Recruiting

Cervical Myelopathy

Sponsor:

Indiana University

Code:

NCT06893406

Conditions

Cervical Myelopathy

Hip Fractures

Eligibility Criteria

Sex: All

Age: 50+

Healthy Volunteers: Not accepted

Interventions

Cervical MRI

History & Physical Exam

Study Details

Brief summary:

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.

Conditions

Cervical Myelopathy

Hip Fractures

Study ID

NCT06893406

Start date

May 1, 2025

Status verified date

May, 2026

Completion date

Jul 30, 2026

Anticipated

Primary completion date

Jul 30, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 50+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • 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.

Exclusion Criteria:

  • Neurologic or cognitive disorder explaining the fall (dementia, Parkinson's disease, delirium, etc.)
  • Syncopal fall or fall caused by stroke or a heart condition

Study Design

Enrollment

75 participants

Anticipated

Intervention Model

Sequential

Primary purpose

Diagnostic

Interventions and Outcome Measures

Arms

experimental: Evaluation for Cervical Myelopathy

Hip fracture patients who agree to participate will undergo a history and physical exam to specifically evaluate for clinical signs or symptoms of cervical myelopathy. If the history and physical exam is positive for such symptoms, a cervical MRI will be scheduled as part of standard care to further evaluate for this diagnosis. If the history and physical exam is negative for such symptoms, further clinical evaluation for this condition will not occur.

Interventions

Cervical MRI

Participants whose history and physical exam indicate signs or symptoms of cervical myelopathy will be scheduled for a cervical MRI.

History & Physical Exam

A history and physical exam to evaluate for specific signs and symptoms of cervical myelopathy will be performed.

Primary outcome measure

  • Detection of cervical myelopathy on history and physical exam [ Time Frame: Once, at time of enrollment ]
  • Diagnosis of cervical myelopathy on cervical MRI [ Time Frame: Once, prior to hospital discharge ]

Central Contacts and Locations

Central contacts

Zachary J Gunderson, MD

2193215850zgunders@iu.edu

Rowan Flynn, MD

8082641713

Locations

Indiana University North Hospital

Recruiting

Fishers, Indiana, United States, 46032

Contacts

Zachary Gunderson, MD

219-321-5850zgunders@iu.edu

Eskenazi Hospital

Recruiting

Indianapolis, Indiana, United States, 46202

Contacts

Zachary Gunderson, MD

219-321-5850zgunders@iu.edu

Indiana University Health Methodist Hospital

Recruiting

Indianapolis, Indiana, United States, 46202

Contacts

Zachary Gunderson, MD

219-321-5850zgunders@iu.edu

More Information

Sponsor

Indiana University

Last update posted

May 28, 2026

Last verified

May, 2026

Keywords

  • Hip fracture
  • Cervical myelopathy

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Indiana University on 2026-05-28.