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Cervical DeformitySymphonyNCT04912674

Evaluation of Symphony™ Posterior Cervical System for Surgical Treatment of Adult Cervical Deformity

An observational study of Cervical Deformity, run by International Spine Study Group Foundation at 6 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Multi-center, prospective, non-randomized study to evaluate Symphony™ Posterior Cervical System in the setting of surgical treatment of adult cervical deformity. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cervical Deformity
What is being tested?
Symphony OCT System
Type of treatment
Medical device
How many people
100 participants
Where
6 sitesUnited States
Study dates
12 Jul 2021to 12 Jul 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult cervical deformity patients from spine surgeon clinic

Who may be able to join

  • ≥18 years old at time of treatment
  • Patient undergoing a posterior cervical instrumented fusion using the DePuy Synthes SymphonyTM OCT System for the treatment of adult cervical deformity, defined as any of below criteria:
  • Loss of cervical lordosis (≤ 0° cervical lordosis C2-7)
  • ≥ 5° of kyphosis across any 1 or 2 cervical segments
  • ≥ 10° of cervical scoliosis
  • C2-C7 SVA ≥ 4cm
Show all 11Show fewer
  • T1 Slope minus Cervical Lordosis ≥ 20°
  • Grade I or greater Spondylolisthesis at any segment C1-T1
  • Horizontal Gaze ≤ 0 or ≥ 11
  • Plan for surgical correction of cervical deformity in the next 6 months
  • Willing to provide consent and complete study forms at baseline and follow-up intervals

Who cannot join

  • Active spine tumor or infection
  • Deformity due to acute trauma
  • Unwilling to provide consent or to complete study forms
  • Prisoner
  • Pregnant or immediate plans to get pregnant

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • University of Virginia

    Charlottesville, Virginia, 22908

  • Denver International Spine Center, Rocky Mountain Hospital for Children and Presbyterian St. Luke's Medical Center

    Denver, Colorado, 80128

  • Duke University

    Durham, North Carolina, 27710

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15219

  • University of California Davis

    Sacramento, California, 95817

  • Washington University

    St Louis, Missouri, 63110

Other trials in United States

About this study

Official title: Prospective Evaluation of Symphony™ Posterior Cervical System for Surgical Treatment of Adult Cervical Deformity: A Multi-Center Study

Multi-center, prospective, non-randomized study to evaluate Symphony™ Posterior Cervical System in the setting of surgical treatment of adult cervical deformity.

Read the detailed description

Specific Aims:

  • Evaluate outcomes for operative treatment of adult cervical deformity patients treated with posterior spinal fusion using SymphonyTM posterior cervical system at 6 weeks, 1 year, and 2 year follow up. Outcome metrics will include standardized patient reported outcome measures, radiographic analysis of deformity correction and spinal alignment.
  • Evaluate rates and risk factors for perioperative complications and need for revision surgery at 6 weeks, 1 year, and 2 years postoperatively.
  • Develop and validate a surgical invasiveness index for cervical deformity surgical procedures
  • Validate the cervical deformity frailty index previously developed by the ISSG and further optimize this index
  • Establish adult cervical deformity specific thresholds for minimal clinically important difference (MCID) for standard outcomes measures using a patient satisfaction anchor
  • Develop a series of predictive models for adult cervical deformity surgery, including outcomes (e.g. overall change and achievement of MCID), occurrence of complications, and radiographic changes
  • Assess the psychological impact of adult cervical deformity, how psychological measures change following surgical treatment, and whether there are correlations between baseline psychological factors and outcomes following surgery
  • Assess baseline functional measures (e.g. grip strength) for adult cervical deformity patients presenting for surgery, assess how these functional measures change following surgery, and assess whether there are correlations between baseline functional measures and likelihood to improve following surgery
  • Assess baseline narcotic use among adult cervical deformity patients presenting for surgery
  • Assess changes in narcotic use from baseline to follow-up intervals after surgical treatment for adult cervical deformity
  • Assess for correlations between narcotic use (baseline and follow-up) and outcomes following surgical treatment for adult cervical deformity
  • Assess the impact of osteopenia and osteoporosis on patient frailty, complications, and maintenance of deformity correction
  • Define clinical and demographic features of the population afflicted with cervical deformity (e.g., age, gender, comorbidities, disability, health-related quality of life)
  • Assess for correlations between radiographic parameters and degree of disability/pain at baseline
  • Assess and describe surgical strategies used to address cervical deformity
  • Define complications and rates of complications (perioperative and delayed) associated with the surgical treatment of cervical deformity
  • Assess the role/need for pre/post operative tracheostomy and PEG
  • Evaluate and compare radiographic changes of sagittal spinal alignment (focal, regional, and global) and pelvic parameters pre and post cervical deformity surgery.
  • Develop predictive formulas of post-operative alignments based on surgical techniques employed for correction
  • Identify risk factors related to poor clinical outcomes
  • Define potential impact of complications on clinical/radiographic outcomes
  • Determine reoperation rates over two-year follow-up period
  • Assess change in subaxial alignment after occiput to C2 fusion
  • Assess the effect of C1-2 lordosis and C1-2 fusion on subaxial alignment and outcome
  • Assess outcomes of long fusions involving the occiput related to head center of gravity and regional and global balance
  • Assess outcomes of occipital-cervical-thoracic fusion on cervical alignment and global alignment
  • Evaluate clinical outcomes (short- and long-term) following cervical deformity surgery
  • Assess cost-effectiveness of adult cervical deformity surgery
  • Correlate different measures of frailty, including Edmonton, CHSA, and ISSG.
Being tested
Symphony OCT System
Keywords
Cervical deformity, Kyphosis, Scoliosis
Medical subject headings
Kyphosis, Scoliosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Symphony OCT SystemDevice

    Surgical intervention will be patient specified by treating surgeon.

