Evidence map›Paper›PMID 37978378›Full record

Trial reportBMC musculoskeletal disorders2023

Twenty-four-month interim results from a prospective, single-arm clinical trial evaluating the performance and safety of cellular bone allograft in patients undergoing lumbar spinal fusion.

Daniel K Park, Joshua J Wind, Todd Lansford, Pierce Nunley, Timothy A Peppers, Anthony Russo, Hamid Hassanzadeh, Jonathan Sembrano, Jung Yoo, Jonathan Sales

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02969616 (A Prospective, Post Market, Multi-center, Open Label, Non-Randomized Clinical Study of the Efficacy of Using Trinity ELITE in Lumbar Fusion Surgery), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
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.

NCT02969616 unknown statusnot on this map

A Prospective, Post Market, Multi-center, Open Label, Non-Randomized Clinical Study of the Efficacy of Using Trinity ELITE in Lumbar Fusion Surgery

TypeobservationalSponsorOrthofix Inc.Ran2016 to 2022Enrolled300ConditionsDegenerative Disc DiseaseArmsTrinity Elite
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. A safe, novel and ingenious method for autogenous bone graft storage in spine surgery with constrained resources - operative site as the bone bank.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    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

10 authors at 7 institutions in 1 country.

Daniel K ParkBeaumont Hospital, 3601 W 13 Mile Rd., Royal Oak, MI, USA. danparkmd@gmail.com.
Joshua J WindSibley Memorial Hospital, 5255 Loughboro Rd. NW, Washington DC, USA.
Todd LansfordSouth Carolina Sports Medicine, 9100 Medcom, N Charleston, SC, USA.
Pierce NunleySpine Institute of Louisiana, 1500 Line Ave, Shreveport, LA, USA.
Timothy A PeppersScripps Memorial Hospital Encinitas, 354 Santa Fe Drive, Encinitas, CA, USA.
Anthony RussoYellowstone Orthopedic and Spine Institute, Billings Clinic Bozeman , 3905 Wellness Way, Bozeman, MT , MT, USA.
Hamid HassanzadehJohn Hopkins Medicine, 6420 Rockledge Dr, Bethesda, MD, USA.
Jonathan SembranoUniversity of Minnesota, 909 Fulton St SE, Minneapolis, MN, USA.
Jung YooOregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, USA.
Jonathan SalesSummit Spine, 9155 SW Barnes Rd. 210, Portland, OR, USA.
Beaumont Hospital, Royal Oak · USOregon Health & Science University · USScripps Memorial Hospital · USSibley Memorial Hospital · USSpine Institute of Louisiana · USUniversity of Minnesota · USYellowstone Ecological Research Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutologous bone grafts are the gold standard for spinal fusion; however, harvesting autologous bone can result in donor site infection, hematomas, increased operative time, and prolonged pain. Cellular bone allografts (CBAs) are a viable alternative that avoids the need for bone harvesting and may increase fusion success alone or when used as an adjunct material. The present study examined the efficacy and safety of CBA when used as an adjunct graft material to lumbar arthrodesis.

methodsA prospective, single-arm, multicenter clinical trial (NCT02969616) was conducted in adult subjects (> 18 years of age) undergoing lumbar spinal fusion with CBA graft (CBA used as primary (≥ 50% by volume), with augmentation up to 50%). Radiographic fusion status was assessed by an independent review of dynamic radiographs and CT scans. Clinical outcomes were assessed with the Oswestry Disability Index (ODI), and Visual Analog Scales (VAS) score for back and leg pain. Adverse events were assessed through the 24-month follow-up period. The presented data represents an analysis of available subjects (n = 86) who completed 24 months of postoperative follow-up at the time the data was locked for analysis.

resultsPostoperative 24-month fusion success was achieved in 95.3% of subjects (n = 82/86) undergoing lumbar spinal surgery. Clinical outcomes showed statistically significant improvements in ODI (46.3% improvement), VAS-Back pain (75.5% improvement), and VAS-Leg pain (85.5% improvement) (p < 0.01) scores at Month 24. No subject characteristics or surgical factors were associated with pseudoarthrosis. A favorable safety profile with a limited number of adverse events was observed.

conclusionsThe use of CBA as an adjunct graft material showed high rates of successful lumbar arthrodesis and significant improvements in pain and disability scores. CBA provides an alternative to autograft with comparable fusion success rates and clinical benefits.

trial registrationNCT02969616.

Indexed as

Spinal FusionAdultAllograftsHumansLumbar VertebraeLumbosacral RegionPainProspective StudiesTreatment OutcomeArthrodesisCBACellular allograftLumbar fusionTrinity Elite

Identifiers

PMID37978378
PMCPMC10656884
OpenAlexW4388763358

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.