AOSpine subaxial cervical spine injury classification system
AOSpine subaxial cervical spine injury classification system
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DOI：
10.1007/s00586-015-3831-3
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发表时间：
2016-07-01
影响因子：
2.8
通讯作者：
Vialle, Luiz R.
中科院分区：
文献类型：
--
作者：
Vaccaro, Alexander R.;Koerner, John D.;Vialle, Luiz R.
本项目描述了一个基于形态学的下颈椎创伤分类系统。采用与胸腰椎系统相同的方法，目标是开发一个全面而简单的分类系统，具有较高的观察者内和观察者间可靠性，可用于临床和研究。要求所有研究者在两次（间隔1个月）对另外30例病例进行分级之前，成功对10例病例进行分级，以证明对系统的理解。Kappa系数（kappa）计算观察者内和观察者间的可靠性。分类系统基于与TL系统相似的三种损伤形态类型：压迫性损伤（A）、张力带损伤（B）和平移性损伤（C），以及对小关节损伤的额外描述，以及患者特异性修饰符和神经功能状态。所有损伤亚型的观察者内和观察者间的可靠性都很高（kappa值分别为0.75和0.64）。AOSpine下颈椎损伤分类系统在初步评估中表现出了很高的可靠性，可以作为沟通、患者护理和研究目的的有价值的工具。
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.