Trial Outcomes & Findings for CAFE Study - Cancer Patient Fracture Evaluation (NCT NCT00211237)

NCT ID: NCT00211237

Last Updated: 2021-01-05

Results Overview

The full scale name is the Roland-Morris Disability Questionnaire; it is a validated measure of physical disability due to back pain. The best score is 0 (no disability) and worst is 24 (maximum disability)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

134 participants

Primary outcome timeframe

Baseline and 1 Month

Results posted on

2021-01-05

Participant Flow

Of 134 enrolled subjects, 70 were randomized to Balloon Kyphoplasty and 64 to non-surgical management (NSM). Two of the subjects who were randomized to Balloon Kyphoplasty and 3 of the subjects who were randomized to NSM were excluded from the mITT and PP Populations, because they terminated in a few days of enrolment and had no treatment.

Crossover from the NSM group to Balloon Kyphoplasty group was permitted after completion of the 1-month evaluation.

Participant milestones

Participant milestones
Measure
Balloon Kyphoplasty
The subjects assigned to this group have undergone the treatment with Balloon Kyphoplasty for their painful VCFs.
Non-surgical Management
The subjects in this group have undergone the non-operative treatments aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Baseline
STARTED
70
64
0
Baseline
COMPLETED
68
61
0
Baseline
NOT COMPLETED
2
3
0
1 Month
STARTED
68
61
0
1 Month
COMPLETED
65
52
0
1 Month
NOT COMPLETED
3
9
0
3 Months
STARTED
65
18
34
3 Months
COMPLETED
57
14
33
3 Months
NOT COMPLETED
8
4
1
6 Months
STARTED
57
11
36
6 Months
COMPLETED
49
9
33
6 Months
NOT COMPLETED
8
2
3
12 Months
STARTED
49
8
34
12 Months
COMPLETED
40
6
28
12 Months
NOT COMPLETED
9
2
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Balloon Kyphoplasty
The subjects assigned to this group have undergone the treatment with Balloon Kyphoplasty for their painful VCFs.
Non-surgical Management
The subjects in this group have undergone the non-operative treatments aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Baseline
Withdrew
1
3
0
Baseline
Refused random assignment
1
0
0
1 Month
Death
2
1
0
1 Month
Lost to Follow-up
0
2
0
1 Month
Withdrew
0
4
0
1 Month
Additional surgery needed
1
0
0
1 Month
Non-medical problem
0
2
0
3 Months
Death
7
3
0
3 Months
Could not comply with protocol
1
0
0
3 Months
Withdrew
0
1
0
3 Months
Non-medical problem
0
0
1
6 Months
Death
6
0
3
6 Months
Lost to Follow-up
2
0
0
6 Months
Could not comply with protocol
0
2
0
12 Months
Death
8
2
3
12 Months
Lost to Follow-up
1
0
1
12 Months
Withdrew
0
0
1
12 Months
unrelated medical problem
0
0
1

Baseline Characteristics

CAFE Study - Cancer Patient Fracture Evaluation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Balloon Kyphoplasty
n=70 Participants
The subjects assigned to this group have undergone the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=64 Participants
The subjects in this group have undergone the non-operative treatments aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Total
n=134 Participants
Total of all reporting groups
Age, Continuous
64.8 years
STANDARD_DEVIATION 10.8 • n=5 Participants
63.0 years
STANDARD_DEVIATION 11.4 • n=7 Participants
63.9 years
STANDARD_DEVIATION 11.0 • n=5 Participants
Sex/Gender, Customized
Male
28 participants
n=5 Participants
26 participants
n=7 Participants
54 participants
n=5 Participants
Sex/Gender, Customized
Female
40 participants
n=5 Participants
35 participants
n=7 Participants
75 participants
n=5 Participants
Sex/Gender, Customized
Missing
2 participants
n=5 Participants
3 participants
n=7 Participants
5 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 1 Month

Population: The analyses of change from Baseline included only patients in the modified Intent-to-Treat (mITT) population who provided evaluable data at both Baseline and at 1 month after receipt of the initially assigned study treatment.

The full scale name is the Roland-Morris Disability Questionnaire; it is a validated measure of physical disability due to back pain. The best score is 0 (no disability) and worst is 24 (maximum disability)

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=63 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=50 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
The Functional Status, as Measured by the Roland-Morris Disability Questionnaire (RDQ) at 1 Month
Baseline
17.6 score on a scale
Interval 16.6 to 18.5
18.2 score on a scale
Interval 17.4 to 19.0
The Functional Status, as Measured by the Roland-Morris Disability Questionnaire (RDQ) at 1 Month
Change from baseline to one month
-8.3 score on a scale
Interval -10.2 to -6.4
0.1 score on a scale
Interval -0.8 to 1.0
The Functional Status, as Measured by the Roland-Morris Disability Questionnaire (RDQ) at 1 Month
One month
9.1 score on a scale
Interval 7.4 to 10.9
18.0 score on a scale
Interval 16.9 to 19.0

SECONDARY outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

Roland-Morris Disability Questionnaire (RMDQ) was used to assess the physical disability due to back pain. The best score is 0 (no disability) and worst is 24 (maximum disability).

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Roland-Morris Disability Questionnaire Score
RMDQ score at baseline
17.6 units on a scale
Standard Deviation 3.9
17.9 units on a scale
Standard Deviation 4.2
18.3 units on a scale
Standard Deviation 2.6
Change in Roland-Morris Disability Questionnaire Score
Change from baseline to 1 months
-8.3 units on a scale
Standard Deviation 7.6
0.3 units on a scale
Standard Deviation 3.1
-7.3 units on a scale
Standard Deviation 6.8
Change in Roland-Morris Disability Questionnaire Score
Change from baseline to 3 months
-8.9 units on a scale
Standard Deviation 7.0
-2.7 units on a scale
Standard Deviation 6.1
-10.2 units on a scale
Standard Deviation 6.1
Change in Roland-Morris Disability Questionnaire Score
Change from baseline to 6 months
-8.2 units on a scale
Standard Deviation 6.0
-3.6 units on a scale
Standard Deviation 9.4
-10.8 units on a scale
Standard Deviation 6.1
Change in Roland-Morris Disability Questionnaire Score
Change from baseline to 12 months
-9.7 units on a scale
Standard Deviation 6.4
-4.5 units on a scale
Standard Deviation 11.4
-10.4 units on a scale
Standard Deviation 6.0

SECONDARY outcome

Timeframe: Baseline and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The Karnofsky Performance Scale rates a patient on an 11-step scale from 0 (dead) to 100 (normal, no complaints, no evidence of disease).

