RecruitingNCT06816862

SYMPHONY™ OCT System for Instabilities of the Upper Thoracic and Cervical Spine

Clinical/Radiologic Outcomes Associated With the SYMPHONY™ OCT System for Treatment of Acute and Chronic Instabilities of the Craniocervical Junction, the Cervical Spine and the Upper Thoracic Spine


Sponsor

University College Dublin

Enrollment

35 participants

Start Date

Dec 1, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

This will be a prospective, multi-centre study at a National Tertiary Referral Centre for spinal trauma and spinal cord injuries, serving a catchment area of 5 million people. Consecutive patients undergoing posterior-only surgery or combined anterior and posterior surgery for degenerative cervical pathology, traumatic spinal fractures or dislocations, failed previous fusions or treatment for tumour involving the cervical/thoracic spine will be enrolled. This is a post-market trial, with a CE-marked medical device called the SYMPHONY OCT System which is currently in use in both centres. The SYMPHONY™ OCT System is a portfolio of internal fixation tools including screw, rods and hooks used as an adjunct to fusion for posterior stabilisation of the upper spine in skeletally mature patients. This pilot study hypothesizes that the use of SYMPHONY™ OCT System to treat upper spine instabilities will achieve results comparable to historical cases using the Mountaineer performed until 2021.


Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • Consenting patients presenting for the treatment of acute and chronic instabilities of the craniocervical junction, the cervical and upper thoracic spine for whom the SYMPHONY OCT System is a suitable choice will be included in this study.
  • Patients undergoing surgical treatment for upper cervical spine traumatic spinal fractures and/or traumatic dislocations, failed previous fusions (pseudarthrosis) and tumours involving the cervical/thoracic spine will be included in this study.

Exclusion Criteria6

  • Non-surgical candidates, patients with contraindications to surgery (e.g. severe medical comorbidities, known infection, etc.),
  • Patients with established osteoporosis
  • Long-term, systemic steroid use
  • Systemic diseases (e.g. rheumatoid arthritis, AIDS, HIV, etc.),
  • Patients unwilling or unable to give informed consent, or patients unwilling or unable to complete Health-related quality of (HRQOL) outcome life measures at the specified study time points pre- and post-operatively.
  • Subjects who have a history of drug or alcohol use that, in the opinion of the investigator would interfere with adherence to study requirements.

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Interventions

DEVICESYMPHONY™ OCT System

Internal fixation system for surgical stabilisation of upper spine instabilities


Locations(1)

Mater Misericordiae University Hospital

Dublin, Leinster, Ireland

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NCT06816862