Comparing Surgical to Conservative Management in the Treatment of Type II Odontoid Fractures Among the Elderly
Status: | Completed |
---|---|
Conditions: | Orthopedic |
Therapuetic Areas: | Orthopedics / Podiatry |
Healthy: | No |
Age Range: | 65 - Any |
Updated: | 5/3/2014 |
Start Date: | January 2006 |
End Date: | March 2012 |
Contact: | Branko Kopjar, MD |
Email: | brankok@u.washington.edu |
Phone: | 206-221-3349 |
Phase 4 Study Comparing Surigcal to Conservative Management of Type 2 Odontoid Fractures
The purpose of this study is to compare the safety and effectiveness of surgical versus
conservative management of type II odontoid fractures among patients >/= 65 years of age. Of
secondary interest is to determine if there are differences in outcomes between anterior
screw fixation and posterior fusion of these fractures.
conservative management of type II odontoid fractures among patients >/= 65 years of age. Of
secondary interest is to determine if there are differences in outcomes between anterior
screw fixation and posterior fusion of these fractures.
Inclusion Criteria:
- All new type II odontoid fractures including < those in which the fracture line
crosses into the body of C2 < as long as it doesn't enter the superior articular
process of C2
- Age 65+
- Stable and unstable fractures
- < 3 months postinjury
- No previous treatment for an odontoid fracture
Exclusion Criteria:
- Pathologic fractures unrelated to osteoporosis
- Severe dementia or other severe mental health problem if there is no consentable
surrogate available
- Participating in other trials or unlikely to attend follow-ups
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