About this trial
This study is comparing two FDA-approved cages used during lower back surgery. The study will look at whether one cage helps the bones in the back fuse together better than the other. Adults who are having a 1 or 2 level lumbar fusion surgery will be randomly assigned to receive either the Adaptix nanoPEEK cage or the Capstone PTC cage. Participants will have follow-up visits with imaging and questionnaires to evaluate bone fusion, back and leg pain, physical function, and overall health.
Eligibility criteria
Qualifiers
Subject is scheduled to undergo 1- or 2-level TLIF with the principal investigator.
Subject has failed nonoperative management for a minimum of 3 months prior to enrollment.
Diagnosis is degenerative disc disease (DDD), defined as discogenic back pain with disc degeneration confirmed by history and radiographic studies, at 1 or 2 contiguous spinal levels from L2 to S1. Subjects may have up to grade 1-2 spondylolisthesis or retrolisthesis at the index level(s).
Subject is able to provide written informed consent.
Disqualifiers
Prior lumbar arthrodesis surgery at any level.
Diagnosis of osteoporosis (T-score = -2.5) or severe osteopenia (T-score = -2.0 with fragility fracture history).
Body mass index (BMI) greater than 40 kg/m².
Requirement for additional bone grafting materials beyond milled local autograft bone (e.g., rhBMP-2, iliac crest autograft, allograft structural spacers).
Trial design
Treatments tested in this trial
- Adaptix nanoPEEK Cage
- Capstone PTC Cage
Treatment groups
Sponsors and collaborators
Francis Farhadi
Lead sponsor
University of Kentucky
Sponsor institution