Comparative Analysis of Posterior C1-C2 Fixation With and Without Fusion for Unstable Odontoid Fractures

Comparative Analysis of Posterior C1-C2 Fixation with and without Fusion for Unstable Odontoid Fractures: An Ambidirectional Cohort Study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR202512769995406

Enrollment

Registered

2025-12-02

Start date

2026-01-01

Completion date

Unknown

Last updated

2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Musculoskeletal Diseases Surgery Orthopaedics

Interventions

Posterior C1 C2 fixation with and without fusion

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Patients with Type IIC odontoid fractures Patients with Type IIA and IIB odontoid fractures not reducible by anterior approach Patients with complex Type III odontoid fractures

Exclusion criteria

Exclusion criteria: Patients unavailable for 6 months follow-up Patients refusing participation

Design outcomes

Primary

Measure	Time frame
Fracture healing as confirmed by CT scan at 6-9 months postoperatively	—

Secondary

Measure	Time frame
C1-C2 range of motion (measured after hardware removal), functional status (Neck Disability Index, Visual Analog Scale for pain, SF-36 quality of life, AO Spine PROST), and incidence of complications (nonunion, infection, neurological deterioration, hardware failure)	—

Countries

Egypt

Contacts

Public ContactMohamed Gamal

Assiut University

m.gamal@aun.edu.eg+201001843084

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026