Trial Outcomes & Findings for Measurements of Angulation of the C-spine (NCT NCT03958149)

NCT ID: NCT03958149

Last Updated: 2021-09-05

Results Overview

Comparison of the measurements of angulation of the neck (assessed on MRI imaging) in the young person compared to the older person. Statistical analysis to allow comparison of groups.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

38 participants

Primary outcome timeframe

Baseline MRI image, approximately 30 minutes and second MRI image (with collar on), after one hour of wearing collar.

Results posted on

2021-09-05

Participant Flow

Participant milestones

Participant milestones
Measure
Young Group Aged 18-30 Years
Participants will undergo MRI scans in and out a spinal collar to assess whether the measurements of angulation of the C-spine change whilst wearing a spinal collar. Spinal collar: cervical collar to immobilise the cervical spine
Older Group Aged 70 Years and Over
Participants will undergo MRI scans in and out a spinal collar to assess whether the measurements of angulation of the C-spine change whilst wearing a spinal collar. Spinal collar: cervical collar to immobilise the cervical spine
Overall Study
STARTED
20
18
Overall Study
COMPLETED
20
17
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Young Group Aged 18-30 Years
Participants will undergo MRI scans in and out a spinal collar to assess whether the measurements of angulation of the C-spine change whilst wearing a spinal collar. Spinal collar: cervical collar to immobilise the cervical spine
Older Group Aged 70 Years and Over
Participants will undergo MRI scans in and out a spinal collar to assess whether the measurements of angulation of the C-spine change whilst wearing a spinal collar. Spinal collar: cervical collar to immobilise the cervical spine
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Young Group Aged 18-30 Years
n=20 Participants
Participants aged 18-30 years will undergo MRI scans in and out a spinal collar to assess whether the measurements of angulation of the C-spine change whilst wearing a spinal collar. Spinal collar: cervical collar to immobilise the cervical spine
Older Group Aged 70 Years and Over
n=18 Participants
Participants aged 70 years and older will undergo MRI scans in and out a spinal collar to assess whether the measurements of angulation of the C-spine change whilst wearing a spinal collar. Spinal collar: cervical collar to immobilise the cervical spine
Total
n=38 Participants
Total of all reporting groups
Age, Continuous
25.3 years
n=20 Participants
77.3 years
n=18 Participants
51.8 years
n=38 Participants
Sex: Female, Male
Female
10 Participants
n=20 Participants
8 Participants
n=18 Participants
18 Participants
n=38 Participants
Sex: Female, Male
Male
10 Participants
n=20 Participants
10 Participants
n=18 Participants
20 Participants
n=38 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United Kingdom
20 participants
n=20 Participants
18 participants
n=18 Participants
38 participants
n=38 Participants
Visual analogue scale of pain
0.75 units on a scale
n=20 Participants
0.87 units on a scale
n=18 Participants
0.81 units on a scale
n=38 Participants

PRIMARY outcome

Timeframe: Baseline MRI image, approximately 30 minutes and second MRI image (with collar on), after one hour of wearing collar.

Comparison of the measurements of angulation of the neck (assessed on MRI imaging) in the young person compared to the older person. Statistical analysis to allow comparison of groups.

Outcome measures

Outcome measures
Measure
Measurements of Angulation of the Young Group Neck (C-spine)
n=20 Participants
Baseline angles: Total lordosis angle, Upper cervical lordosis angle, Lower cervical lordosis angle, T1 slope angle, Neck tilt angle, Thoracic inlet angle and the Individual vertebral angles from C1 to T2.
Measurements of Angulation of the Older Group Neck (C-spine)
n=17 Participants
Baseline angles: Total lordosis angle, Upper cervical lordosis angle, Lower cervical lordosis angle, T1 slope angle, Neck tilt angle, Thoracic inlet angle and the Individual vertebral angles from C1 to T2.
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Total lordosis angle
10.6 degrees
Standard Deviation 8.7
21.6 degrees
Standard Deviation 11.9
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Upper cervical lordosis angle
5.5 degrees
Standard Deviation 4.0
4.1 degrees
Standard Deviation 3.5
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Lower cervical lordosis angle
9.9 degrees
Standard Deviation 6.9
18.7 degrees
Standard Deviation 11.7
Measurements of Angulation of the Neck (C-spine) on MRI Scans
T1 slope angle
62.4 degrees
Standard Deviation 5.6
54.6 degrees
Standard Deviation 9.5
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Neck tilt angle
44.0 degrees
Standard Deviation 10.3
52.8 degrees
Standard Deviation 13.5
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Thoracic inlet angle
106.4 degrees
Standard Deviation 10.9
107.4 degrees
Standard Deviation 20.1
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of C1
0.5 degrees
Standard Deviation 11.3
0.2 degrees
Standard Deviation 6.2
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of C2
1.5 degrees
Standard Deviation 7.0
-1.0 degrees
Standard Deviation 4.6
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of C3
-1.3 degrees
Standard Deviation 6.1
-0.6 degrees
Standard Deviation 3.5
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of C4
-2.4 degrees
Standard Deviation 7.1
-1.4 degrees
Standard Deviation 3.8
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of C5
-2.2 degrees
Standard Deviation 8.8
-1.3 degrees
Standard Deviation 4.0
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of C6
-0.9 degrees
Standard Deviation 9.7
-4.5 degrees
Standard Deviation 2.9
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of C7
-1.3 degrees
Standard Deviation 10.9
-5.0 degrees
Standard Deviation 6.2
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of T1
-0.3 degrees
Standard Deviation 9.5
-5.6 degrees
Standard Deviation 6.5
Measurements of Angulation of the Neck (C-spine) on MRI Scans
Individual vertebral angle of T2
-0.9 degrees
Standard Deviation 11.1
-3.8 degrees
Standard Deviation 7.0