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Functional Status Assessed With the Karnofsky Performance Scale
Change from baseline to one month
15.9 units on a scale
Standard Deviation 21.2
0.6 units on a scale
Standard Deviation 11.6
Change in Functional Status Assessed With the Karnofsky Performance Scale
Baseline score
57.1 units on a scale
Standard Deviation 18.0
57.3 units on a scale
Standard Deviation 15.8
Change in Functional Status Assessed With the Karnofsky Performance Scale
Score at 1 month
73.2 units on a scale
Standard Deviation 15.5
58.6 units on a scale
Standard Deviation 16.2

SECONDARY outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The Karnofsky Performance Scale rates a patient on an 11-step scale from 0 (dead) to 100 (normal, no complaints, no evidence of disease).

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Functional Status Assessed With the Karnofsky Performance Scale
Baseline score
57.1 units on a scale
Standard Deviation 18.0
55.0 units on a scale
Standard Deviation 17.7
58.7 units on a scale
Standard Deviation 14.6
Change in Functional Status Assessed With the Karnofsky Performance Scale
Change from baseline to 1 month
15.9 units on a scale
Standard Deviation 21.2
0.0 units on a scale
Standard Deviation 14.1
19.2 units on a scale
Standard Deviation 20.6
Change in Functional Status Assessed With the Karnofsky Performance Scale
Change from baseline to 3 months
18.0 units on a scale
Standard Deviation 23.8
10.0 units on a scale
Standard Deviation 16.3
21.1 units on a scale
Standard Deviation 19.1
Change in Functional Status Assessed With the Karnofsky Performance Scale
Change from baseline to 6 months
18.0 units on a scale
Standard Deviation 23.1
12.5 units on a scale
Standard Deviation 21.2
23.3 units on a scale
Standard Deviation 19.8
Change in Functional Status Assessed With the Karnofsky Performance Scale
Change from baseline to 12 months
23.0 units on a scale
Standard Deviation 25.2
21.7 units on a scale
Standard Deviation 23.2
22.2 units on a scale
Standard Deviation 18.0

SECONDARY outcome

Timeframe: Baseline and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

Back pain was assessed on a 10-point Numerical Rating Scale (NRS) from 0 (no pain) to 10 (worst possible pain).

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Back Pain
Baseline
7.3 units on a scale
Standard Deviation 1.6
7.3 units on a scale
Standard Deviation 1.4
Change in Back Pain
1 month
3.3 units on a scale
Standard Deviation 2.8
6.9 units on a scale
Standard Deviation 1.5
Change in Back Pain
Change from baseline to 1 month
-3.9 units on a scale
Standard Deviation 3.2
-0.6 units on a scale
Standard Deviation 1.8

SECONDARY outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

Back pain was assessed on a NRS from 0 (no pain) to 10 (worst possible pain).

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Back Pain
Change from baseline to 7 days
-3.8 units on a scale
Standard Deviation 3.0
-0.7 units on a scale
Standard Deviation 1.8
-4.0 units on a scale
Standard Deviation 3.1
Change in Back Pain
Change from baseline to 1 month
-3.9 units on a scale
Standard Deviation 3.2
-0.9 units on a scale
Standard Deviation 2.0
-4.1 units on a scale
Standard Deviation 2.9
Change in Back Pain
Back pain at baseline
7.3 units on a scale
Standard Deviation 1.6
6.8 units on a scale
Standard Deviation 1.5
7.6 units on a scale
Standard Deviation 1.4
Change in Back Pain
Change from baseline to 3 months
-3.6 units on a scale
Standard Deviation 3.3
-2.1 units on a scale
Standard Deviation 2.1
-4.3 units on a scale
Standard Deviation 2.8
Change in Back Pain
Change from baseline to 6 months
-3.7 units on a scale
Standard Deviation 3.2
-2.4 units on a scale
Standard Deviation 3.9
-4.8 units on a scale
Standard Deviation 2.9
Change in Back Pain
Change from baseline to 12 months
-3.9 units on a scale
Standard Deviation 3.2
-3.0 units on a scale
Standard Deviation 3.2
-4.9 units on a scale
Standard Deviation 3.0

SECONDARY outcome

Timeframe: Baseline and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The SF-36 was used to assess quality of life. The SF-36 results were summarized into two components, a physical component summary score (PCS) (0-100) and a mental component summary score (MCS) (0-100). The higher the score, the better the quality of life.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Quality of Life.
PCS change from baseline to 1 month
9.4 units on a scale
Standard Deviation 9.4
1.0 units on a scale
Standard Deviation 6.0
Change in Quality of Life.
MCS change from baseline to 1 month
9.2 units on a scale
Standard Deviation 14.6
-1.9 units on a scale
Standard Deviation 12.7
Change in Quality of Life.
SF-36 PCS at baseline
25.4 units on a scale
Standard Deviation 6.0
24.8 units on a scale
Standard Deviation 6.4
Change in Quality of Life.
SF-36 PCS at 1 month
35.2 units on a scale
Standard Deviation 10.1
26.0 units on a scale
Standard Deviation 6.3
Change in Quality of Life.
SF-36 MCS at baseline
38.2 units on a scale
Standard Deviation 13.3
37.3 units on a scale
Standard Deviation 13.4
Change in Quality of Life.
SF-36 MCS at 1 month
46.4 units on a scale
Standard Deviation 13.0
36.1 units on a scale
Standard Deviation 13.6

