Status: COMPLETED ·Phase: NA
-
A Prospective Study of Clinical Outcomes Following a Single Intradiscal Injection of Bone Marrow Aspirate Concentrate (BMAC) for Single Level Discogenic Low Back Pain
NCT03912454 ·Status: UNKNOWN ·Phase: NA
-
Lumbar & Sacroiliac Fusion Study Involving Previously Implanted Devices
NCT07204288 ·Status: RECRUITING ·Phase: NA