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Completed

NCT Number: NCT02514993

The Unstable Thoracic Cage Injury

* 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

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Key information

Conditions

Thoracic Spine Fracture Concomitant Sternal Fracture

Age range

18 year–49 year

Sex eligibility

All sexes

Study type

Observational

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Sternal fracture and concomitant thoracic spine fracture
  • Injury Severity Scale ≥ 16
  • Age under 50 years
  • Presence of a whole body computed-tomography (CT-scan) performed at admission of the patient to the hospital

Exclusion criteria

  • Missing consent
  • Incomplete patient data

Treatment and study plan

Primary outcomes

  1. Survival

    Time frame: 1 year after trauma

    Patient survival after polytraumatization

Sponsors and collaborators

Lead sponsor

BG Unfallklinik Murnau

Other

Registry information

Official study title

The Unstable Thoracic Cage Injury: The Concomitant Sternal Fracture Indicates a Severe Thoracic Spine Fracture

Important dates

Study start
2003
Primary completion
2013
Study completion
2014
First posted
Aug 4, 2015
Registry last updated
Aug 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.

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