The goal of this double blinded randomized control trial is to learn if percutaneous cryoablation of traumatic rib fractures improves outcomes. The main questions it aims to answer are:
Does percutaneous cryoablation improve short and long term pain scores? Does percutaneous cryoablation improve short and long term respiratory mechanics? Does percutaneous cryoablation improve long term quality of life? Does percutaneous cryoablation decrease delirium?
Researchers will compare cryoablation to standard multimodal pain therapy to see if this impacts respiratory recovery.
Participants will undergo randomization, percutaneous cryoablative procedure, and participate in tests at pre-determined intervals to evaluate their pulmonary recovery.
> 18 years old
> 2 rib fractures
Verbal Pain score > 5
Incentive Spirometry < 60% of predicted
Isolated Fractures of Ribs 1-3 and/or 10-12
Posterior Rib Fracture < 4 cm from costovertebral joint
Sternal, Clavicle, Scapula Fracture
Thoracic Spinal Fracture of any type