Pain Control After Lumbar Spine Fusion

NCT ID: NCT06484192

Last Updated: 2024-07-03

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

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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

PHASE4

Total Enrollment

428 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-28

Study Completion Date

2025-06-30

Brief Summary

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The purpose of this randomized controlled trial is to determine if patients who receive non-steroidal anti-inflammatory medications (NSAIDs) following elective lumbar spinal fusion have increased rates of symptomatic nonunion requiring revision spinal surgery at two-years follow-up, compared to those who do not receive NSAIDs.

Detailed Description

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Conditions

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Spine Fusion NSAID (Non-Steroidal Anti-Inflammatory Drug) Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Group 1: NSAID Group

Participants in the NSAID group will receive NSAIDs in addition to our standard postoperative regimen after their Lumbar spine fusion surgery

Group Type ACTIVE_COMPARATOR

Naproxen 500 Mg

Intervention Type DRUG

participants will receive Naproxen (500 mg) to take for 7 days after surgery as needed

Ketorolac

Intervention Type DRUG

participants will receive Ketorolac (15 mg) immediately after surgery

OxyCODONE 5 mg Oral Tablet

Intervention Type DRUG

participants will receive OxyCODONE (5 mg) to take for 7 days after surgery as needed

Metaxalone 800 MG

Intervention Type DRUG

participants will receive Metaxalone (800 MG) to take for 7 days after surgery as needed

Group 2: Control Group

Participants in the control group will only receive our standard postoperative regimen after their Lumbar spine fusion surgery

Group Type ACTIVE_COMPARATOR

OxyCODONE 5 mg Oral Tablet

Intervention Type DRUG

participants will receive OxyCODONE (5 mg) to take for 7 days after surgery as needed

Metaxalone 800 MG

Intervention Type DRUG

participants will receive Metaxalone (800 MG) to take for 7 days after surgery as needed

Interventions

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Naproxen 500 Mg

participants will receive Naproxen (500 mg) to take for 7 days after surgery as needed

Intervention Type DRUG

Ketorolac

participants will receive Ketorolac (15 mg) immediately after surgery

Intervention Type DRUG

OxyCODONE 5 mg Oral Tablet

participants will receive OxyCODONE (5 mg) to take for 7 days after surgery as needed

Intervention Type DRUG

Metaxalone 800 MG

participants will receive Metaxalone (800 MG) to take for 7 days after surgery as needed

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ≥18 years of age, ≥1-level planned lumbar spinal fusion
* Capacity to enroll
* English speaking

Exclusion Criteria

* Chronic kidney disease (preoperative creatinine ≥1.4)
* History of gastrointestinal bleed or peptic ulcer disease
* History of spinal fusion nonunion
* Non-steroidal anti-inflammatory drug allergy
* Previously diagnosed coagulopathy
* Preoperative thrombocytopenia (platelets \<100,000)
* Connective tissue disease
* Operative indication due to infection, neoplasm, or trauma
* Currently pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Rothman Institute Orthopaedics

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Rothman Orthopaedic Institute

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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CKEP2024.0800

Identifier Type: -

Identifier Source: org_study_id

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