The purpose of this observational, multi-center, ambispective, serial case study is to collect real-world patient outcomes that characterize the long-term safety and effectiveness of the SurGenTec ION 3D® Facet Screw System in a cervical spine and a lumbar spine application.
The statistical analysis of the data obtained from this study will be performed using a validated statistical software program such as SPSS®. All tests will be performed at the 0.05 significance level, unless otherwise specified. Analysis will be based upon the treated population defined as all subjects that underwent standard of care surgical intervention with the SurGenTec ION 3D Facet Screw System that agreed to participate in this data collection initiative. Data collected in this study will be documented using summary tables and subject data listings. Continuous variables will be summarized using descriptive statistics, specifically the mean, median, standard deviation, minimum, and maximum, and a 95% confidence interval for the mean based on the t-distribution. Categorical variables will be summarized using frequencies, percentages, and 95% confidence intervals for the true proportions. Resultant of the observational study design, this evaluation is not powered to test a hypothesis. It is designed to yield supplemental long-term information in this real-world population. The analysis will be stratified by lumbar and cervical patients. Additionally, each cohort will evaluate the following analysis populations: Enrolled Population: This dataset will include all subjects who were screened and enrolled into the study. Evaluable Population: This dataset will exclude subjects with ION 3D Facet Screw device improperly placed To minimize the introduction of bias into this observational low risk evaluation, the following measures will be observed: * Complete and accurate prespecified data shall be obtained, * All cervical and all lumbar patients at a study site that were previously implanted with the ION 3D Facet Screw System will be reviewed for possible study inclusion (all-comers study design), * All participants will be enrolled under the same study entrance criteria, * All participants shall follow the same prospectively designed study protocol, * Serious Adverse Event adjudication will be performed by independent blinded reviewer, and * Radiographic measurements and CT assessments will be performed by blinded independent core lab. In consideration of the retrospective nature of this investigation coupled with a possible 1-time prospective evaluation, data monitoring will not be performed. However, data edits and database checks will be built into the EDC system to minimize the potential for data entry errors. Further, TSN, as the entity responsible for overall study conduct/management, will review all data entered and ensure appropriate source documentation is available to support data extraction/collection.
Study Type
OBSERVATIONAL
Enrollment
50
Observational study of subjects previously implanted with ION 3D Facet Screw System.
Orthopaedics Northeast
Fort Wayne, Indiana, United States
Neuroscience Specialists
Oklahoma City, Oklahoma, United States
Shannon Clinic
San Angelo, Texas, United States
Rate of Quantitative Fusion
Defined as \<5 degrees of angulation and/or \<3mm translation as measured on dynamic flexion and extension radiographs
Time frame: 12 Months Post-Op
Rate of Stability of operative level(s)
Substantial motion defined as \>5 degrees angulation and/or \>3mm translation as measured on dynamic flexion and extension radiographs.
Time frame: 12 Months Post-Op
Rate of Qualitative Fusion
Bridging bone present external to the ION 3D facet screw device as observed on CT scan.
Time frame: 12 Months Post-Op
Incidence of Serious Adverse Events
Freedom from ION 3D facet screw device-related serious adverse events as adjudicate by an independent reviewer.
Time frame: 12 Months Post-Op
Incidence of Secondary Surgical Events
Secondary surgical events at the operative level(s) from intraoperative through ≥12-month evaluation timepoint.
Time frame: 12 Months Post-Op
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