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

Odontoid Fracture Clinical Trial

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

Status Enrolling by invitation

Clinical Trial 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 hypothesis that surgical treatment will result in improved functional outcome measures, neck pain and mortality rates as compared with nonsurgical management. Furthermore, it is hypothesized that surgical treatment of odontoid process fractures will limit hospital re-admissions and development of medical complications secondary to prolonged immobilization in a cervical orthosis and delayed surgery related to late fracture displacement, which are often associated with non-operative care. Additionally, data from this study will be useful in identifying patient-specific predictors of improved outcome which can be used to optimize treatment algorithms and more effectively counsel patients who sustain these injuries.

Clinical Trial Description

n/a

Related Conditions & MeSH terms

• Fractures, Bone
• Odontoid Fracture

• NCT number: NCT03788200
• Study type: Interventional
• Source: Rothman Institute Orthopaedics
• Status: Enrolling by invitation
• Phase: N/A
• Start date: June 14, 2018
• Completion date: October 2020