AOSpine subaxial cervical spine injury classification system - Spinal DISC Center | Kris Radcliff, MD | New Jersey
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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.

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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