NGS for Spine Surgery Patients

NCT ID: NCT05013203

Last Updated: 2021-08-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Total Enrollment

450 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-02-18

Study Completion Date

2022-02-28

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

During revision spinal surgery for aseptic indications, there remains a concern that the failure may have resulted from undetectable subclinical infection. In the common revision indications of hardware loosening and adjacent segment disease it is possible that bacterial colonization and low-grade infection precipitated the failure event. There is also significant controversy on the role infectious processes have in the development of degenerative disc disease (modic changes). In particular, this study will investigate whether discogenic colonization with Propionibacterium acnes (P. acnes) can be associated with modic changes. Whereas, in surgery for known spinal infection, epidural abscess and septic revisions, it is possible that standard culture techniques fail to detect polymicrobial flora or accurate speciation. This may lead to inappropriate antibiotic management that is not addressing the range of pathology present. There remains an incomplete understanding of the role that subclinical infection plays in aseptic spinal revision surgery and degenerative disc disease

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Spine Infection

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Aseptic (uninfected) Revision Spine Surgery

Aseptic revision for indications including but not limited to hardware failure, adjacent segment pathology, radiculopathy, instability, cord compression.

Tissue culture

Intervention Type DIAGNOSTIC_TEST

Discarded tissue collected during surgery will be sent to the hospital microbiological lab for aerobic and anaerobic

Next Generation Sequencing

Intervention Type DIAGNOSTIC_TEST

Discarded tissue collected during surgery will be sent to an outside lab for testing using next generation sequencing (NGS)

Spine Surgery for Degenerative Disease

Primary degenerative pathology surgery where a disc sample is extracted to enable spinal decompression or fusion. The potential primary surgeries include but are not limited to microdiscectomy, laminectomy, and lumbar and cervical fusion

Tissue culture

Intervention Type DIAGNOSTIC_TEST

Discarded tissue collected during surgery will be sent to the hospital microbiological lab for aerobic and anaerobic

Next Generation Sequencing

Intervention Type DIAGNOSTIC_TEST

Discarded tissue collected during surgery will be sent to an outside lab for testing using next generation sequencing (NGS)

Septic (infected) Revision Spine Surgery

Spine surgery for known infection specifically: epidural abscess or septic revision. Epidural abscess must be managed surgically for inclusion. Septic revision cases include any surgery to address infected hardware from a previous spinal surgery.

Tissue culture

Intervention Type DIAGNOSTIC_TEST

Discarded tissue collected during surgery will be sent to the hospital microbiological lab for aerobic and anaerobic

Next Generation Sequencing

Intervention Type DIAGNOSTIC_TEST

Discarded tissue collected during surgery will be sent to an outside lab for testing using next generation sequencing (NGS)

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Tissue culture

Discarded tissue collected during surgery will be sent to the hospital microbiological lab for aerobic and anaerobic

Intervention Type DIAGNOSTIC_TEST

Next Generation Sequencing

Discarded tissue collected during surgery will be sent to an outside lab for testing using next generation sequencing (NGS)

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* All patients \>18 years of age undergoing spinal surgery

Exclusion Criteria

* All patients \<18 years of age undergoing spinal surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Rothman Institute Orthopaedics

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Rothman Orthopaedic Institute

Philadelphia, Pennsylvania, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

CKEP21d.121

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Wound Drain After Lumbar Fusion Surgery
NCT06536842 ENROLLING_BY_INVITATION NA
Efficacy of ActiveMatrix on Spinal SSI Rate
NCT05297513 NOT_YET_RECRUITING PHASE4
Lumbar Interbody Implant Study
NCT04418830 ENROLLING_BY_INVITATION
LUMBAR & SACROILIAC FUSION STUDY
NCT07204288 RECRUITING NA