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AOSpine subaxial cervical spine injury classification system - Spinal DISC Center | Kris Radcliff, MD | New Jersey
Dr. Kris Radcliff specializes in simplifying the management of complex spine conditions and traumatic spine injuries, focusing exclusively on spine surgery, with particular expertise in the area of artificial disc replacement. Dr. Radcliff is highly experienced, having performed more than 10,000 spine surgeries. He combines conservative decision-making judgment with state-of-the-art and minimally invasive surgical techniques, endoscopic spine surgery, and artificial disc replacement.
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AOSpine subaxial cervical spine injury classification system

Alexander R Vaccaro, John D Koerner, Kris E Radcliff, F Cumhur Oner, Maximilian Reinhold, Klaus J Schnake, Frank Kandziora, Michael G Fehlings, Marcel F Dvorak, Bizhan Aarabi, Shanmuganathan Rajasekaran, Gregory D Schroeder, Christopher K Kepler, Luiz R Vialle: AOSpine subaxial cervical spine injury classification system. In: Eur Spine J, vol. 25, no. 7, pp. 2173–2184, 2016, ISSN: 1432-0932.

Abstract

PURPOSE: This project describes a morphology-based subaxial cervical spine traumatic injury classification system. Using the same approach as the thoracolumbar system, the goal was to develop a comprehensive yet simple classification system with high intra- and interobserver reliability to be used for clinical and research purposes.

METHODS: A subaxial cervical spine injury classification system was developed using a consensus process among clinical experts. All investigators were required to successfully grade 10 cases to demonstrate comprehension of the system before grading 30 additional cases on two occasions, 1 month apart. Kappa coefficients (κ) were calculated for intraobserver and interobserver reliability.

RESULTS: The classification system is based on three injury morphology types similar to the TL system: compression injuries (A), tension band injuries (B), and translational injuries (C), with additional descriptions for facet injuries, as well as patient-specific modifiers and neurologic status. Intraobserver and interobserver reliability was substantial for all injury subtypes (κ = 0.75 and 0.64, respectively).

CONCLUSIONS: The AOSpine subaxial cervical spine injury classification system demonstrated substantial reliability in this initial assessment, and could be a valuable tool for communication, patient care and for research purposes.

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BibTeX (Download)

@article{pmid25716661,
title = {AOSpine subaxial cervical spine injury classification system},
author = {Alexander R Vaccaro and John D Koerner and Kris E Radcliff and F Cumhur Oner and Maximilian Reinhold and Klaus J Schnake and Frank Kandziora and Michael G Fehlings and Marcel F Dvorak and Bizhan Aarabi and Shanmuganathan Rajasekaran and Gregory D Schroeder and Christopher K Kepler and Luiz R Vialle},
doi = {10.1007/s00586-015-3831-3},
issn = {1432-0932},
year  = {2016},
date = {2016-07-01},
urldate = {2016-07-01},
journal = {Eur Spine J},
volume = {25},
number = {7},
pages = {2173--2184},
abstract = {PURPOSE: This project describes a morphology-based subaxial cervical spine traumatic injury classification system. Using the same approach as the thoracolumbar system, the goal was to develop a comprehensive yet simple classification system with high intra- and interobserver reliability to be used for clinical and research purposes.

METHODS: A subaxial cervical spine injury classification system was developed using a consensus process among clinical experts. All investigators were required to successfully grade 10 cases to demonstrate comprehension of the system before grading 30 additional cases on two occasions, 1 month apart. Kappa coefficients (κ) were calculated for intraobserver and interobserver reliability.

RESULTS: The classification system is based on three injury morphology types similar to the TL system: compression injuries (A), tension band injuries (B), and translational injuries (C), with additional descriptions for facet injuries, as well as patient-specific modifiers and neurologic status. Intraobserver and interobserver reliability was substantial for all injury subtypes (κ = 0.75 and 0.64, respectively).

CONCLUSIONS: The AOSpine subaxial cervical spine injury classification system demonstrated substantial reliability in this initial assessment, and could be a valuable tool for communication, patient care and for research purposes.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
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