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

Centre Hospitalier Universitaire de Nice

Status

Unknown

Conditions

Osteoporosis

Odontoid Fracture

Surgery

Treatments

Other: observational

Study type

Observational

Funder types

Other

Identifiers

NCT02800278

CHU de Nice RHUM

Details and patient eligibility

About

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

Full 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

Enrollment

30 estimated patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria