Title
Does PTH 1-34 (Teriparatide) Enhance Spinal Fusion in Humans?
Förbättrar PTH Postero-lateral fusionsläkning Vid Ryggkirurgi?
Phase
Phase 4Lead Sponsor
Linkoping UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Spinal StenosisIntervention/Treatment
teriparatide ...Study Participants
34Parathyroid (PTH) hormone has been shown to enhance fracture healing in animal studies. There are so far only three published papers concerning humans. Postero-lateral fusions have shown a healing rate of less than 50% after bone. The purpose of this study is to determine if PTH 1-34 (teriparatide) improves the healing rate and the clinical course after spinal stenosis surgery.
100 patients undergoing surgery due to spinal stenosis and intraoperatively treated with autologous bone graft, will be randomised to either 4 weeks of daily injections with teriparatide or control.
Primary outcome: The rate of healing at 6 months on CT Scans. Secondary outcomes; Pain (VAS), function (Oswestry Disability Index), quality of life (EQ-5D) at 3 and 6 months.
Daily injections with teriparatide 20 µg (PTH 1-34 (Forteo®)) during four weeks
Standard care postoperatively.
Inclusion Criteria: lumbar spinal stenosis operated on with decompression and bone grafting. All ages are accepted, but women must be postmenopausal. Exclusion Criteria: •dementia or psychiatric disorder known malignancy < 5 years prior to fracture calcium above reference value signs of liver disease creatinine over ref. value inflammatory joint disease alcohol or drug abuse oral corticosteroid medication long-term NSAID-treatment (=> 3 months prior to fracture)