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Clinical Trial Summary

Thoracolumbar (TL) burst fractures are seen in all ages and usually associated with high-energy trauma. Treatment include both surgical and non-surgical options. In cases without neurological deficit or definite rupture of the posterior ligament complex (PLC) both surgical treatment and non-surgical treatment are considered standard of care. This study aims to compare outcome between surgical and non-surgical in patients with a single level TL burst fracture (AO A3/4) in a randomized controlled trial (RCT).


Clinical Trial Description

The study is an international, multicenter, randomized controlled trial. 202 patients with a single level TL burst fracture will be enrolled in the study. They will be randomized 1:1 to either surgery with posterior fixation or non-surgical treatment. The study is pragmatical in its approach, i.e., the treating physician can decide on details of the surgical treatment as well as details of the non-surgical treatment. In non-surgically treated patients brace treatment is not required, but a hyperextension brace may be offered. The subjects will be followed with patient reported outcomes, clinical assessments, and radiological assessments. Data will be collected from questionnaires, patient files or national registers to compare sick leave, medical complications, pharmaceutical prescriptions and overall costs for each treatment. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05003180
Study type Interventional
Source Uppsala University
Contact Simon Blixt, MD
Phone +46702518628
Email simon.blixt@akademiska.se
Status Recruiting
Phase N/A
Start date September 1, 2021
Completion date December 31, 2036

See also
  Status Clinical Trial Phase
Completed NCT02827214 - Thoracolumbar Burst Fractures Study Comparing Surgical Versus Non-surgical Treatment
Recruiting NCT06059820 - Effectiveness of Conservative Treatment in Patients With Thoracic and Lumbar Fractures Without Neurological Deficit
Recruiting NCT01864785 - Comparison of Posterior Fixation Alone and Combined With Articular Process Fusion in Thoracolumbar Burst Fractures N/A