Retro-prospective study allowing inclusion of patients with spinal deformities treated by patient-specific rods (UNiD). This study aims to assess performance, clinical outcomes and safety
Despite decades of treatment and great diversity of instrumentation, the objective of sagittal spinal realignment in adult spinal deformity is achieved in only 38% of patients which reflects an inadequacy of the approach currently used. Patient specific rods were created by Medicrea to address this gap and support surgeons in achieving what they planned to perform in terms of spinal correction based on preoperative X-rays analyses. Beside to help surgeons in planning and to improve performance, the avoidance of manual bending is supposed to save time during surgery and to limit notches which should then reduce rod fractures responsible for surgical revisions. A European register-like study has been set-up to assess radiological performance, clinical outcomes and revision rate following implantation of patient-specific rods in adult spinal deformities
Study Type
OBSERVATIONAL
Enrollment
743
Spinal osteosynthesis
CH WAPI
Tournai, Belgium
Polyclinique
Bordeaux, France
Orthopôle
Bruges, France
CHU Estaing
Clermont-Ferrand, France
Radiological performance compared to planning
The primary objective is to compare the planned sagittal parameters with those obtained postoperatively including but not limited to: * Sagittal vertical axis (SVA) * Lumbar Lordosis (LL) * Thoracic Kyphosis (TK) * Pelvic Tilt (PT) * Pelvic Incidence (PI) * Sacral Slope (SS) * Cobb Angle (CA)
Time frame: 12 months
Postoperative spinal alignment
Evaluation of the deformity correction in the sagittal and/or coronal plan. The primary objective is to compare the preoperative sagittal parameters with those obtained postoperatively including but not limited to: Sagittal vertical axis (SVA) Lumbar Lordosis (LL) Thoracic Kyphosis (TK) Pelvic Tilt (PT) Pelvic Incidence (PI) Sacral Slope (SS) Cobb Angle (CA)
Time frame: 3, 6, 12, 24 months
Diasbility
To assess patients' disability through the ODI questionnaire
Time frame: 3, 6, 12, 24 months
Quality of life/ SRS-22
To assess patients' quality of life through the SRS-22 questionnaire
Time frame: 3, 6, 12, 24 months
Patients' satisfaction
Using a satisfaction questionnaire
Time frame: 3, 6, 12, 24 months
Adverse event
To quantify and describe adverse events
Time frame: 3, 6, 12, 24 months
Revision
To quantify and describe surgical revisions
Time frame: 3, 6, 12, 24 months
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Hopital Saint Philibert
Lomme, France
Centre Orthopédique Santy
Lyon, France
Les Massues
Lyon, France
Hopital la Timone
Marseille, France
Hopitaux pediatriques - CHU Lenval
Nice, France
Hopital Trousseau
Paris, France
...and 3 more locations
Pain/VAS
To assess patients' pain according to VAS : to 0 (better) to 10 (worst)
Time frame: 3, 6, 12, 24 months