Complex Adult Deformity Surgery (CADS)

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorInternational Spine Study Group Foundation

About this trial

Evaluate surgical treatment outcomes and identify best practice guidelines for complex adult spinal deformity (ASD) patients, including radiographic and clinical outcomes, surgical and postoperative complications, risk factors for and revision surgery rates, and the role of standard work to improve patient outcomes and reduce surgical and postoperative complications.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of adult congenital, degenerative, idiopathic or iatrogenic spinal deformity

Full body EOS radiographic assessment (sagittal and coronal visualization from skull to foot)

PI-LL ≥ 25 degrees

TPA ≥ 30 degrees

Disqualifiers

Age <18 years of age

Active spine tumor or infection

Deformity due to acute trauma

Neuromuscular conditions/diseases (Parkinson's, Multiple Sclerosis, Post-polio syndrome)

Trial population

Multi-center, prospective, non-randomized analysis of surgically treated complex adult spinal deformity (ASD) patients.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Index or spine revision surgery for complex adult spinal deformity

    Procedure/Surgery

    Surgical interventions will be patient specified by treating surgeon.

Treatment groups

1,500 Participants
are divided into 1 treatment group
Group A: Operative1 intervention

Trial outcomes

Primary outcomes

1

Scoliosis Research Society (SRS) 22r

Scoliosis specific patient reported outcome

Time frame
Change from Preop to 3 months and 1, 2, 5 & 10 year follow-up
2

Oswestry Disability Index (ODI)

Spine specific patient reported outcome

Time frame
Change from Preop to 3 months and 1, 2, 5 & 10 year follow-up
3

Veterans RAND 12 Item Health Survey (VR-12)

Patient reported outcome

Time frame
Change from Preop to 3 months and 1, 2, 5 & 10 year follow-up
4

Radiographic Evaluation

Cobb angles, Coronal \& Sagittal balance, spinopelvic measures

Time frame
Change from Preop to 3 months and 1, 2, 5 & 10 year follow-up

Secondary outcomes

1

Edmonton Frail Scale

Evaluate frailty on scale of 0 to 17 where higher scores mean more frail

Time frame
Change from Preop to 3months and 1, 2, 5 & 10 year follow-up
2

Canadian Study of Health and Aging (CSHA)

Frailty scale of 1 to 8; higher scores mean more frail

Time frame
Change from Preop to 3months and 1, 2, 5 & 10 year follow-up
3

Adverse Events

Occurrence of Adverse events meeting reporting criteria and their relationship to intervention throughout the study

Time frame
3 months and 1, 2, 5 & 10 year post treatment

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

International Spine Study Group Foundation

Lead sponsor

Medtronic

Collaborator

Globus Medical Inc

Collaborator

SI-BONE, Inc.

Collaborator