SECONDARY outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The SF-36 were used to assess quality of life. The SF-36 results were summarized into two components, a physical component summary score (PCS) (0-100) and a mental component summary score (MCS) (0-100). The higher the score, the better the quality of life.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Quality of Life
MCS change from baseline to 1 month
9.2 units on a scale
Standard Deviation 14.6
-1.1 units on a scale
Standard Deviation 12.4
6.8 units on a scale
Standard Deviation 15.9
Change in Quality of Life
SF-36 PCS at baseline
25.4 units on a scale
Standard Deviation 6.0
25.3 units on a scale
Standard Deviation 4.8
24.5 units on a scale
Standard Deviation 7.2
Change in Quality of Life
PCS change from baseline to 1 months
9.4 units on a scale
Standard Deviation 9.4
-0.2 units on a scale
Standard Deviation 4.2
9.1 units on a scale
Standard Deviation 9.5
Change in Quality of Life
PCS change from baseline to 3 months
10.0 units on a scale
Standard Deviation 11.1
1.1 units on a scale
Standard Deviation 6.4
11.1 units on a scale
Standard Deviation 9.3
Change in Quality of Life
PCS change from baseline to 6 months
9.1 units on a scale
Standard Deviation 9.1
-0.8 units on a scale
Standard Deviation 6.2
10.8 units on a scale
Standard Deviation 9.2
Change in Quality of Life
PCS change from baseline to 12 months
11.7 units on a scale
Standard Deviation 10.3
1.3 units on a scale
Standard Deviation 9.1
11.9 units on a scale
Standard Deviation 7.9
Change in Quality of Life
SF-36 MCS at baseline
38.2 units on a scale
Standard Deviation 13.3
36.0 units on a scale
Standard Deviation 14.7
38.1 units on a scale
Standard Deviation 12.7
Change in Quality of Life
MCS change from baseline to 3 months
7.6 units on a scale
Standard Deviation 15.0
7.3 units on a scale
Standard Deviation 13.4
9.2 units on a scale
Standard Deviation 17.0
Change in Quality of Life
MCS change from baseline to 6 months
8.5 units on a scale
Standard Deviation 15.2
4.3 units on a scale
Standard Deviation 12.1
13.1 units on a scale
Standard Deviation 15.5
Change in Quality of Life
MCS change from baseline to 12 months
7.8 units on a scale
Standard Deviation 15.5
5.6 units on a scale
Standard Deviation 12.5
9.2 units on a scale
Standard Deviation 17.1

SECONDARY outcome

Timeframe: Baseline and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The Activities of Daily Living assessment comprised three questions about the effects of back pain or back problems over the previous 2-week period. The patient was asked if they had cut down on usual activities, the number of days in which the patient had cut down on usual activities and the number of days that the patient had spent at least half a day in bed because of back pain or back problems.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
No activities reduced at 1 month
38 percentage of participants
6.6 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Activities reduced at baseline
90 percentage of participants
97 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
No activities reduced at baseline
8.8 percentage of participants
1.6 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Don't known at baseline
1.5 percentage of participants
0 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Activities reduced at 1 month
56 percentage of participants
75 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Don't know at 1 month
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The Activities of Daily Living assessment comprised three questions about the effects of back pain or back problems over the previous 2-week period. The patient was asked if they had cut down on usual activities, the number of days in which the patient had cut down on usual activities and the number of days that the patient had spent at least half a day in bed because of back pain or back problems.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
No activities reduced at baseline
8.8 percentage of participants
4.3 percentage of participants
2.6 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
No activities reduced at 3 months
43 percentage of participants
4.3 percentage of participants
58 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Don't know at 3 months
0 percentage of participants
0.0 percentage of participants
2.6 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Don't know at 6 months
0 percentage of participants
0 percentage of participants
0 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Activities reduced at 12 months
19 percentage of participants
17 percentage of participants
39 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Don't know at 12 months
0 percentage of participants
0 percentage of participants
0 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Don't known at baseline
1.5 percentage of participants
0 percentage of participants
0.0 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Activities reduced at baseline
90 percentage of participants
96 percentage of participants
97 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Activities reduced at 1 month
56 percentage of participants
48 percentage of participants
53 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
No activities reduced at 1 month
38 percentage of participants
4.3 percentage of participants
47 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Don't know at 1 month
0 percentage of participants
0 percentage of participants
0 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Activities reduced at 3 months
37 percentage of participants
39 percentage of participants
34 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
Activities reduced at 6 months
34 percentage of participants
26 percentage of participants
32 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
No activities reduced at 6 months
38 percentage of participants
8.7 percentage of participants
55 percentage of participants
Change in Activities of Daily Living - Activities Reduced Due to Back Pain in Previous 2 Weeks
No activities reduced at 12 months
40 percentage of participants
8.7 percentage of participants
32 percentage of participants

SECONDARY outcome

Timeframe: Baseline and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The Activities of Daily Living assessment comprised three questions about the effects of back pain or back problems over the previous 2-week period. The patient was asked if they had cut down on usual activities, the number of days in which the patient had cut down on usual activities and the number of days that the patient had spent at least half a day in bed because of back pain or back problems.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Activities of Daily Living - Number of Days With Reduced Activities Due to Back Pain in Previous 2 Weeks
Baseline
10.8 days
Standard Deviation 4.9
11.5 days
Standard Deviation 4.3
Change in Activities of Daily Living - Number of Days With Reduced Activities Due to Back Pain in Previous 2 Weeks
Change from baseline to one month
-5.2 days
Standard Deviation 7.1
1.1 days
Standard Deviation 4.5

SECONDARY outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The Activities of Daily Living assessment comprised three questions about the effects of back pain or back problems over the previous 2-week period. The patient was asked if they had cut down on usual activities, the number of days in which the patient had cut down on usual activities and the number of days that the patient had spent at least half a day in bed because of back pain or back problems.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Activities of Daily Living - Number of Days With Reduced Activities Due to Back Pain in Previous 2 Weeks
Change from baseline to 6 months
-5.0 days
Standard Deviation 7.9
-2.9 days
Standard Deviation 7.9
-8.5 days
Standard Deviation 5.2
Change in Activities of Daily Living - Number of Days With Reduced Activities Due to Back Pain in Previous 2 Weeks
Baseline
10.8 days
Standard Deviation 4.9
12.0 days
Standard Deviation 3.6
11.0 days
Standard Deviation 4.8
Change in Activities of Daily Living - Number of Days With Reduced Activities Due to Back Pain in Previous 2 Weeks
Change from baseline to 1 months
-5.2 days
Standard Deviation 7.1
-0.4 days
Standard Deviation 3.3
-5.6 days
Standard Deviation 7.2
Change in Activities of Daily Living - Number of Days With Reduced Activities Due to Back Pain in Previous 2 Weeks
Change from baseline to 3 months
-5.5 days
Standard Deviation 7.0
-1.8 days
Standard Deviation 6.3
-7.4 days
Standard Deviation 7.1
Change in Activities of Daily Living - Number of Days With Reduced Activities Due to Back Pain in Previous 2 Weeks
Change from baseline to 12 months
-7.8 days
Standard Deviation 6.4
-5.2 days
Standard Deviation 5.2
-7.4 days
Standard Deviation 7.3

SECONDARY outcome

Timeframe: Baseline and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The Activities of Daily Living assessment comprised three questions about the effects of back pain or back problems over the previous 2-week period. The patient was asked if they had cut down on usual activities, the number of days in which the patient had cut down on usual activities and the number of days that the patient had spent at least half a day in bed because of back pain or back problems.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Activities of Daily Living - Number of Days in Bed Due to Back Pain in Previous 2 Weeks
Change from baseline to 1 month
-4.0 days
Standard Deviation 7.7
0.2 days
Standard Deviation 4.7
Change in Activities of Daily Living - Number of Days in Bed Due to Back Pain in Previous 2 Weeks
Baseline
6.3 days
Standard Deviation 6.3
6.8 days
Standard Deviation 6.0

