AOSpine subaxial cervical spine injury classification system

被引：230

作者：

Vaccaro, Alexander R. ^{[1
]}

Koerner, John D. ^{[1
]}

Radcliff, Kris E. ^{[1
]}

Oner, F. Cumhur ^{[2
]}

Reinhold, Maximilian ^{[3
]}

Schnake, Klaus J. ^{[4
]}

Kandziora, Frank ^{[5
]}

Fehlings, Michael G. ^{[6
,7
]}

Dvorak, Marcel F. ^{[8
]}

Aarabi, Bizhan ^{[9
]}

Rajasekaran, Shanmuganathan ^{[10
]}

Schroeder, Gregory D. ^{[1
]}

Kepler, Christopher K. ^{[1
]}

Vialle, Luiz R. ^{[11
]}

机构：

[1] Thomas Jefferson Univ, Rothman Inst, Philadelphia, PA 19107 USA

[2] Univ Med Ctr, Utrecht, Netherlands

[3] Klinikum Suedstadt Rostock, Dept Orthopaed & Trauma Surg, Suedring 81, D-18059 Rostock, Germany

[4] Ctr Spinal Surg, Schon Klin Nurnberg Furth, Furth, Germany

[5] Ctr Spinal Surg & Neurotraumatol, Berufsgenossenschaftliche Unfallklin Frankfurt, Frankfurt, Germany

[6] Univ Toronto, Spine Program, Toronto, ON, Canada

[7] Toronto Western Hosp, Toronto, ON, Canada

[8] Univ British Columbia, Vancouver, BC, Canada

[9] Univ Maryland, Med Ctr, College Pk, MD 20742 USA

[10] Ganga Hosp, Coimbatore, Tamil Nadu, India

[11] Catholic Univ Parana, Curitiba, Parana, Brazil

来源：

EUROPEAN SPINE JOURNAL | 2016年 / 25卷 / 07期

关键词：

AOSpine; Subaxial; Cervical; Spine; Trauma; Injury; Classification; LONG-BONE FRACTURES; THORACOLUMBAR SPINE; COMPREHENSIVE CLASSIFICATION; FACET DISLOCATION; CORD INJURY; VALIDATION; AGREEMENT; COMPLEX; CT;

D O I：

10.1007/s00586-015-3831-3

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

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. 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 (kappa) were calculated for intraobserver and interobserver reliability. 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 (kappa = 0.75 and 0.64, respectively). 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.

引用

页码：2173 / 2184

页数：12

共 25 条

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