Cervical Myelopathy in Hip Fracture Patients
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50+
SponsorIndiana University
About this trial
Recent evidence has demonstrated a high rate of undiagnosed cervical myelopathy in patients presenting with hip fractures from a ground level fall. Identification and treatment of cervical myelopathy can help prevent falls and future fragility fractures. The purpose of this study is to screen ground level fall hip fracture patients for cervical myelopathy using a history, physical exam, and then offer an MRI if indicated.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient admitted to Eskenazi, Methodist, or IU North hospital for a hip fracture (femoral neck, intertrochanteric, subtrochanteric, or pertrochanteric fracture) that was caused by a ground level fall.
Disqualifiers
Neurologic or cognitive disorder explaining the fall (dementia, Parkinson's disease, delirium, etc.)
Syncopal fall or fall caused by stroke or a heart condition
Trial design
Design model
Sequential
Treatments tested in this trial
Cervical MRI
Diagnostic testParticipants whose history and physical exam indicate signs or symptoms of cervical myelopathy will be scheduled for a cervical MRI.
History & Physical Exam
Other interventionA history and physical exam to evaluate for specific signs and symptoms of cervical myelopathy will be performed.
Treatment groups
75 Participants
are divided into 1 treatment groupGroup A: Evaluation for Cervical MyelopathyExperimental treatment 2 interventions
Trial outcomes
Primary outcomes
1
Detection of cervical myelopathy on history and physical exam
The number of hip fracture participants whose history and physical exam positively demonstrate signs or symptoms of cervical myelopathy will be compared to the number of hip fracture participants whose history and physical exam do not demonstrate signs or symptoms of cervical myelopathy.
Time frame
Once, at time of enrollment2
Diagnosis of cervical myelopathy on cervical MRI
Hip fracture participants whose history and physical exam positively demonstrate signs or symptoms of cervical myelopathy will be referred for a cervical MRI, to occur prior to hospital discharge. The number of participants whose cervical MRI confirms this diagnosis will be compared to the number of participants for whom cervical MRI does not confirm this diagnosis.
Time frame
Once, prior to hospital dischargeSponsors and contacts
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Source ClinicalTrials.gov