The Unstable Thoracic Cage Injury

NCT ID: NCT02514993

Last Updated: 2015-08-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

130 participants

Study Classification

OBSERVATIONAL

Study Start Date

2003-01-31

Study Completion Date

2014-12-31

Brief Summary

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* Analysis of patient data and computed tomography scan of polytraumatized patients thoracic spine fractures
* A concomitant sternal fracture was identified an indicator for an unstable thoracic spine fracture

Detailed Description

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Previous studies stated, that sternal fractures can be regarded as an indicator for thoracic spine fractures and described the combined injury pattern of thoracic spine fracture and sternal fracture as "upper thoracic cage injury". But literature research is lacking data that in patients with a thoracic cage injury a highly unstable thoracic spine fracture can be expected.

In a large cohort of 130 patients with a thoracic spine fracture and concomitant sternal fracture the investigators analyzed the injury pattern and evaluated associated injuries, trauma mechanism, and clinical outcome.

The investigators could prove that in patients with a thoracic cage injury the concomitant sternal fracture may be regarded as an indicator for an unstable thoracic spine fracture, which requires surgical stabilization. Furthermore the analysis revealed that even a highly rotationally unstable type C fracture has to be expected, if sternal and thoracic spine fractures are located in the same segment.

Conditions

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Thoracic Spine Fracture Concomitant Sternal Fracture

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Study group

Inclusion criteria for the study were (a) sternal fracture and concomitant thoracic spine fracture, (b) Injury Severity scale (ISS) ≥ 16, (c) age under 50 years, (d) presence of a whole body computed-tomography (CT-scan) performed at admission of the patient to the hospital.

No interventions assigned to this group

Control group

The inclusion criteria for the control group included: (a) Thoracic spine fracture without concomitant sternal fracture, (b) ISS ≥ 16, (c) age under 50 years, (d) presence of a whole body computed-tomography (CT-scan) performed at admission of the patient to the hospital.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Sternal fracture and concomitant thoracic spine fracture
* Injury Severity Scale ≥ 16
* Age under 50 years
* Presence of a whole body computed-tomography (CT-scan) performed at admission of the patient to the hospital

Exclusion Criteria

* Missing consent
* Incomplete patient data
Minimum Eligible Age

18 Years

Maximum Eligible Age

49 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BG Unfallklinik Murnau

OTHER

Sponsor Role lead

Responsible Party

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Dr. Mario Morgenstern

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mario Morgenstern, M.D.

Role: PRINCIPAL_INVESTIGATOR

Trauma Center Murnau

Other Identifiers

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10-2004-2013

Identifier Type: -

Identifier Source: org_study_id

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