Survival After Surgical Treatment of Axis Fractures in Elderly
NCT02839057 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 6231
Last updated 2017-05-19
Summary
Fractures of the second cervical vertebra (C2) are the most common spinal fracture among the elderly. Non-surgical treatment comprises of cervical collar treatment for 12 weeks, while surgical treatment for elderly could mean posterior fixation C1-C2 without collar treatment or anterior screw osteosynthesis C2 with 6 weeks of collar treatment. A meta-analysis of retrospective studies has recently found an improved survival with surgical treatment. This national registry study is designed to estimate the survival of non-surgical and surgical treatment in a population-based cohort.
Conditions
- Spinal Fractures
Interventions
- PROCEDURE
-
Non-surgical treatment
Cervical collar immobilisation for 12 weeks.
- PROCEDURE
-
Surgical treatment
Stabilisation of C2-fracture by posterior fusion C1-C2, posterior fusion C2-C3, anterior fusion C2-C3 (no postoperative collar) or anterior screw osteosynthesis C2 (postoperative collar for 6 weeks).
Sponsors & Collaborators
-
Uppsala University
lead OTHER
Eligibility
- Min Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-10-31
- Primary Completion
- 2016-12-31
- Completion
- 2016-12-31
More Related Trials
-
Thoracolumbar Burst Fractures Study Comparing Surgical Versus Non-surgical Treatment
NCT02827214 ·Status: COMPLETED
-
SCORE Study: Comparing Surgery and Rigid Collar Treatment for Odontoid Fractures in Adults Over 70
NCT06961578 ·Status: RECRUITING ·Phase: NA
-
Undisplaced Femoral Neck Fractures
NCT03392285 ·Status: COMPLETED
-
Surgical Outcome of Type II Odontoid Fracture, Harms Technique
NCT03768843 ·Status: COMPLETED ·Phase: NA
-
"The Length of Cervical Collar Treatment for Traumatic Sub-axial Fractures"
NCT02788760 ·Status: TERMINATED ·Phase: NA
-
Randomized, Controlled Trial of Posterior C1-2 Fusion Versus Bracing Alone for Treatment of Type II Odontoid Process Fractures in the Elderly
NCT03788200 ·Status: UNKNOWN ·Phase: NA
-
Surgical Treatment of the Thoracolumbar Spine Fractures.
NCT03316703 ·Status: UNKNOWN ·Phase: NA
-
Vertebroplasty and Kyphoplasty in Osteoporotic Vertebral Body Fractures.
NCT03682328 ·Status: UNKNOWN ·Phase: NA
-
A Retrospective Cohort Study About Surgical Efficacy for Lower Cervical Fractures in Ankylosing Spondylitis
NCT06873074 ·Status: COMPLETED
-
Prognostic Impact of Neopterin on Resumption of Walking After a Fracture of the Upper Neck of the Femur in the Elderly
NCT05233072 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Non-Operative Versus Operative Treatment for High-Energy Midshaft Clavicle Fractures
NCT00590850 ·Status: COMPLETED ·Phase: NA
-
Clinical Outcomes Following Glenoid Neck Fracture as Correlated With Quantitative Assessment of Osseous Injury
NCT00644813 ·Status: COMPLETED
-
Comparing Outcomes of Non-surgical Versus Surgical Treatment of Shoulder Fractures With Different Shoulder Replacements
NCT06444828 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Thoracic And Lumbar Burst Fracture: Correlation Between Structural Changes And Clinical Outcome Of Treatment
NCT02076607 ·Status: COMPLETED
-
Early Mobilization of Spiral Metacarpal Fractures Compared With Operative Treatment
NCT03067454 ·Status: COMPLETED ·Phase: NA
-
Minimally Displaced Femoral Neck Fracture Pilot Study
NCT05947058 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Conservative Versus Surgical Treatment of Impacted Femoral Neck Fracture in Patient 75 Years Old and Older
NCT04219943 ·Status: COMPLETED ·Phase: NA
-
Operative Versus Conservative Treatment of Scaphoid Fractures
NCT00205985 ·Status: COMPLETED ·Phase: PHASE4
-
Hemiarthroplasty Compared to Total Hip Arthroplasty for Displaced Femoral Neck Fractures in the Elderly-elderly
NCT02246335 ·Status: UNKNOWN ·Phase: NA
-
Conservative Treatment for Atlantoaxial Dislocation Patients Without Neurological Deficit
NCT06772311 ·Status: NOT_YET_RECRUITING
-
Cervical Myelopathy in Hip Fracture Patients
NCT06893406 ·Status: RECRUITING ·Phase: NA
-
Midterm (Min. 3yr) Follow-up of Patients With Single Spiral/Oblique Finger Metacarpal Fracture
NCT05869331 ·Status: COMPLETED ·Phase: NA
-
Conservative or Operative Treatment of Fractures in the Neck of the 5th Metacarpal Bone
NCT01139528 ·Status: COMPLETED ·Phase: NA
-
Cut-out of the Cervical Screw on Pertrochanteric Fractures
NCT04175548 ·Status: COMPLETED
-
Undisplaced Femoral Neck Fractures in the Elderly: A Trial Comparing Internal Fixation to Hemiarthroplasty
NCT01770769 ·Status: UNKNOWN ·Phase: NA