Condition: Odontoid Fracture · Elderly · Sponsor: Technical University of Munich
The goal of this clinical trial is to compare two treatment options-surgery or rigid collar bracing-for unstable neck fractures (odontoid fractures) in adults aged 70 years and older. These fractures are common in older adults and can significantly impact mobility, independence, and quality of life. There is currently no clear evidence to determine which treatment is better for this population. The main questions it aims to answer are: * Does surgery or conservative collar treatment lead to better improvement in daily living, measured by the Barthel Index, after 12 weeks? * What are the differences in pain, disability, and quality of life between the two treatments? The study team will compare patients who receive surgical stabilization with those who are treated with a rigid cervical collar to see which approach supports better functional outcomes and healing. Participants will: * be randomly assigned to either surgery (posterior C1-C2 screw-rod fixation) or conservative collar treatment * attend study visits at 12 weeks and 6 months * complete questionnaires on daily functioning, pain, and quality of life * undergo CT scans and other medical assessments * record collar use (for conservative group) in a diary * be monitored for any complications or changes in treatment (including crossover to surgery if needed) The study aims to include 322 participants to provide evidence on which treatment helps older adults recover better from odontoid fractures with fewer complicati…
This description comes directly from the study's public registry record.
Maria Wostrack, Prof. Dr. · +498941405386 · Maria.wostrack@tum.de
Arthur Wagner, PD Dr. · +498941409619 · arthur.wagner@tum.de
Always discuss trial participation with your own doctor first.
| LMU University Hospital | Munich, Bavaria, Germany | Not Yet Recruiting |
| Center for Spinal Surgery and Neurotraumatology, Berufsgenossenschaftliche Unfallklinik | Frankfurt am Main, Hesse, Germany | Not Yet Recruiting |
| Charité University Hospital Berlin | Berlin, State of Berlin, Germany | Recruiting |
| Department of Neurosurgery, RWTH Aachen University | Aachen, Germany | Not Yet Recruiting |
| Department of Neurosurgery and Spine Center, HELIOS Hospital Berlin Buch | Berlin, Germany | Not Yet Recruiting |
| Department of Orthopaedic and Traumatology, University of Cologne | Cologne, Germany | Not Yet Recruiting |
| Department of Orthopedics, Medical University at Dresden | Dresden, Germany | Not Yet Recruiting |
| Department of Neurosurgery and Spine Surgery, University Hospital Essen | Essen, Germany | Not Yet Recruiting |
| Department of Neurosurgery, University Medical Center Göttingen | Göttingen, Germany | Not Yet Recruiting |
| Department of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle | Halle, Germany | Not Yet Recruiting |
| Department of Neurosurgery, University Hospital Heidelberg | Heidelberg, Germany | Not Yet Recruiting |
| Department of Neurosurgery, University Hospital of Lausitz | Lausitz, Germany | Recruiting |
+ 4 more locations — full list on the registry record.
Get one email when the public record changes — results posted, or the study's status changes. Nothing else, ever.
We email about this public record only. Unsubscribe anytime with one click. Never medical advice.
This page is independently generated by Eichor from the public ClinicalTrials.gov record and re-synced daily. It is not the sponsor's official website unless claimed. Nothing here is medical advice; eligibility is always determined by the study team — talk to your own doctor first.
Source record: clinicaltrials.gov/study/NCT06961578