Characteristics and Outcomes of Odontoid Fragility Fractures in Elderly (FOOP)

June 10, 2016 updated by: Centre Hospitalier Universitaire de Nice

Usually, cervical spine fractures are not considered as osteoporotic fractures. However, recent studies show that odontoid fractures are the most common fractures of the cervical spine in elderly and may occur in a context of low trauma energy. Thus, the goal of this observationnal study is :

  • to describe the different type of odontoid fracture and to characterize bone status in elderly patient (>65 y) who underwent odontoid fracture in a context of low trauma energy.
  • To describe short and long term outcomes

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

All patients over 65 y admitted for low trauma odontoid fracture will be consecutively included in the study after informed consent. The investigators will record:

  • clinical risk factor of osteoporosis and health habits including accomodation
  • type of fracture and characterization of the odontoid fracture on imaging (standard X ray / MRI / QCT)
  • Bone status : bone mineral density on DXA, lab tests for secondary osteoporosis check-up, previous vertebral fracture on VFA or X ray
  • osteoporosis managment : nutrition, vitamin D, anti-osteoporotic drugs
  • treatment of the fracture : surgical / non surgical
  • adverse event during hospitalization
  • lenght of hospital stay
  • type of discharge

Follow-up à 3 and 12 months : dead vs alive ; accomodation ; autonomy ; new fracture

Study Type

Observational

Enrollment (Anticipated)

30

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Nice, France, 06000
        • Recruiting
        • CHU
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years and older (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

all patients over 65 y admitted for low traumat odontoid fracture

Description

Inclusion Criteria:

  • all patients over 65 y admitted for low traumat odontoid fracture

Exclusion Criteria:

  • patient < 65 y
  • traumatic odontoid fracture

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
bone status at the time of odontoid fracture: bone mineral density, prevalent osteoporotic fracture, vitamin D status
Time Frame: from date of inclusion until to 3 weeks after the event. Inclusion will be proposed within 2 weeks after the fracture
clinical risk factor of osteoporosis, prevalent clinical osteoporotic fracture, bone mineral density measured by DXA, vertebral fracture assessment to detect other vertebral fracture, serum concentration in 25OHvitamin D
from date of inclusion until to 3 weeks after the event. Inclusion will be proposed within 2 weeks after the fracture

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
mortality
Time Frame: during hospitalization - 3 and 12 months after inclusion
mortality after odontoid fracture during hospitalization and at 3 and 12 monts
during hospitalization - 3 and 12 months after inclusion
morbidity
Time Frame: during hospitalization - 3 and 12 months after inclusion
incident osteoporotic fracture, adverse event such as infection, cardiovascular event, neurological event
during hospitalization - 3 and 12 months after inclusion
loss of autonomy
Time Frame: discharge, 3 and 12 months
lenght of hospital stay, type of discharge (home, nursing home, rehabilitation bed care, institutionalized accomodation
discharge, 3 and 12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Centre Hospitalier Universitaire de Nice

Investigators

  • Principal Investigator: veronique breuil, MD, PhD, Centre Hospitalier Universitaire de Nice

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2016

Primary Completion (Anticipated)

January 1, 2018

Study Completion (Anticipated)

December 1, 2018

Study Registration Dates

First Submitted

May 18, 2016

First Submitted That Met QC Criteria

June 10, 2016

First Posted (Estimate)

June 15, 2016

Study Record Updates

Last Update Posted (Estimate)

June 15, 2016

Last Update Submitted That Met QC Criteria

June 10, 2016

Last Verified

June 1, 2016

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CHU de Nice RHUM

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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