Thoracolumbar Burst Fractures Study Comparing Surgical Versus Non-surgical Treatment
NCT02827214 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 213
Last updated 2023-01-31
Summary
Thoracolumbar (TL) burst fractures in neurologically intact patients account for approximately 45% of all TL spine injuries. Despite being common fractures, there is significant variability in treatment recommendations encompassing surgery and non-surgical treatment options. The controversy regarding optimal treatment for these injuries is fueled by several studies which suggest a potential benefit to surgical treatment in the realm of patient satisfaction, and the overall socio-economic burden of treatment while other studies demonstrate improved outcomes and lower morbidity with non-surgical treatment. This study aims to perform a prospective cohort analysis investigating the clinical outcome of various treatment alternatives for patients with A3/A4 fractures in the thoracolumbar region. A cost-effectiveness analysis will also be performed to identify costs and benefits of each treatment option. More specifically a sub-group analysis will be performed for this group of patients, which have equipoise in regards to patients treatment, as decided by a blinded review panel.
Conditions
- Thoracolumbar Burst Fracture
Sponsors & Collaborators
-
AO Foundation, AO Spine
collaborator OTHER -
AO Innovation Translation Center
lead OTHER
Principal Investigators
-
Marcel Dvorak, MD · Vancouver General Hospital
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-10-31
- Primary Completion
- 2021-12-31
- Completion
- 2021-12-31
Countries
- United States
- Australia
- Canada
- Egypt
- Greece
- India
- Netherlands
- Romania
- Spain
- Switzerland
Study Locations
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