Study Comparing the PathKeeper System for Pedicle Screw Positioning in Spine Surgery With Traditional Care

NCT ID: NCT06554093

Last Updated: 2025-02-05

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-10-30
• Study Completion Date: 2025-10-30

Brief Summary

The goal of this is to evaluate performance of the Pathkeeper Surgical System. The main question[s]it aims to answer are: 1) evaluate pedicle screw position Participants will in compare Experimental arm: PathKeeper System (PKS) with control arm

Detailed Description

Trial design

• Allocation: Randomized
• Interventional Model: Parallel Assignment (double armed)
• Interventional Model Description: Dual center, prospective, randomized cohort study.
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Enrolment: 32 (thirty-two) patients - 16 (sixteen) patients experimental and 16 control arms (100 screws each arm, estimated 20% of patients drop out).

Study arms

1. Experimental arm: PathKeeper System (PKS) One to ten-level posterior, open, instrumented spine surgery using unilateral or bilateral pedicle screw instrumentation under PKS intraoperative navigation guidance.

Interventions: Medical Devise - PKS. The PKS spine navigation system is for spatial positioning and orientation of surgical instruments during pedicle screw implantation in patients undergoing posterior fixation in single or multiple levels.

2. Control arm: free-hand technique guided by intra-operative 2D Fluoroscopy One to ten-level posterior, open, instrumented spine surgery using unilateral or bilateral pedicle screw instrumentation under free-hand technique guided by intra-operative 2D fluoroscopy.

Interventions: Pedicle screws will be placed using the free-hand technique with 2D fluoroscopy as the intraoperative imaging modality.

Primary endpoints:

Evaluate and classify the pedicle screw positions as per the Gertzbein-Robbins classification scale based on a low-dose post-operative CT scan, in each study arm and comparatively.

Number of misaligned screws as per the Gertzbein-Robbins classification scale (Gertzbein and Robbins, 1990) class E screws class D screws class C screws class B screws class A screws

Secondary endpoints:

1. Evaluate radiation exposure dose and time in the operating room during the procedure in each study arm and comparatively.

2. Evaluate time-per-screw for the experimental device arm (PKS) arm.

3. Length of stay - (non-critical)

4. Estimated blood loss (EBL) - (non-critical)

5. Number of reported complications (neurological deficits, dural tears, deep wound infections, etc.) while hospitalized

Conditions

Scoliosis; Scoliosis; Adolescence; Scoliosis Kyphosis; Scoliosis Lumbar Region; Scoliosis Thoracic Region; Pathologic Fracture

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Medical Device- PathKeeper System (PKS)

One to ten-level posterior, open, instrumented spine surgery using unilateral or bilateral pedicle screw instrumentation under PKS intraoperative navigation guidance.

Intervention: Medical Device - PKS. The PKS spine navigation system is for spatial positioning and orientation of surgical instruments during pedicle screw instrumentation in patients undergoing posterior fusion in single or multiple levels.

Group Type: EXPERIMENTAL

Medical Device - PKS

Intervention Type: DEVICE

The PKS spine navigation system is for spatial positioning and orientation of surgical instruments during pedicle screw instrumentation in patients undergoing posterior fusion in single or multiple levels.

2D Fluoroscopy

Control arm: Standard of care - free-hand technique guided by intra-operative 2D Fluoroscopy One to ten-level posterior, open, instrumented spine surgery using unilateral or bilateral pedicle screw instrumentation under free-hand technique guided by intra-operative 2D fluoroscopy

Group Type: ACTIVE_COMPARATOR

Medical Device - PKS

Intervention Type: DEVICE

The PKS spine navigation system is for spatial positioning and orientation of surgical instruments during pedicle screw instrumentation in patients undergoing posterior fusion in single or multiple levels.

Interventions

Medical Device - PKS

The PKS spine navigation system is for spatial positioning and orientation of surgical instruments during pedicle screw instrumentation in patients undergoing posterior fusion in single or multiple levels.

Intervention Type: DEVICE

Other Intervention Names

Device- Fluoroscopy

Eligibility Criteria

Inclusion Criteria

• Men and women
• 16 and above years old
• Patients who are about to undergo open, instrumented spinal surgery
• Signed informed consent form

Exclusion Criteria

• Men and women
• 16 and above years old
• Patients who are about to undergo open, instrumented spinal surgery
• Signed informed consent form

• Minimum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Deep Health Ltd.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Leeds Hospital

Leeds, West Yorkshire, United Kingdom

Countries

United Kingdom

Facility Contacts

Almas Khan, MD

Role: primary

almas.khan@nhs.net

+44 113 392 8575

Other Identifiers

341268

Identifier Type: OTHER

Identifier Source: secondary_id

CL0003

Identifier Type: -

Identifier Source: org_study_id