SECONDARY outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The Activities of Daily Living assessment comprised three questions about the effects of back pain or back problems over the previous 2-week period. The patient was asked if they had cut down on usual activities, the number of days in which the patient had cut down on usual activities and the number of days that the patient had spent at least half a day in bed because of back pain or back problems.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Activities of Daily Living - Number of Days in Bed Due to Back Pain in Previous 2 Weeks
Change from baseline to 1 month
-4.0 days
Standard Deviation 7.7
-0.2 days
Standard Deviation 5.9
-4.5 days
Standard Deviation 6.0
Change in Activities of Daily Living - Number of Days in Bed Due to Back Pain in Previous 2 Weeks
Baseline
6.3 days
Standard Deviation 6.3
8.1 days
Standard Deviation 5.9
5.8 days
Standard Deviation 6.0
Change in Activities of Daily Living - Number of Days in Bed Due to Back Pain in Previous 2 Weeks
Change from baseline to 3 months
-3.4 days
Standard Deviation 7.7
-4.8 days
Standard Deviation 6.0
-5.0 days
Standard Deviation 6.1
Change in Activities of Daily Living - Number of Days in Bed Due to Back Pain in Previous 2 Weeks
Change from baseline to 6 months
-3.8 days
Standard Deviation 7.6
-4.1 days
Standard Deviation 7.8
-5.7 days
Standard Deviation 5.9
Change in Activities of Daily Living - Number of Days in Bed Due to Back Pain in Previous 2 Weeks
Change from baseline to 12 months
-5.8 days
Standard Deviation 6.3
-4.3 days
Standard Deviation 6.2
-4.7 days
Standard Deviation 6.8

SECONDARY outcome

Timeframe: 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

Ambulatory status was assessed using a three-category system, fully ambulatory, ambulatory with assistance, or not ambulatory.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Ambulatory Status Change From Baseline to One Month
No change in ambulatory status at 1 month
74 percentage of participants
66 percentage of participants
Ambulatory Status Change From Baseline to One Month
Fully ambulatory at baseline
56 percentage of participants
56 percentage of participants
Ambulatory Status Change From Baseline to One Month
Assisted ambulatory
32 percentage of participants
34 percentage of participants
Ambulatory Status Change From Baseline to One Month
Not ambulatory
10 percentage of participants
8.2 percentage of participants
Ambulatory Status Change From Baseline to One Month
Ambulatory status improved at 1 month
16 percentage of participants
6.6 percentage of participants
Ambulatory Status Change From Baseline to One Month
Ambulatory status worsened at 1 month
2.9 percentage of participants
9.8 percentage of participants

SECONDARY outcome

Timeframe: Baseline, 7 days, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

Ambulatory status was assessed using a three-category system, fully ambulatory, ambulatory with assistance, or not ambulatory.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Ambulatory Status Change
Assisted ambulatory at baseline
32 percentage of participants
30 percentage of participants
39 percentage of participants
Ambulatory Status Change
Ambulatory status improved at 6 months
10 percentage of participants
4.3 percentage of participants
16 percentage of participants
Ambulatory Status Change
Ambulatory status worsened at 6 months
5.9 percentage of participants
4.3 percentage of participants
7.9 percentage of participants
Ambulatory Status Change
Ambulatory status improved at 12 months
12 percentage of participants
4.3 percentage of participants
16 percentage of participants
Ambulatory Status Change
Full ambulatory at baseline
56 percentage of participants
57 percentage of participants
55 percentage of participants
Ambulatory Status Change
Not ambulatory at baseline
10 percentage of participants
13 percentage of participants
5.3 percentage of participants
Ambulatory Status Change
Ambulatory status improved at 7 days
10 percentage of participants
0 percentage of participants
7.9 percentage of participants
Ambulatory Status Change
Ambulatory status no change at 7 days
79 percentage of participants
70 percentage of participants
87 percentage of participants
Ambulatory Status Change
Ambulatory status worsened at 7 days
2.9 percentage of participants
0 percentage of participants
5.3 percentage of participants
Ambulatory Status Change
Ambulatory status improved at 1 month
16 percentage of participants
0 percentage of participants
11 percentage of participants
Ambulatory Status Change
Ambulatory status no change at 1 month
74 percentage of participants
39 percentage of participants
87 percentage of participants
Ambulatory Status Change
Ambulatory status worsened at 1 month
2.9 percentage of participants
13 percentage of participants
2.6 percentage of participants
Ambulatory Status Change
Ambulatory status improved at 3 months
18 percentage of participants
4.3 percentage of participants
16 percentage of participants
Ambulatory Status Change
Ambulatory status no change at 3 months
53 percentage of participants
35 percentage of participants
76 percentage of participants
Ambulatory Status Change
Ambulatory status worsened at 3 months
8.8 percentage of participants
4.3 percentage of participants
2.6 percentage of participants
Ambulatory Status Change
Ambulatory status no change at 6 months
54 percentage of participants
26 percentage of participants
63 percentage of participants
Ambulatory Status Change
Ambulatory status no change at 12 months
41 percentage of participants
17 percentage of participants
53 percentage of participants
Ambulatory Status Change
Ambulatory status worsened at 12 months
4.4 percentage of participants
4.3 percentage of participants
2.6 percentage of participants

SECONDARY outcome

Timeframe: Baseline and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

Index spinal deformity was measured by Kyphotic angle, local Cobb angle, thoracic and lumbar Cobb angle, and anterior, middle and posterior vertebral body heights for each index VCF.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Lumbar cobb angle change at 1 month
0.626 degrees
Standard Deviation 7.075
2.883 degrees
Standard Deviation 7.634
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Local Cobb angel of T5-L1 at baseline
22.914 degrees
Standard Deviation 12.720
22.792 degrees
Standard Deviation 15.191
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Local cobb angle of L2-L4 at baseline
-7.715 degrees
Standard Deviation 15.470
-8.291 degrees
Standard Deviation 14.662
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Kyphotic angle at baseline
9.523 degrees
Standard Deviation 8.751
10.501 degrees
Standard Deviation 8.833
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Kyphotic angle change at 1 month
0.135 degrees
Standard Deviation 5.088
-0.598 degrees
Standard Deviation 3.442
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Thoracic cobb angle at baseline
50.976 degrees
Standard Deviation 17.316
51.390 degrees
Standard Deviation 19.621
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Thoracic cobb angle change to one month
0.666 degrees
Standard Deviation 9.253
-0.012 degrees
Standard Deviation 8.150
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Lumbar cobb angle at baseline
-32.335 degrees
Standard Deviation 16.410
-33.101 degrees
Standard Deviation 15.179
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Local cobb angle of T5-L1 change at 1 month
1.126 degrees
Standard Deviation 5.639
1.608 degrees
Standard Deviation 5.631
Index Spinal Deformity Change Measured by Index Vertebral Body Angles From Baseline to 1 Month
Local cobb angle of L2-L4 change at 1 month
0.117 degrees
Standard Deviation 5.694
-1.149 degrees
Standard Deviation 5.576

