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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 :
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:
Follow-up à 3 and 12 months : dead vs alive ; accomodation ; autonomy ; new fracture
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| observational | Other | describe bone status and outcome of odontoid fracture |
| Measure | Description | Time Frame |
|---|---|---|
| bone status at the time of odontoid fracture: bone mineral density, prevalent osteoporotic fracture, vitamin D status | clinical risk factor of osteoporosis, prevalent clinical osteoporotic fracture, bone mineral density measured by DXA, vertebral fracture assessment to detect other vertebral fracture, serum concentration in 25OHvitamin D | from date of inclusion until to 3 weeks after the event. Inclusion will be proposed within 2 weeks after the fracture |
| Measure | Description | Time Frame |
|---|---|---|
| mortality | mortality after odontoid fracture during hospitalization and at 3 and 12 monts | during hospitalization - 3 and 12 months after inclusion |
| morbidity | incident osteoporotic fracture, adverse event such as infection, cardiovascular event, neurological event |
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Inclusion Criteria:
Exclusion Criteria:
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all patients over 65 y admitted for low traumat odontoid fracture
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| Name | Affiliation | Role |
|---|---|---|
| veronique breuil, MD, PhD | Centre Hospitalier Universitaire de Nice | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU | Nice | 06000 | France |
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| ID | Term |
|---|---|
| D010024 | Osteoporosis |
| ID | Term |
|---|---|
| D001851 | Bone Diseases, Metabolic |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
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| ID | Term |
|---|---|
| D057832 | Watchful Waiting |
| ID | Term |
|---|---|
| D017063 | Outcome Assessment, Health Care |
| D010043 | Outcome and Process Assessment, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
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| during hospitalization - 3 and 12 months after inclusion |
| loss of autonomy | lenght of hospital stay, type of discharge (home, nursing home, rehabilitation bed care, institutionalized accomodation | discharge, 3 and 12 months |
| D009750 |
| Nutritional and Metabolic Diseases |