Evidence map›Paper›PMID 26491369›Full record

ArticleJournal of pain research2015

Superion(®) InterSpinous Spacer for treatment of moderate degenerative lumbar spinal stenosis: durable three-year results of a randomized controlled trial.

Vikas V Patel, Pierce D Nunley, Peter G Whang, Thomas R Haley, W Daniel Bradley, Raphael P Davis, Jon E Block, Fred H Geisler

Abstract read
In one paragraph

Article in Journal of pain research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Interspinous implants to treat spinal stenosis.Current reviews in musculoskeletal medicine · 2017
    Review
  12. Article
  13. Surgical and nonsurgical treatments for lumbar spinal stenosis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Vikas V PatelThe Spine Center, University of Colorado Hospital, Denver, CO, USA.
Pierce D NunleySpine Institute of Louisiana, Shreveport, LA, USA.
Peter G WhangDepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA.
Thomas R HaleyPerformance Spine and Sports Physicians, PC, Pottstown, PA, USA.
W Daniel BradleyTexas Back Institute, Denton, TX, USA.
Raphael P DavisDepartment of Neurological Surgery, Stony Brook Medicine, Stony Brook, NY, USA.
Jon E BlockJon Block, Ph.D. San Francisco, CA, USA.
Fred H GeislerMcLaren Hospital, Petoskey, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis report provides the 3-year clinical outcomes from the randomized, controlled US Food and Drug Administration Investigational Device Exemption trial of the Superion(®) for the treatment of moderate degenerative lumbar spinal stenosis. PATIENTS AND

methodsThe Superion(®) was evaluated in the treatment of subjects aged 45 years or older suffering from symptoms of intermittent neurogenic claudication, secondary to a confirmed diagnosis of moderate degenerative lumbar spinal stenosis at one or two contiguous levels from L1 to L5. Patients were treated between June 2008 and December 2011 at 31 investigational sites. Three hundred ninety-one subjects were included in the randomized study group consisting of 190 Superion(®) and 201 X-STOP(®) control subjects. The primary composite endpoint was individual patient success based on four components: improvement in two of three domains of the Zurich Claudication Questionnaire, no reoperations at the index level, no major implant/procedure-related complications, and no clinically significant confounding treatments.

resultsAt 3 years, the proportion of subjects achieving the primary composite endpoint was greater for Superion(®) (63/120, 52.5%) than for X-STOP(®) (49/129, 38.0%) (P=0.023) and the corresponding success rates exceeded 80% for each of the individual components of the primary endpoint in the Superion(®) group (range: 81%-91%). Improvements in back and leg pain severity as well as back- and disease-specific functional outcomes were also maintained through 36 months.

conclusionThe 3-year outcomes from this randomized controlled trial demonstrate durable clinical improvement consistently across all clinical outcomes for the Superion(®) in the treatment of patients with moderate degenerative lumbar spinal stenosis.

Indexed as

InterSpinous Spacerlumbar spinal stenosisneurogenic claudicationSuperion®

Identifiers

PMID26491369
PMCPMC4599047

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.