Superion Interspinous Spacer in Lumbar Spinal Stenosis
Investigational device designed to treat moderate lumbar spinal stenosis
Who May Be a Candidate
To qualify for this study you must be diagnosed with moderate lumbar spinal
stenosis and be at least 45 years of age. Your symptoms must include persistent
leg, buttock and/or groin pain that is relieved by sitting or bending forward.
Study candidates will have experienced these symptoms for at least 6 months
and cannot have a history of prior surgery of the lumbar spine.
Product Being Studied
The Superion Interspinous Spacer (ISS) (Figure 1) is an investigational
medical device designed to relieve chronic pain caused by moderate lumbar spinal
stenosis and may offer a minimally invasive alternative to traditional spinal
surgery. This may avoid the need for a large incision, and minimizing bleeding
and trauma to the body.

Figure 1. Size of the Superion Interspinous Spacer compared
to a quarter.
Superion ISS is implanted between the spinous processes (Figure
2) through a small skin incision. Once in place the device can act as a support
column to open the passageways that contain the spinal cord and nerve roots.
This reduces the compression on the nerves, resulting in potential pain relief
and return to a more active lifestyle.

Figure 2. Superion Interspinous Spacer is implanted
between the spinous processes.
Video animation illustrates implantation of the Superion
Interspinous Spacer
Clinical Trial Sponsor
VertiFlex, Incorporated
Purpose and Objective
This study is designed to evaluate the safety and effectiveness of the Superion
Interspinous Spacer compared to the X-STOP® IPD device in healthy adults who
meet the study's criteria.
Learn
more
Recruiting Locations
The study is now being conducted at clinical sites nationwide. For additional
information, please email superiontrial@vertiflexspine.com.
| State |
City |
| California |
Beverly Hills
Laguna Hills |
| Colorado |
Aurora
Littleton |
| District of Columbia |
Washington |
| Louisiana |
Shreveport |
| Massachusetts |
Peabody |
| New Jersey |
Phillipsburg |
| New York |
Syracuse |
| North Carolina |
Durham |
| Oregon |
Eugene |
| Texas |
Plano |
Eligibility, Inclusion and Exclusion Criteria
Men and women ages 45 years and older who meet the following criteria are eligible
to participate in this clinical trial.
View Inclusion Criteria
You may be eligible if:
1. Male or female subjects greater than or equal to 45 years of age.
2. Persistent leg/buttock/groin pain, with or without back pain that is relieved
by flexion activities (example: sitting or bending over a shopping cart).
3. Diagnosis of degenerative spinal stenosis of the lumbar spine, defined
as the narrowing of the midline sagittal spinal canal (central) and/or narrowing
between the facet superior articulating process (SAP), the posterior vertebral
margin (lateral recess), and the nerve root canal (foraminal).
4. Must be able to sit for 50 minutes without pain and to walk 50 feet or
more.
5. Subjects who are able to give voluntary, written informed consent to participate
in this clinical investigation and from whom consent has been obtained.
6. Subjects, who, in the opinion of the Clinical Investigator, are able to
understand this clinical investigation, cooperate with the investigational
procedures and are willing to return to the hospital for all the required
post-treatment follow-ups.
View Exclusion Criteria
You may not be eligible if you:
1. Axial back pain only.
2. Fixed motor deficit.
3. Diagnosis of lumbar spinal stenosis which requires any direct neural decompression
or surgical intervention other than those required to implant the control
or experimental device.
4. Unremitting pain in any spinal position.
5. Significant peripheral neuropathy or acute denervation secondary to radiculopathy.
6. Lumbar spinal stenosis at more than two levels.
7. Significant instability of the lumbar spine as defined by 3-mm translation
or 5-degrees angulation.
8. Sustained pathologic fractures of the vertebrae or multiple fractures of
the vertebrae and/or hips.
9. Spondylolisthesis or degenerative spondylolisthesis greater than grade
1.0 (on a scale of 1 to 4).
10. Spondylolysis (pars fracture).
11. Morbid obesity, defined as Body Mass Index (BMI) greater than 40kg/m2.
12. Insulin-dependent diabetes mellitus.
13. Significant peripheral vascular disease (diminished dorsalis pedis or
tibial pulses).
14. Prior surgery of the lumbar spine.
15. Cauda equina syndrome (defined as neural compression causing neurogenic
bowel or bladder dysfunction).
16. Infection in the disc or spine, past or present.
17. Evidence of active (systemic or local) infection at time of surgery.
18. Active systemic disease such as AIDS, HIV, hepatitis, etc.
19. Paget's disease at involved segment or metastasis to the vertebra, osteomalacia,
or other metabolic bone disease.
20. Currently undergoing immunosuppressive therapy or long-term steroid use.
21. Known allergy to titanium or titanium alloys.
22. Tumor in the spine or a malignant tumor except for basal cell carcinoma.
23. Known or suspected history of alcohol and/or drug abuse.
24. Prisoner or transient.
25. Life expectancy less than two years.
26. Angina, active rheumatoid arthritis, or any other systemic disease that
would affect the subject's welfare or outcome of the clinical investigation.
27. Any significant psychological disturbance past or present, psychotic or
neurotic that could impair the consent process or ability to complete subject
self-report questionnaires.
28. Involved in pending litigation of the spine or worker's compensation related
to the back.
29. Enrolled in the treatment phase of another drug or device clinical investigation
(currently or within past 30 days).
Email superiontrial@vertiflexspine.com
ClinicalTrials.gov Identifier: NCT00692276
Study ID Numbers: 08-VISS-01
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control,
Parallel Assignment, Safety / Efficacy Study
Official Title: A Prospective, Multi-Center, Randomized Study
Comparing the VertiFlex® Superion Interspinous Spacer (ISS)
to the X-STOP® Interspinous Process Decompression (IPD®) System in Patients
with Moderate Lumbar Spinal Stenosis
Last Updated: 09/08/2009