SECONDARY outcome

Timeframe: Baseline MRI image, approximately 30 minutes and second MRI image (with collar on), after one hour of wearing collar.

Comparison of the degree of change of measurements of angulation of the neck from MRI scans of a young persons neck (C-spine) in and out of a spinal collar to those of an older persons neck (C-spine) in and out of a spinal collar on MRI imaging. Statistical analysis to allow comparison of groups.

Outcome measures

Outcome measures
Measure
Measurements of Angulation of the Young Group Neck (C-spine)
n=20 Participants
Baseline angles: Total lordosis angle, Upper cervical lordosis angle, Lower cervical lordosis angle, T1 slope angle, Neck tilt angle, Thoracic inlet angle and the Individual vertebral angles from C1 to T2.
Measurements of Angulation of the Older Group Neck (C-spine)
n=17 Participants
Baseline angles: Total lordosis angle, Upper cervical lordosis angle, Lower cervical lordosis angle, T1 slope angle, Neck tilt angle, Thoracic inlet angle and the Individual vertebral angles from C1 to T2.
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of C1
0.14 degrees
Standard Deviation 0.16
0.12 degrees
Standard Deviation 10.80
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of C2
0.11 degrees
Standard Deviation 0.15
0.73 degrees
Standard Deviation 9.24
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of C3
0.1 degrees
Standard Deviation 0.2
4.8 degrees
Standard Deviation 7.7
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of C4
0.2 degrees
Standard Deviation 0.1
10.7 degrees
Standard Deviation 6.1
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of C5
0.2 degrees
Standard Deviation 0.1
14.7 degrees
Standard Deviation 7.1
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of C6
0.2 degrees
Standard Deviation 0.1
15.9 degrees
Standard Deviation 6.9
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of C7
0.2 degrees
Standard Deviation 0.1
18.7 degrees
Standard Deviation 8.9
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of T1
0.2 degrees
Standard Deviation 0.1
16.5 degrees
Standard Deviation 9.4
The Degree of Change in Measurements of Angulation of the Neck (C-spine) on MRI Scans Whilst Wearing a Spinal Collar Compared to When Not Wearing a Spinal Collar.
Individual vertebral angles of T2
0.2 degrees
Standard Deviation 0.1
16.1 degrees
Standard Deviation 11.9

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, approximately 30 minutes and after wearing a collar for one hour

Comfort after one hour of wearing a spinal collar measured by the 'Visual Analogue Scale' for pain (self reported: minimum 0=no pain at all, maximum 10= worst pain imaginable)

Outcome measures

Outcome measures
Measure
Measurements of Angulation of the Young Group Neck (C-spine)
n=20 Participants
Baseline angles: Total lordosis angle, Upper cervical lordosis angle, Lower cervical lordosis angle, T1 slope angle, Neck tilt angle, Thoracic inlet angle and the Individual vertebral angles from C1 to T2.
Measurements of Angulation of the Older Group Neck (C-spine)
n=17 Participants
Baseline angles: Total lordosis angle, Upper cervical lordosis angle, Lower cervical lordosis angle, T1 slope angle, Neck tilt angle, Thoracic inlet angle and the Individual vertebral angles from C1 to T2.
Level of Comfort in and Out of a Spinal Collar.
2.91 units on a scale
Interval 0.0 to 8.7
1.35 units on a scale
Interval 0.0 to 5.7

Adverse Events

Young Group Aged 18-30 Years

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Older Group Aged 70 Years and Over

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Key investigator

Imperial College Healthcare NHS Trust

Phone: 02033121077

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place