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Neck fracture showdown: surgery or brace for seniors?

NCT ID NCT06961578

Disease control Sponsor: Technical University of Munich Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study looks at two ways to treat a specific type of neck fracture (odontoid fracture) in people aged 70 and older. Participants will be randomly assigned to either surgery or wearing a rigid neck collar. The goal is to see which treatment helps them recover better in daily activities, pain, and quality of life over 12 weeks and 6 months.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 322 people

The number the study aims to enrol. It can still change while the study runs.

Started

Aug 2025

Expected to finish

Jun 2028

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

70 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * At least 70 years old * Acute unstable OFs (types II, III as classified by Anderson and d'Alonzo, and atypical) * Less than two weeks post injury * Written informed consent Exclusion Criteria: * Previous treatment for odontoid fracture * Concomitant fractures of the subaxial cervical spine necessitating surgery * Significant comorbidity resulting in inoperability of the patient: i.e. ASA score \> 4 * Neurological compromise due to displaced fracture

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Conditions

The condition(s) this trial relates to.

atlanto-axial fusion

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Elderly Odontoid fracture

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    16 sites. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • BG Trauma Centre, Eberhard Karls University of Tuebingen

    NOT_YET_RECRUITING

    Tübingen, Germany

  • Center for Spinal Surgery and Neurotraumatology, Berufsgenossenschaftliche Unfallklinik

    NOT_YET_RECRUITING

    Frankfurt am Main, Hesse, 60389, Germany

  • Charité University Hospital Berlin

    RECRUITING

    Berlin, State of Berlin, 10117, Germany

  • Department of Neurosurgery and Spine Center, HELIOS Hospital Berlin Buch

    NOT_YET_RECRUITING

    Berlin, Germany

  • Department of Neurosurgery and Spine Surgery, University Hospital Essen

    NOT_YET_RECRUITING

    Essen, Germany

  • Department of Neurosurgery, RWTH Aachen University

    NOT_YET_RECRUITING

    Aachen, Germany

  • Department of Neurosurgery, University Hospital Heidelberg

    NOT_YET_RECRUITING

    Heidelberg, Germany

  • Department of Neurosurgery, University Hospital of Lausitz

    RECRUITING

    Lausitz, Germany

  • Department of Neurosurgery, University Medical Center Göttingen

    NOT_YET_RECRUITING

    Göttingen, Germany

  • Department of Orthopaedic and Traumatology, University of Cologne

    NOT_YET_RECRUITING

    Cologne, Germany

  • Department of Orthopaedics, Trauma Surgery and Plastic Surgery, University of Leipzig

    NOT_YET_RECRUITING

    Leipzig, Germany

  • Department of Orthopedics, Medical University at Dresden

    NOT_YET_RECRUITING

    Dresden, Germany

  • Department of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle

    NOT_YET_RECRUITING

    Halle, Germany

  • LMU University Hospital

    NOT_YET_RECRUITING

    Munich, Bavaria, 81377, Germany

  • Spine Center, St. Josefs-Hospital Wiesbaden

    NOT_YET_RECRUITING

    Wiesbaden, Germany

  • Spine Surgery, Orthopedic Hospital Markgröningen GmbH

    NOT_YET_RECRUITING

    Markgröningen, Germany

More trials for these conditions

Other studies related to the condition(s) this trial covers.