SECONDARY outcome

Timeframe: Baseline, post-operation, 1 month, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

Index spinal deformity was measured by Kyphotic angle, local Cobb angle, thoracic and lumbar Cobb angle, and anterior, middle and posterior vertebral body heights for each index VCF.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Kyphotic angle at baseline
9.523 degrees
Standard Deviation 8.751
10.806 degrees
Standard Deviation 8.962
11.005 degrees
Standard Deviation 8.798
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Kyphotic angle change at post-operation
1.312 degrees
Standard Deviation 4.909
NA degrees
Standard Deviation NA
Subjects did not have surgery.
1.438 degrees
Standard Deviation 4.191
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Kyphotic angle change at 12 month
0.954 degrees
Standard Deviation 5.626
-1.246 degrees
Standard Deviation 3.404
0.824 degrees
Standard Deviation 4.425
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Thoracic cobb angle at baseline
50.976 degrees
Standard Deviation 17.316
53.148 degrees
Standard Deviation 15.837
52.812 degrees
Standard Deviation 19.671
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Lumbar cobb angle change at 12 months
1.232 degrees
Standard Deviation 7.785
-1.412 degrees
Standard Deviation 3.634
2.057 degrees
Standard Deviation 13.535
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Local cobb angle of T5-L1 at baseline
22.914 degrees
Standard Deviation 12.720
23.519 degrees
Standard Deviation 11.363
23.847 degrees
Standard Deviation 15.945
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Local cobb angle of T5-L1 change at post-op
-0.506 degrees
Standard Deviation 4.231
NA degrees
Standard Deviation NA
Subjects did not have surgery.
-2.080 degrees
Standard Deviation 5.311
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Local cobb angle of T5-L1 change at 1 month
1.126 degrees
Standard Deviation 5.639
0.357 degrees
Standard Deviation 7.731
-0.746 degrees
Standard Deviation 5.230
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Local cobb angle of T5-L1 change at 12 months
1.550 degrees
Standard Deviation 5.525
1.638 degrees
Standard Deviation 1.998
-1.333 degrees
Standard Deviation 4.781
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Local cobb angle of L2-L4 change at post-op
-1.834 degrees
Standard Deviation 7.886
NA degrees
Standard Deviation NA
Subjects did not have surgery.
-0.610 degrees
Standard Deviation 4.094
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Local cobb angle of L2-L4 change at 1 month
0.117 degrees
Standard Deviation 5.694
-0.105 degrees
Standard Deviation 5.106
-0.770 degrees
Standard Deviation 3.376
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Local cobb angle of L2-L4 change at 12 months
0.005 degrees
Standard Deviation 4.925
-0.346 degrees
Standard Deviation 3.197
-1.157 degrees
Standard Deviation 3.604
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Kyphotic angle change at 1 month
0.135 degrees
Standard Deviation 5.088
-0.130 degrees
Standard Deviation 4.203
0.637 degrees
Standard Deviation 4.545
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Thoracic cobb angle change at post-op
-1.804 degrees
Standard Deviation 9.701
NA degrees
Standard Deviation NA
Subjects did not have surgery.
-2.489 degrees
Standard Deviation 4.823
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Thoracic cobb angle change at 1 month
0.666 degrees
Standard Deviation 9.253
-1.633 degrees
Standard Deviation 8.212
-0.457 degrees
Standard Deviation 5.682
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Thoracic cobb angle change at 12 months
0.988 degrees
Standard Deviation 8.947
0.062 degrees
Standard Deviation 7.332
-1.372 degrees
Standard Deviation 6.187
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Lumbar cobb angle at baseline
-32.335 degrees
Standard Deviation 16.410
-31.218 degrees
Standard Deviation 12.656
-32.906 degrees
Standard Deviation 15.718
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Lumbar cobb angle change at post-op
-0.472 degrees
Standard Deviation 5.617
NA degrees
Standard Deviation NA
Subjects did not have surgery.
-1.396 degrees
Standard Deviation 4.575
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Lumbar cobb angle change at 1 month
0.626 degrees
Standard Deviation 7.075
5.661 degrees
Standard Deviation 10.117
0.839 degrees
Standard Deviation 5.336
Index Spinal Deformity Change Measured by Index Vertebral Body Angles
Local cobb angle of L2-L4 at baseline
-7.715 degrees
Standard Deviation 15.470
-6.581 degrees
Standard Deviation 9.957
-6.945 degrees
Standard Deviation 14.496

SECONDARY outcome

Timeframe: Baseline and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

Index spinal deformity was measured by Kyphotic angle, local Cobb angle, thoracic and lumbar Cobb angle, and anterior, middle and posterior vertebral body heights for each index VCF. Index Vertebral Body Height Ratio (VBHR) was defined as index vertebra height divided by the average of normal superior and inferior adjacent vertebrae.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Anterior VBHR at baseline
0.744 ratio
Standard Deviation 0.228
0.734 ratio
Standard Deviation 0.237
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Anterior VBHR change at 1 month
0.016 ratio
Standard Deviation 0.123
-0.027 ratio
Standard Deviation 0.061
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Posterior change at 1 month
0.007 ratio
Standard Deviation 0.081
-0.012 ratio
Standard Deviation 0.058
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Medial VBHR at baseline
0.782 ratio
Standard Deviation 0.193
0.776 ratio
Standard Deviation 0.190
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Medial VBHR change at 1 month
0.028 ratio
Standard Deviation 0.103
-0.017 ratio
Standard Deviation 0.068
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Posterior VBHR at baseline
0.928 ratio
Standard Deviation 0.101
0.934 ratio
Standard Deviation 0.110

SECONDARY outcome

Timeframe: Baseline, post-operation, 1 month, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

Index spinal deformity was measured by Kyphotic angle, local Cobb angle, thoracic and lumbar Cobb angle, and anterior, middle and posterior vertebral body heights for each index VCF. Index Vertebral Body Height Ratio (VBHR) was defined as index vertebra height divided by the average of normal superior and inferior adjacent vertebrae.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Medial VBHR change at post-op
0.044 ratio
Standard Deviation 0.099
NA ratio
Standard Deviation NA
Subjects did not have surgery.
0.019 ratio
Standard Deviation 0.075
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Anterior VBHR at baseline
0.744 ratio
Standard Deviation 0.228
0.767 ratio
Standard Deviation 0.254
0.741 ratio
Standard Deviation 0.224
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Anterior VBHR change at post-op
0.060 ratio
Standard Deviation 0.117
NA ratio
Standard Deviation NA
Subjects did not have surgery.
0.024 ratio
Standard Deviation 0.084
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Posterior VBHR change at 1 month
0.007 ratio
Standard Deviation 0.081
-0.022 ratio
Standard Deviation 0.045
0.016 ratio
Standard Deviation 0.069
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Anterior VBHR change at 1 month
0.016 ratio
Standard Deviation 0.123
-0.036 ratio
Standard Deviation 0.054
0.006 ratio
Standard Deviation 0.065
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Anterior VBHR change at 12 months
0.022 ratio
Standard Deviation 0.129
-0.022 ratio
Standard Deviation 0.072
0.039 ratio
Standard Deviation 0.145
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Medial VBHR at baseline
0.782 ratio
Standard Deviation 0.193
0.741 ratio
Standard Deviation 0.239
0.800 ratio
Standard Deviation 0.176
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Medial VBHR change at 1 month
0.028 ratio
Standard Deviation 0.103
-0.031 ratio
Standard Deviation 0.074
0.012 ratio
Standard Deviation 0.071
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Medial VBHR change at 12 months
0.018 ratio
Standard Deviation 0.110
0.021 ratio
Standard Deviation 0.117
0.049 ratio
Standard Deviation 0.087
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Posterior VBHR at baseline
0.928 ratio
Standard Deviation 0.101
0.899 ratio
Standard Deviation 0.166
0.951 ratio
Standard Deviation 0.110
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Posterior VBHR change at post-op
0.007 ratio
Standard Deviation 0.064
NA ratio
Standard Deviation NA
Subjects did not have surgery.
-0.006 ratio
Standard Deviation 0.059
Index Spinal Deformity Change Measured by Index Vertebral Body Height Ratio
Posterior VBHR change at 12 months
-0.001 ratio
Standard Deviation 0.077
-0.026 ratio
Standard Deviation 0.049
0.006 ratio
Standard Deviation 0.053

SECONDARY outcome

Timeframe: Baseline, 7 days, and 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Back Pain Analgesics Used
Back pain analgesic use at 1 month
60 percentage of participants
72 percentage of participants
Back Pain Analgesics Used
Back pain analgesic use at baseline
96 percentage of participants
84 percentage of participants
Back Pain Analgesics Used
Back pain analgesic use at 7 days
82 percentage of participants
80 percentage of participants

SECONDARY outcome

Timeframe: Baseline, 7 days, 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Back Pain Analgesics Used
Back pain analgesic use at baseline
96 percentage of participants
78 percentage of participants
87 percentage of participants
Back Pain Analgesics Used
Back pain analgesic use at 7 days
82 percentage of participants
61 percentage of participants
68 percentage of participants
Back Pain Analgesics Used
Back pain analgesic use at 1 month
60 percentage of participants
39 percentage of participants
66 percentage of participants
Back Pain Analgesics Used
Back pain analgesic use at 3 months
43 percentage of participants
30 percentage of participants
58 percentage of participants
Back Pain Analgesics Used
Back pain analgesic use at 6 months
40 percentage of participants
22 percentage of participants
39 percentage of participants
Back Pain Analgesics Used
Back pain analgesic use at 12 months
19 percentage of participants
13 percentage of participants
26 percentage of participants

SECONDARY outcome

Timeframe: 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The neurological examination included motor strength, sensory examination, reflexes below the level of the most cephalad index vertebral body fracture, and the presence of radicular pain. Evaluation criteria of motor strength (scored 0-5) for rectus abdominis, hip extensors and flexors, knee extensors and flexors, and foot plantar and dorsiflexors as following: absent voluntary contraction = 0, contractions unable to move joint = 1, movement with gravity eliminated = 2, movement against gravity = 3, movement against resistance = 4, full strength = 5

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Neurology Status From Baseline (Motor Strength)
Improved at 1 month
8.8 percentage of participants
3.3 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)
Worsened at 1 month
1.5 percentage of participants
3.3 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)
Unchanged at 1 month
84 percentage of participants
74 percentage of participants

SECONDARY outcome

Timeframe: 1 month, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The neurological examination included motor strength, sensory examination, reflexes below the level of the most cephalad index vertebral body fracture, and the presence of radicular pain. Evaluation criteria of motor strength (scored 0-5) for rectus abdominis, hip extensors and flexors, knee extensors and flexors, and foot plantar and dorsiflexors as following: absent voluntary contraction = 0, contractions unable to move joint = 1, movement with gravity eliminated = 2, movement against gravity = 3, movement against resistance = 4, full strength = 5

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Unchanged at 1 month
84 percentage of participants
39 percentage of participants
92 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Improved at 3 months
7.4 percentage of participants
4.3 percentage of participants
7.9 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Unchanged at 3 months
68 percentage of participants
35 percentage of participants
84 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Worsened at 3 months
2.9 percentage of participants
4.3 percentage of participants
2.6 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Worsened at 6 months
4.4 percentage of participants
0.0 percentage of participants
7.9 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Worsened at 12 months
2.9 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Improved at 1 month
8.8 percentage of participants
8.7 percentage of participants
2.6 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Worsened at in month
1.5 percentage of participants
4.3 percentage of participants
2.6 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Improved at 6 months
5.9 percentage of participants
4.3 percentage of participants
11 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Unchanged at 6 months
62 percentage of participants
30 percentage of participants
68 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Improved at 12 months
2.9 percentage of participants
4.3 percentage of participants
5.3 percentage of participants
Change in Neurology Status From Baseline (Motor Strength)-Per Protocol
Unchanged at 12 months
53 percentage of participants
22 percentage of participants
66 percentage of participants

SECONDARY outcome

Timeframe: 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The neurological examination included motor strength, sensory examination, reflexes below the level of the most cephalad index vertebral body fracture, and the presence of radicular pain. For sensory examination, the Investigator assessed sensory status at baseline and a change from baseline beginning with the most cephalad index level treated through L5.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Neurological Status From Baseline (Sensory Examination)
Improved
2.9 percentage of participants
1.6 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Unchanged
91 percentage of participants
79 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Worsened
0.0 percentage of participants
0.0 percentage of participants

