Anterior Screw Fixation Versus Halo Immobilization of Type II Odontoid Fractures in Geriatric Patients With Increased Anesthesia Risk

The management of type II odontoid fractures in geriatric trauma victims remains a source of substantial controversy. The purpose of this study was to compare anterior screw fixation with halo-vest-immobilization in patients with type II odontoid fractures.

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Key information

Conditions

Spinal Fractures Back Injuries Fractures, Bone Spinal Injuries Wounds and Injuries

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

patients aged 65 years or older with an ASA (= American society of anesthesiologists) score of 2 or higher
complete sets of collected data and a follow-up monitoring of at least five years

Exclusion criteria

type III odontoid fractures
patients with incomplete data sets
patients with penetrating mechanism of injury or congenital cervical spine anomalies

Treatment and study plan

ANTERIOR SCREW FIXATION

Other

Patients aged 65 years or older with an ASA score of 2 or higher who had undergone anterior screw fixation of type II odontoid fractures

HALOV VEST IMMOBILIZATION

Other

Patients aged 65 years or older with an ASA score of 2 or higher who had undergone halo immobilization of type II odontoid fractures

Primary outcomes

neurological deficits

Time frame: at least 60 months follow up

Neurologic deficits measured including the CSOQ (Cervical Spine Outcome Questionnaire) before and after surgery as well as compared in both procedure groups
radiographic outcome (documentation of boney union)

Time frame: at least 60 months follow up

documentation of boney union compared in both procedure groups

Sponsors and collaborators

Lead sponsor

Medical University of Vienna

Other

Registry information

Important dates

Study start: 2008
Primary completion: 2014
First posted: May 4, 2015
Registry last updated: May 4, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed