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Regional and experiential differences in surgeon preference for the treatment of cervical facet injuries: a case study survey with the AO Spine Cervical Classification Validation Group

2020; Springer Science+Business Media; Volume: 30; Issue: 2 Linguagem: Inglês

10.1007/s00586-020-06535-z

1432-0932

José A. Canseco, Gregory D. Schroeder, Parthik D. Patel, Giovanni Grasso, Michael Chang, Frank Kandziora, Emiliano Vialle, F. Cumhur Öner, Klaus J. Schnake, Marcel F. Dvorak, Jens R. Chapman, Lorin M. Benneker, Shanmuganathan Rajasekaran, Christopher K. Kepler, Alexander R. Vaccaro, Ahmed Shawky Abdelgawaad, Waheed Abdul, Asmatullah Abdulsalam, Mbarak Abeid, Nissim Ackshota, Olga Lucía Acosta, Yunus Emre Akman, Osama Aldahamsheh, Abduljabbar Alhammoud, Hugo Aleixo, Hamish Alexander, Mahmoud Alkharsawi, Wael Alsammak, Hassame Amadou, Mohamad Amin, Jose Joefrey F. Arbatin, Ahmad Atan, Alkinoos Athanasiou, Paloma Bas, Pedro Luis Bazán, Thami Benzakour, Sofien Benzarti, Claudiio Bernucci, Aju Bosco, Joseph S. Butler, Alejandro Castillo, Derek T. Cawley, Wong Chek, John Chen, Christina W. Cheng, Jason Pui Yin Cheung, Chun Wie Chong, Stipe Ćorluka, Jose Alfredo Corredor, Bruno R. da Costa, Cloe Curri, Ahmed Dawoud, Juan Delgado-Fernández, Şevki Mustafa Demiröz, Ankit Desai, Maximo Diez-Ulloa, Noe Dimas, Sara Diniz, Bruno Direito-Santos, Johnny Duerinck, Tarek Elhewala, Mahmoud El-Shamly, Mohammed Elsharkawi, Guillermo José López Espinosa, Martín Estefan, Taolin Fang, Mauro Antonio Fernandes, Norbert Fernandez, Marcus Castro Ferreira, Alfredo Figueiredo, Vito Fiorenza, Jibin Francis, Seibert Franz, Brett A. Freedman, Lingjie Fu, Segundo Fuego, Nitesh Gahlot, Mario Ganau, Maria Garcia-Pallero, Bhavuk Garg, Sandeep Gidvani, Bjoern Giera, Amauri Godinho, M M Goni, María Mateos González, Dilip Gopalakrishnan, A. А. Grin, Samuel Grozman, Marcel Gruenberg, Alon Grundshtein, Joana Guasque, Oscar Guerra, Alfredo Guiroy, Shafiq Hackla, Colin Harris, James S. Harrop, Waqar Hassan, Amin Henine, Zachary L. Hickman, Cristina Igualada, Andrew James, Chumpon Jetjumnong, Ariel Kaen, Balgopal Karmacharya, Cumur Kilincer, Zdeněk Klézl, John D. Koerner, Christian Konrads, Ferdinand Krappel, Moyo C. Kruyt, Fernando Krywinski, Raghuraj Kundangar, Federico Landriel, Richard A. Lindtner, Daniela Linhares, Rafael Blanco, William Omar Contreras López, Raphael Lotan, Juan Lourido, Luis Muñiz Luna, Tijjani Magashi, Catalin Majer, Valentine Mandizvidza, Rui Manilha, Francisco A. Mannará, Konstantinos Margetis, Fabrico Medina, Jerônimo Buzetti Milano, Naohisa Miyakoshi, Horatiu Moisa, Nicola Montemurro, Juan Montoya, João Morais, S. Cruz Morandé, Salim Msuya, Mohamed Mubarak, Robert Mulbah, Yuvaraja Murugan, Mansouri Nacer, Nuno Nevès, Nicola Nicassio, Thomas E. Niemeier, Mejabi Olorunsogo, F. Cumhur Öner, David Orosco, Kubilay Ozdener, Rodolfo Paez, Ripul R. Panchal, Konstantinos Paterakis, Emilija Pemovska, Paulo Pereira, Darko Perović, Jose Perozo, Andrey Pershin, Phedy Phedy, David Ruiz Picazo, Fernando Pitti, Uwe Platz, Mauro Pluderi, Gunasaeelan Ponnusamy, Eugen Cezar Popescu, Selvaraj Ramakrishnan, Alessandro Ramieri, Brandon J. Rebholz, Guillermo Ricciadri, Daniel Oscar Ricciardi, Yohan Robinson, Luis F. Rodriguez, Ricardo Rogrigues-Pinto, Itati Romero, Ronald Alberto Rioja Rosas, Salvatore Russo, Joost Rutges, Federico Sartor, Gregory D. Schroeder, Babak Shariati, Jeevan Kumar Sharma, Mahmoud Shoaib, Sean R. Smith, Yasunori Sorimachi, Shilanant Sribastav, Craig D. Steiner, Jayakumar Subbiah, Panchu Suramanian, Tarun Suri, Chadi Tannoury, Devi Prakash Tokala, Adetunji Toluse, Victor Ungurean, Alexander R. Vaccaro, Joachim Vahl, Marcelo Valacco, Cristian Valdez, Alejo Vernengo-Lezica, Andrea Veroni, Rian Souza Vieira, Arun Viswanadha, Scott C. Wagner, David Wamae, Alexander A. Weening, Simon Weidert, Wen‐Tien Wu, Meng–Huang Wu, Haifeng Yuan, Sung-Joo Yuh, Ratko Yurac, Barón Zárate-Kalfópulos, Alesksei Ziabrov, Akbar Jaleel Zubairi,

Spine and Intervertebral Disc Pathology

Abstract Purpose The management of cervical facet dislocation injuries remains controversial. The main purpose of this investigation was to identify whether a surgeon’s geographic location or years in practice influences their preferred management of traumatic cervical facet dislocation injuries. Methods A survey was sent to 272 AO Spine members across all geographic regions and with a variety of practice experience. The survey included clinical case scenarios of cervical facet dislocation injuries and asked responders to select preferences among various diagnostic and management options. Results A total of 189 complete responses were received. Over 50% of responding surgeons in each region elected to initiate management of cervical facet dislocation injuries with an MRI, with 6 case exceptions. Overall, there was considerable agreement between American and European responders regarding management of these injuries, with only 3 cases exhibiting a significant difference. Additionally, results also exhibited considerable management agreement between those with ≤ 10 and > 10 years of practice experience, with only 2 case exceptions noted. Conclusion More than half of responders, regardless of geographical location or practice experience, identified MRI as a screening imaging modality when managing cervical facet dislocation injuries, regardless of the status of the spinal cord and prior to any additional intervention. Additionally, a majority of surgeons would elect an anterior approach for the surgical management of these injuries. The study found overall agreement in management preferences of cervical facet dislocation injuries around the globe.