Study groups in NCT04912674
Study groupRoleWhat they receive
OperativeInclusion Criteria: 1. ≥18 years old at time of treatment 2. Patient undergoing a posterior cervical instrumented fusion using the DePuy Synthes SymphonyTM OCT System for the treatment of adult cervical deformity, defined as any of below criteria: 1. Loss of cervical lordosis (≤ 0° cervical lordosis C2-7) 2. ≥ 5° of kyphosis across any 1 or 2 cervical segments 3. ≥ 10° of cervical scoliosis 4. C2-C7 SVA ≥ 4cm 5. T1 Slope minus Cervical Lordosis ≥ 20° 6. Grade I or greater Spondylolisthesis at any segment C1-T1 7. Horizontal Gaze ≤ 0 or ≥ 11 3. Plan for surgical correction of cervical deformity in the next 6 months 4. Willing to provide consent and complete study forms at baseline and follow-up intervals Exclusion Criteria: 1. Active spine tumor or infection 2. Deformity due to acute trauma 3. Unwilling to provide consent or to complete study forms 4. Prisoner 5. Pregnant or immediate plans to get pregnant
Receives: Device: Symphony OCT System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain Numeric rating scale (NRS) - Headaches

    Self reported pain in Head where 0=no pain/10=severe pain

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  2. Pain Numeric rating scale (NRS) - Neck

    Self-reported pain in Neck where 0=no pain/10=severe pain

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  3. Pain Numeric rating scale (NRS) - Upper extremity

    Self-reported pain in Arms where 0=no pain/10=severe pain

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  4. Pain Numeric rating scale (NRS) - Lower extremity

    Self-reported pain in Legs where 0=no pain/10=severe pain

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  5. Pain Numeric rating scale (NRS) - Back

    Self-reported pain in Back where 0=no pain/10=severe pain

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  6. Neck Disability Index (NDI)

    Patient reported neck disability tool

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  7. Veterans RAND 12 Item Health Survey (VR-12)

    Patient reported outcome

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  8. Patient-Reported Outcome Measurement Information System (PROMIS) - Anxiety

    Computer adaptive PROs

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  9. Patient-Reported Outcome Measurement Information System (PROMIS) - Depression

    Computer adaptive PROs

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  10. Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference

    Computer adaptive PROs

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  11. Patient-Reported Outcome Measurement Information System (PROMIS) - Physical Function

    Computer adaptive PROs

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  12. Patient-Reported Outcome Measurement Information System (PROMIS) - Social Satisfaction (Role)

    Computer adaptive PROs

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  13. Patient-Reported Outcome Measurement Information System (PROMIS) - Social Satisfaction (DSA)

    Computer adaptive PROs

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  14. Spine Radiographs

    Radiographic parameters (Cervical lordosis, Kyphosis, Scoliosis; Global balance in coronal and sagittal planes of the spine; pelvic parameters (pelvic incidence, tilt, slope) and bony fusion status

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  15. Modified Japanese Orthopaedic Association Scale (mJOA)

    Patient reported outcome measuring functional status using scale of 0 to 18. The higher the score, the less disability.

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

Secondary outcomes (6)
  1. EAT-10

    Measures swallowing difficulties as reported by the patient.

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  2. Voice Handicap Index (VHI-10)

    Measures voice handicap as reported by the patient.

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  3. Adverse events

    Any adverse events that occur during study participation \& meeting study established reporting criteria

    Measured: 6 weeks, 1 year, and 2 years

  4. Edmonton Frail Scale

    Frailty scale from 0 to 17 where the higher the score the more frail the patient

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  5. CHSA Frail Scale

    Clinical Frailty Scale from 1 to 9 where the higher the score, the more frail the patient

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

  6. Dynamometer Hand Grip Strength test

    With patient seated, patient will squeeze the dynamometer as hard as he/she can with each hand.

    Measured: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jun 2021
  2. Study start12 Jul 2021
  3. Primary completion12 Jul 2027 (estimated)
  4. Study completion12 Jul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04912674
Sponsor's protocol ID
2140
Acronym
Symphony
Status last verified
Feb 2026
First submitted
28 May 2021
Last updated
17 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Cervical Deformity, run by International Spine Study Group Foundation at 6 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 17 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain Numeric rating scale (NRS) - Headaches (time frame: Change from Preop to 6 weeks, 6 months, and 1 & 2 year follow-up). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Feb 2026.

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