On October 26, 2012, the FDA granted Premarket Approval (PMA) for the PCM Cervical Disc. PCM Cervical Disc is indicated for use in skeletally mature patients for reconstruction of a degenerated cervical disc at one level from C3-C4 to C6-C7 following single-level discectomy for intractable radiculopathy (arm pain and/or a neurological deficit), with or without neck pain, or myelopathy due to a single-level abnormality localized to the disc space, and manifested by at least one of the following conditions confirmed by radiographic imaging (CT, MRI, X-rays): herniated nucleus pulposus, spondylosis (defined by the presence of osteophytes), and/or visible loss of disc height as compared to adjacent levels. The purpose of this post-approval study is to evaluate the long-term (7 year) safety and effectiveness of the PCM Cervical Disc.
A prospective, multi-center, post approval study with concurrent control group consisting of those patients that were enrolled and did not fail in the PCM Cervical Disc IDE clinical study and will to give consent to participate. All of the PCM IDE investigational sites who have active patients will be chosen to participate in this study. All patients who are actively participating in the pivotal IDE study will be asked to participate in this study. The study consists of follow-up periods only. The follow-up period will last for seven years from each patient's surgery date.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
494
Patients enrolled in the IDE clinical study and treated with the PCM Cervical Disc to treat degenerated cervical discs and neurological symptoms at one level from C3 to T1
Patients enrolled in the IDE clinical study and treated with an anterior cervical discectomy and fusion (ACDF) using a cervical plate and bone graft in patients with degenerated cervical discs and neurological symptoms at one level from C3 to T1
Spine Group Beverly Hills
Beverly Hills, California, United States
Denver Spine
Greenwood Village, Colorado, United States
Midwest Orthopedic Associates at Rush
Chicago, Illinois, United States
Chicago Back Institute
Chicago, Illinois, United States
Goodman Campbell Brain and Spine
Indianapolis, Indiana, United States
Towson Orthopedic Associates
Towson, Maryland, United States
Wm. Beaumont Hospital
Southfield, Michigan, United States
Columbia Orthopedic Research
Columbia, Missouri, United States
Buffalo Spine Surgery
Lockport, New York, United States
Institute for Spine Care
Syracuse, New York, United States
...and 8 more locations
Individual Patient Overall Success
* Improvement of at least 20% on the Neck Disability Index (NDI) at 7 years compared to baseline * No device failures requiring revision, reoperation, removal or supplemental fixation * No major complications such as vascular or neurological injury * Radiographic success
Time frame: 7 years
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