"The Length of Cervical Collar Treatment for Traumatic Sub-axial Fractures"

NCT ID: NCT02788760

Last Updated: 2020-03-09

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

TERMINATED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2018-04-30

Brief Summary

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Most fractures of the cervical spine are considered stable and treated with a rigid cervical collar. However no studies have to date been published addressing the length of treatment. There seems to be a significant dissimilarity between hospitals within and between countries with the length of collar treatment varying from 6 to 12 weeks. At the neurosurgical department at Oslo University Hospital, Ullevål the standard length of treatment for a stable cervical fracture is 12 weeks. This study seeks to establish whether 6 weeks of collar treatment for a specific subtype of stable fractures in the cervical spine is sufficient.

Detailed Description

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The investigators will include 150 patients with a stable cervical fractures of vertebra C3-C7 with a Subaxial Cervical Spine Injury Severity (SLIC) Score 1-3 and randomize them in to two similar groups. One group will be treated with a cervical collar for 6 weeks and the other group will be treated for 12 weeks. There will be a clinical check up and a CT scan at 1, 6, 12 and 26 weeks after the initial injury. The investigators will compare the results between the two groups when it comes to fracture healing (CT based), level of function, pain and the length of sick leave with a total of 6 months of follow up.

Conditions

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Collar Treatment of Stable Subaxial Spine Fractures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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6 weeks

This group of patients will be treated for 6 weeks with a cervical collar (Miami J collar - Össur)

Group Type OTHER

Cervical collar (Miami J collar - Össur)

Intervention Type DEVICE

The two groups of patients will similar in every way and will be treated with the same type of cervical collar - the only difference will be the length of treatment

12 weeks

This group of patients will be treated for 12 weeks with a cervical collar ( (Miami J collar - Össur)

Group Type OTHER

Cervical collar (Miami J collar - Össur)

Intervention Type DEVICE

The two groups of patients will similar in every way and will be treated with the same type of cervical collar - the only difference will be the length of treatment

Interventions

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Cervical collar (Miami J collar - Össur)

The two groups of patients will similar in every way and will be treated with the same type of cervical collar - the only difference will be the length of treatment

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with a newly diagnosed (within 5 days of injury) fracture in vertebra C3-C7 with SLIC score 1-3
* Patients must be abel to give their consent to participate in the study

Exclusion Criteria

* Unstable cervical fractures in need of surgery
* SLIC score \>3
* Fractures of the spinous process and the transverse process in the cervical spine
* Stable fractures in in the C3-C7 vertebra combined with fractures of the C0-C2 vertebra
* Pathological fractures in the cervical spine
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Christina Høstmælingen

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christina T. Høstmælingen, MD

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital

Locations

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Neurosurgical department, Oslo university hospital, Ullevål

Oslo, , Norway

Site Status

Countries

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Norway

Other Identifiers

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2016/332

Identifier Type: -

Identifier Source: org_study_id

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