Retrospective Evaluation of Upper Instrumented Vertebrae (UIV) Screw Loosening Following Spine Surgery

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorOhio State University

About this trial

The REESE study is looking at information from past spine surgeries to learn how often screws placed at the top of a spinal fusion become loose over time. Researchers will review existing medical records and X-rays from adults who have already had thoracolumbar spinal fusion surgery. The study will also look at factors that may increase the risk of screw loosening and whether it leads to additional complications or surgeries. No new procedures, treatments, or patient visits are required because the study uses information that has already been collected during routine medical care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

≥ 18 years of age at the time surgery

Underwent thoracolumbar spinal fusion with bilateral screws at the UIV

Construct <4 levels ending at the sacrum may be treated with or without pelvic fixation

Constructs ≥4 levels ending at the sacrum must include pelvic fixation

Disqualifiers

Treated for high grade (grade III, IV, or V) spondylolisthesis

Diagnosed with primary or metastatic tumor involving the spine, history of spinal malignancy, or active cancer at the time of surgery

Trial population

Adults (≥18 years of age) who previously underwent thoracolumbar spinal fusion with bilateral pedicle screw fixation at the upper instrumented vertebra (UIV), with or without pelvic fixation, and who have a minimum of 12 months of postoperative follow-up imaging. Eligible patients will be identified retrospectively from participating U.S. sites and evaluated for UIV screw loosening and related outcomes using existing clinical and radiographic records.

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

Not listed

Trial groups

400 Participants
are grouped into 1 trial group
Group A: Thoracolumbar Fusion Cohort

Trial outcomes

Primary outcomes

1

UIV Screw Loosening Rate

Rate of UIV screw loosening as assessed on x-rays

Time frame
12-month follow-up

Secondary outcomes

1

Adverse Events Associated with UIV Screws

Adverse events reported that were related to the screws at the UIV

Time frame
12-month follow-up
2

Rate of Subsequent Surgical Intervention Involving the UIV

Rate of subsequent surgical intervention including the UIV level

Time frame
12-month follow-up
3

Rate of UIV Screw Removal

Rate of UIV screw removal

Time frame
12-month follow-up

Other outcomes

Sponsors and contacts

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Ohio State University

Lead sponsor

SI-BONE, Inc.

Collaborator

This trial is not recruiting at the moment. You can still explore other options: