Thoracic Spine Fracture Clinical Trial
Official title:
The Unstable Thoracic Cage Injury: The Concomitant Sternal Fracture Indicates a Severe Thoracic Spine Fracture
- Analysis of patient data and computed tomography scan of polytraumatized patients
thoracic spine fractures
- A concomitant sternal fracture was identified an indicator for an unstable thoracic
spine fracture
Previous studies stated, that sternal fractures can be regarded as an indicator for thoracic
spine fractures and described the combined injury pattern of thoracic spine fracture and
sternal fracture as "upper thoracic cage injury". But literature research is lacking data
that in patients with a thoracic cage injury a highly unstable thoracic spine fracture can
be expected.
In a large cohort of 130 patients with a thoracic spine fracture and concomitant sternal
fracture the investigators analyzed the injury pattern and evaluated associated injuries,
trauma mechanism, and clinical outcome.
The investigators could prove that in patients with a thoracic cage injury the concomitant
sternal fracture may be regarded as an indicator for an unstable thoracic spine fracture,
which requires surgical stabilization. Furthermore the analysis revealed that even a highly
rotationally unstable type C fracture has to be expected, if sternal and thoracic spine
fractures are located in the same segment.
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Observational Model: Case Control, Time Perspective: Retrospective
Status | Clinical Trial | Phase | |
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Recruiting |
NCT06059820 -
Effectiveness of Conservative Treatment in Patients With Thoracic and Lumbar Fractures Without Neurological Deficit
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