SECONDARY outcome

Timeframe: 1 months, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The neurological examination included motor strength, sensory examination, reflexes below the level of the most cephalad index vertebral body fracture, and the presence of radicular pain. For sensory examination, the Investigator assessed sensory status at baseline and a change from baseline beginning with the most cephalad index level treated through L5.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Neurological Status From Baseline (Sensory Examination)
Improved at 3 months
1.5 percentage of participants
0.0 percentage of participants
2.6 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Improved at 6 months
0.0 percentage of participants
0.0 percentage of participants
2.6 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Unchanged at 6 months
71 percentage of participants
35 percentage of participants
84 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Worsened at 6 months
1.5 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Improved at 12 months
1.5 percentage of participants
4.3 percentage of participants
0.0 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Unchanged at 12 months
57 percentage of participants
22 percentage of participants
66 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Worsened at 12 months
0.0 percentage of participants
0.0 percentage of participants
5.3 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Improved at 1 month
2.9 percentage of participants
0.0 percentage of participants
2.6 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Unchanged at 1 month
91 percentage of participants
52 percentage of participants
95 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Worsened at 1 month
0.0 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Unchanged at 3 months
78 percentage of participants
43 percentage of participants
92 percentage of participants
Change in Neurological Status From Baseline (Sensory Examination)
Worsened at 3 months
0.0 percentage of participants
0.0 percentage of participants
0.0 percentage of participants

SECONDARY outcome

Timeframe: 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The neurological examination included motor strength, sensory examination, reflexes below the level of the most cephalad index vertebral body fracture, and the presence of radicular pain. Evaluation criteria of reflexes (scored 0-3) for patellar and Achilles reflexes as following: absent = 0, hypoactive = 1, normal = 2, brisk or clonus = 3

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Neurological Status From Baseline (Reflex Strength)
Worsened
1.5 percentage of participants
3.3 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Improved
7.4 percentage of participants
8.2 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Unchanged
85 percentage of participants
69 percentage of participants

SECONDARY outcome

Timeframe: 1 months, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The neurological examination included motor strength, sensory examination, reflexes below the level of the most cephalad index vertebral body fracture, and the presence of radicular pain. Evaluation criteria of reflexes (scored 0-3) for patellar and Achilles reflexes as following: absent = 0, hypoactive = 1, normal = 2, brisk or clonus = 3

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Neurological Status From Baseline (Reflex Strength)
Improved at 1 month
7.4 percentage of participants
4.3 percentage of participants
5.3 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Unchanged at 1 month
85 percentage of participants
43 percentage of participants
82 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Worsened at 1 month
1.5 percentage of participants
4.3 percentage of participants
11.0 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Improved at 3 months
2.9 percentage of participants
4.3 percentage of participants
2.6 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Worsened at 6 months
1.5 percentage of participants
0.0 percentage of participants
7.9 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Improved at 12 months
2.9 percentage of participants
0.0 percentage of participants
7.9 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Worsened at 12 months
2.9 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Unchanged at 3 months
74 percentage of participants
39 percentage of participants
82 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Worsened at 3 months
2.9 percentage of participants
0.0 percentage of participants
11.0 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Improved at 6 months
5.9 percentage of participants
0.0 percentage of participants
7.9 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Unchanged at 6 months
65 percentage of participants
35 percentage of participants
71 percentage of participants
Change in Neurological Status From Baseline (Reflex Strength)
Unchanged at 12 months
53 percentage of participants
26 percentage of participants
63 percentage of participants

SECONDARY outcome

Timeframe: 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

The neurological examination included motor strength, sensory examination, reflexes below the level of the most cephalad index vertebral body fracture, and the presence of radicular pain. Radicular lower limb pain was assessed the presence of paresthesia, weakness, and/or painful straight leg raising (SLR).

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=61 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Neurological Status From Baseline (Limb Strength)
Improved
12 percentage of participants
4.9 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Unchanged
81 percentage of participants
67 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Worsened
1.5 percentage of participants
8.2 percentage of participants

SECONDARY outcome

Timeframe: 1 months, 3 months, 6 months, and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

The neurological examination included motor strength, sensory examination, reflexes below the level of the most cephalad index vertebral body fracture, and the presence of radicular pain. Radicular lower limb pain was assessed the presence of paresthesia, weakness, and/or painful straight leg raising (SLR).

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Change in Neurological Status From Baseline (Limb Strength)
Improved at 1 month
12 percentage of participants
0.0 percentage of participants
16 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Unchanged at 3 months
71 percentage of participants
39 percentage of participants
79 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Worsened at 3 months
4.4 percentage of participants
4.3 percentage of participants
2.6 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Improved at 6 months
7.4 percentage of participants
0.0 percentage of participants
13 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Unchanged at 6 months
63 percentage of participants
30 percentage of participants
71 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Worsened at 6 months
1.5 percentage of participants
4.3 percentage of participants
2.6 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Improved at 12 months
4.4 percentage of participants
4.3 percentage of participants
11 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Unchanged at 12 months
51 percentage of participants
22 percentage of participants
58 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Unchanged at 1 month
81 percentage of participants
48 percentage of participants
82 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Worsened at 1 month
1.5 percentage of participants
4.3 percentage of participants
0.0 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Improved at 3 months
4.4 percentage of participants
0.0 percentage of participants
13 percentage of participants
Change in Neurological Status From Baseline (Limb Strength)
Worsened at 12 months
2.9 percentage of participants
0.0 percentage of participants
2.6 percentage of participants

SECONDARY outcome

Timeframe: 1 month

Population: All of the randomized subjects were included in safety population analysis.

The study treatment-related AEs were defined as follows: 1. Related defined as the AE had a direct relationship to a Sponsor medical device used in the study patient. 2. Possibly related defined as the AE may have had a relationship to a Sponsor medical device but an alternative cause may be equally or less likely associated. 3. Unrelated defined as the AE was due to the underlying indication or disease state or to concomitant medication or therapy not related to any Sponsor device. 4. Unknown defined as the relationship of the AE to a Sponsor device could not be determined.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=70 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=64 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Rate of Study Treatment-related Adverse Events Within 30 Days of Baseline
Unrelated
33 percentage of participants
30 percentage of participants
Rate of Study Treatment-related Adverse Events Within 30 Days of Baseline
Possibly related
1.4 percentage of participants
0 percentage of participants
Rate of Study Treatment-related Adverse Events Within 30 Days of Baseline
Related
4.3 percentage of participants
0 percentage of participants
Rate of Study Treatment-related Adverse Events Within 30 Days of Baseline
Unknown
2.9 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: 12 months

Population: All of randomized subjects were included in safety population analysis.

