Status:

UNKNOWN

Randomized, Controlled Trial of Posterior C1-2 Fusion Versus Bracing Alone for Treatment of Type II Odontoid Process Fractures in the Elderly

Lead Sponsor:

Rothman Institute Orthopaedics

Conditions:

Odontoid Fracture

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

This prospective study addresses one of the most controversial topics in the treatment of cervical spine trauma: the management of type II odontoid process fractures in the elderly. It is the hypothes...

Eligibility Criteria

Inclusion

  • Patients to be considered for trial enrollment will include those:
  • ages 65 and older;
  • presenting with type II odontoid fracture confirmed by CT scan to one of the study centers;
  • deemed appropriate by the attending surgeon involved for C1-2 posterior cervical fusion procedure if surgical management were to be indicated
  • able to independently cooperate in the completion of all study consents, forms and documents.
  • able to speak, read and write English at an elementary school level

Exclusion

  • Patients to be excluded from trial enrolment include:
  • those with previously documented type II odontoid fracture;
  • those with odontoid fracture related to malignancy or infection;
  • those with associated spinal cord injury
  • those with other cervical, thoracic or lumbar injuries requiring surgical intervention
  • those with aberrant/anomalous local anatomy which precludes posterior placement of C1/2 instrumentation

Key Trial Info

Start Date :

June 14 2018

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2020

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT03788200

Start Date

June 14 2018

End Date

October 1 2020

Last Update

December 28 2018

Active Locations (1)

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Rothman Institute

Philadelphia, Pennsylvania, United States, 19107