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New artificial disc could keep neck moving after surgery
NCT ID NCT00478088
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new artificial disc called NeoDisc against standard fusion surgery (ACDF) in 488 people with a damaged disc in the neck. The goal was to see if NeoDisc is as safe and effective at relieving pain and improving function over two years. Participants were randomly assigned to receive either the artificial disc or fusion, and researchers tracked neck disability, complications, and nerve function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- NeoDisc artificial disc replacement device
- What this could lead to
- If successful, NeoDisc could offer a motion-preserving alternative to fusion surgery, potentially reducing long-term neck stiffness and adjacent disc problems.
- What could go wrong
- This is a completed trial, but results may not apply to all patients. Risks include device failure, need for revision surgery, or no better outcomes than standard fusion.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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488 people
The number who actually took part.
- Start date
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Sep 2006
- Finished
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Mar 2012
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18-60 years of age (inclusive and skeletally mature) * Diagnosis of symptomatic cervical disc disease, defined as image- confirmed pathology: herniated disc, spondylosis, and/or loss of disc height. Spondylosis is defined as MRI or CT-confirmed disc dessication, loss of disc height, bridging osteophytes, and/or uncovertebral arthrosis. Loss of disc height is specified as a measurement of at least 25% less than an adjacent nonsymptomatic level, but with a minimum of 1mm height remaining. * Functional neurological deficit (i.e., exhibits at least one sign associated with cervical level to be treated, including abnormal reflex, decreased motor strength, abnormal dermatome sensitivity, or pain in a dermatomal distribution) * Symptomatic level is C3-4, C4-5, C5-6 or C6-7 (one level) * Preop NDI ≥30 points * Unresponsive to conservative treatment for ≥6 wks, or exhibits progressive symptoms or signs of nerve root or spinal cord compression in the face of conservative treatment * Not pregnant, nor interested in becoming pregnant within the follow-up period of the study * Willing and able to comply with the requirements defined in the protocol for the duration of the study * Signed and dated Informed Consent Exclusion Criteria: * Prior cervical fusion surgery at the operative level * Prior cervical laminectomy at the operative level (prior cervical laminotomy need not be excluded) * Prior cervical complete facetectomy at the operative level * Requiring surgical treatment that would leave the patient with a postoperative deficiency of the posterior elements * Radiographic signs of significant instability at operative level (greater than 3mm translation, \> 11 degrees rotation different from adjacent level) * Bridging osteophytes or motion \< 2 degrees * Radiographic confirmation of significant facet joint disease or degeneration * Chronic neck or arm pain of unknown etiology * Clinically significant symptomatic myelopathy (e.g., those with signal changes in the spinal cord on preoperative T2-weighted MRI) * Cervical fracture, anatomic anomaly, or deformity (e.g. ankylosing spondylitis, scoliosis) at the levels to which the prosthesis will be attached * Severe spondylolisthesis (\>grade 1) * Endocrine disorders or connective tissue diseases * Rheumatoid arthritis or other autoimmune disease * Progressive neuromuscular disease, e.g., muscular dystrophy, multiple sclerosis * Chronic steroid users * Taking any medications or drugs that are known to potentially interfere with the bone metabolism or soft tissue healing, which may include (but is not limited to) the following: inhaled glucocorticoids for asthma, corticosteroids, thyroid hormones, blood thinners (heparin, warfarin), gonadotropin-releasing hormone agonists for prostate cancer treatment, contraceptive medroxyprogesterone, lithium for bi-polar disorder treatment, anticonvulsants, aluminum-containing antacids, tetracycline * Osteopenia, osteoporosis, or osteomalacia to a degree that spinal instrumentation would be contraindicated (DEXA T-score less than or equal to -2.5; DEXA necessary only if patient exhibits risk factors for low bone mass as quantified in DEXA screening questionnaire). * Diabetes mellitus requiring insulin management * Presence of metastases or active spinal tumor malignancy * Body Mass Index (BMI) \> 40 * Active local or systemic infection, including AIDS, hepatitis * Having been enrolled in another investigational device study within the last 90 days * Having had another cervical device implanted that would interfere with the surgical approach, study or control device, or follow-up evaluations. * Demonstrates signs of nonorganic behavior, such as Waddell's signs * History of substance abuse * Involved in spinal litigation * Mentally incompetent * Incarcerated
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Capital Neurosurgery
Raleigh, North Carolina, 27609, United States
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Center for Advanced Orthopaedics/Adena Health Pavillon
Chillicothe, Ohio, 45601, United States
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Central Ohio Neurological Surgeons
Westerville, Ohio, 43081, United States
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Central Texas Spine Institute
Austin, Texas, 78731, United States
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Coastal Spine
Mount Laurel, New Jersey, 08054, United States
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Diagnostic and Interventional Surgical Center
Marina del Rey, California, 90245, United States
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Florida Research Network, LLC
Gainesville, Florida, 32605, United States
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Florida Spine Specialists
Fort Lauderdale, Florida, 33308, United States
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Lyerly Baptist
Jacksonville, Florida, 32207, United States
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Neurological Associates
Columbus, Ohio, 43221, United States
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OAD Orthopaedics
Warrenville, Illinois, 60555, United States
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Optim Healthcare
Savannah, Georgia, 31405, United States
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OrthoIndy
Indianapolis, Indiana, 46278, United States
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Orthopedic Spine Associates
Eugene, Oregon, 97401, United States
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Rocky Mountain Spine Arthroplasty (RMA Ortho)
Loveland, Colorado, 80538, United States
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Salt Lake Orthopaedic Clinic
Salt Lake City, Utah, 82124, United States
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San Diego Center for Spinal Disorders
La Jolla, California, 92037, United States
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Southern Oregon Orthopedics
Medford, Oregon, 97504, United States
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Spine Colorado / Durango Orthopedic Associates
Durango, Colorado, 81301, United States
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Spine Midwest, Inc
Jefferson City, Missouri, 65101, United States
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The Spine Institute
Santa Monica, California, 90404, United States
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Western Regional Spine Center for Brain and Spine Surgery
Las Vegas, Nevada, 89109, United States
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