The study treatment-related AEs were defined as follows: 1. Related defined as the AE had a direct relationship to a Sponsor medical device used in the study patient. 2. Possibly related defined as the AE may have had a relationship to a Sponsor medical device but an alternative cause may be equally or less likely associated. 3. Unrelated defined as the AE was due to the underlying indication or disease state or to concomitant medication or therapy not related to any Sponsor device. 4. Unknown defined as the relationship of the AE to a Sponsor device could not be determined.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=70 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=26 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Rate of Study Treatment-related Adverse Events Till Study Completion
Unknown
10 percentage of participants
0 percentage of participants
0 percentage of participants
7.9 percentage of participants
Rate of Study Treatment-related Adverse Events Till Study Completion
Unrelated
77 percentage of participants
50 percentage of participants
37 percentage of participants
79 percentage of participants
Rate of Study Treatment-related Adverse Events Till Study Completion
Possibly related
1.4 percentage of participants
0 percentage of participants
0 percentage of participants
2.6 percentage of participants
Rate of Study Treatment-related Adverse Events Till Study Completion
Related
4.3 percentage of participants
0 percentage of participants
0 percentage of participants
2.6 percentage of participants

SECONDARY outcome

Timeframe: 1 month

Population: Subjects were analyzed in modified Intent-to-Treat (mITT) population, based on their randomized treatment group (regardless of crossover). This analysis included all subjects in the mITT population who provided evaluable data at both baseline and 1 month.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=62 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=47 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Rate of Subsequent Vertebral Body Fractures
19.6 percentage of participants
17.0 percentage of participants

SECONDARY outcome

Timeframe: 1 month and 12 months

Population: The analysis population was per-protocol analysis, which was based on the treatment that subjects received. Of 61 subjects randomized into NSM group, 38 subjects crossed over from NSM to Kyphoplasty after the 1-month visit, and 23 subjects remained in NSM group.

Based on patients with at least 7 analyzable vertebrae.

Outcome measures

Outcome measures
Measure
Balloon Kyphoplasty
n=68 Participants
The subjects assigned to this group received the treatment with Balloon Kyphoplasty for their painful VCFs.
Non Surgical Management
n=23 Participants
The subjects in this group received the non-operative treatments that aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Crossover
n=38 Participants
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Crossover-(AEs Collected After BKP)
Subjects in this group were randomized to NSM, then, crossed over to Balloon Kyphoplasty after completion of the 1-month evaluation in NSM group.
Rate of Subsequent Vertebral Body Fractures
1 month
19.4 percentage of participants
23.1 percentage of participants
11.8 percentage of participants
Rate of Subsequent Vertebral Body Fractures
12 months
13.2 percentage of participants
0.0 percentage of participants
7.4 percentage of participants

Adverse Events

Balloon Kyphoplasty

Serious events: 15 serious events
Other events: 16 other events
Deaths: 0 deaths

Non Surgical Management

Serious events: 11 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Balloon Kyphoplasty
n=70 participants at risk
The subjects assigned to this group will undergo the treatment with Balloon kyphoplasty for their painful VCFs.
Non Surgical Management
n=64 participants at risk
The subjects in this group will undergo the non-operative treatments aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Cardiac disorders
Arrhythmia
2.9%
2/70 • Number of events 2 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Cardiac disorders
Cardiac failure congestive
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Cardiac disorders
Myocardial infarction
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Gastrointestinal disorders
Gastric hypomotility
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
General disorders
Asthenia
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
General disorders
General Physical Health Deterioration
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
General disorders
Malaise
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
General disorders
Pyrexia
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Infections and infestations
Pneumonia
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Infections and infestations
Staphylococcal Infection
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Injury, poisoning and procedural complications
Post Procedural Myocardial Infarction
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Injury, poisoning and procedural complications
Procedural Pain
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Injury, poisoning and procedural complications
Urinary Retention Postoperative
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Back Pain
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
6.2%
4/64 • Number of events 4 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Bone Pain
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Vertebral Fracture
2.9%
2/70 • Number of events 4 • Adverse Events within 30 Days of treatment
4.7%
3/64 • Number of events 4 • Adverse Events within 30 Days of treatment
Nervous system disorders
Paraplegia
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Nervous system disorders
Paresis
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Nervous system disorders
Syncope
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Vascular disorders
Deep Vein Thrombosis
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment

Other adverse events

Other adverse events
Measure
Balloon Kyphoplasty
n=70 participants at risk
The subjects assigned to this group will undergo the treatment with Balloon kyphoplasty for their painful VCFs.
Non Surgical Management
n=64 participants at risk
The subjects in this group will undergo the non-operative treatments aimed at alleviation of back pain and restoration of decreased function associated with VCFs.
Blood and lymphatic system disorders
Neutropenia
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Cardiac disorders
Angina Pectoris
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Eye disorders
Diplopia
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Gastrointestinal disorders
Diarrhoea
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Gastrointestinal disorders
Diarrhoea Haemorrhagic
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Gastrointestinal disorders
Dyspepsia
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Gastrointestinal disorders
Gastritis
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Gastrointestinal disorders
Ileus
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
General disorders
General Physical Health Deterioration
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
General disorders
Implant Site Extravasation
2.9%
2/70 • Number of events 2 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Infections and infestations
Herpes Zoster
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Infections and infestations
Influenza
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Infections and infestations
Laryngitis
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Infections and infestations
Urinary Tract Infection
2.9%
2/70 • Number of events 2 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Infections and infestations
Wound Infection
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Injury, poisoning and procedural complications
Device Breakage
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Investigations
Haemoglobin Decreased
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Metabolism and nutrition disorders
Decreased Appetite
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Arthralgia
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Back Pain
4.3%
3/70 • Number of events 3 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Bursitis
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Joint Swelling
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Musculoskeletal and connective tissue disorders
Vertebral Fracture
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast Cancer
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Nervous system disorders
Hypoaesthesia
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Psychiatric disorders
Depression
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Psychiatric disorders
Psychotic Disorder
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment
Respiratory, thoracic and mediastinal disorders
Cough
1.4%
1/70 • Number of events 1 • Adverse Events within 30 Days of treatment
0.00%
0/64 • Adverse Events within 30 Days of treatment
Vascular disorders
Lymphoedema
0.00%
0/70 • Adverse Events within 30 Days of treatment
1.6%
1/64 • Number of events 1 • Adverse Events within 30 Days of treatment

Additional Information

Clinical Department

Medtronic Spine and Biologics

Phone: 1800-876-3133

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60