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

Completed
Conditions
Spinal Fractures
Registration Number
NCT02432495
Lead Sponsor
Medical University of Vienna
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
radiographic outcome (documentation of boney union)at least 60 months follow up

documentation of boney union compared in both procedure groups

neurological deficitsat 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

Secondary Outcome Measures
NameTimeMethod

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