Produção Nacional
Revisado por pares
An international validation of the AO spine subaxial injury classification system
2022; Springer Science+Business Media; Volume: 32; Issue: 1 Linguagem: Inglês
10.1007/s00586-022-07467-6
ISSN1432-0932
AutoresBrian A. Karamian, Gregory D. Schroeder, Mark J. Lambrechts, José A. Canseco, F. Cumhur Öner, Emiliano Vialle, Shanmuganathan Rajasekaran, Marcel F. Dvorak, Lorin M. Benneker, Frank Kandziora, Klaus J. Schnake, Christopher K. Kepler, Alexander R. Vaccaro, Bruno Lourenço Costa, Martín Estefan, Ahmed Dawoud, Ariel Kaen, Sung-Joo Yuh, Segundo Fuego, Francisco A. Mannará, Gunaseelan Ponnusamy, Tarun Suri, Subiiah Jayakumar, Luis Rodríguez, Derek T. Cawley, Amauri Godinho, Johnny Duerinck, Nicola Montemurro, Kubilay Ozdener, Zachary L. Hickman, Wael Alsammak, Dilip Gopalakrishnan, Bruno Fernandes de Oliveira Santos, Olga Morillo, Yasunori Sorimachi, Naohisa Miyakoshi, Mahmoud Alkharsawi, Nimrod Rahamimov, Vijay Kumar Loya, Peter Loughenbury, José F. Rodrigues, Ankur Nanda, Olger Alarcon, Nishanth Ampar, Kai Sprengel, Macherla Haribabu Subramaniam, Kyaw Linn, P Subramanian, Georg Osterhoff, Sergey Mlyavykh, Elias Javier Martinez, Uri Hadelsberg, Álvaro Silva, Parmenion Tsitsopoulos, Satyashiva Munjal, Selim Ayhan, N Gummerson, Anna Rienmüller, Joachim Vahl, Gonzalo Pérez, Eugene Park, P. Alvin, Kartigeyan Madhivanan, Andrey Pershin, Bernhard Ullrich, Nasser Khan, Olver Lermen, Hisco Robijn, Nicolas Gonzalez Masanes, Ali Abdel Aziz, Takeshi Aoyama, Norberto Fernandez, Aaron HJills, Héctor Roldán, Alessandro Longo, Takeo Furuya, Tomi Kunej, Vaibhav Jain, Juan Delgado-Fernández, Guillermo Espinosa Hernandez, Alessandro Ramieri, Lingjie Fu, Andrea Redaelli, Jibin Francis, Claudio Bernucci, Ankit A. Desai, Pedro Luis Bazán, Rui Manilha, Máximo-Alberto Díez-Ulloa, Lady Lozano, Thami Benzakour, John D. Koerner, Fabricio Medina, Rian Souza Vieira, O. Clark West, Mohammad El‐Sharkawi, Christina Cheng, Rodolfo Paez, Sofien Benzarti, Tarek Elhewala, Stipe Ćorluka, Ahmad Atan, Bruno Santiago, J. Zachary Wilson, Raghuraj Kundangar, Shyamasunder N Bhat, Amit K. Bhandutia, Slavisa Zagorac, Shyamasunder Nerrkaje, Anton Denisov, Daniela Linhares, Guillermo Alejandro Ricciardi, Eugen Cezar Popescu, Dave Bharat, Stacey Darwish, Ricky Rasschaert, Arne Mehrkens, Mohammed Faizan, Sunao Tanaka, Aaron Hockley, Aydinli Ufuk, Michel Triffaux, Oleksandr Garashchuk, Dave Dizon, Rory K. J. Murphy, Ahmed Alqatub, Kiran Gurung, Martin Tejeda, Rajesh Bahadur Lakhey, Arun Viswanadha, Oliver Riesenbeck, Daniel Rapetti, Rakesh Kumar Singh, Naveenreddy Vallapureddy, Triki Amine, Osmar Moraes, Dalia Ali, Alberto Balestrino, Luis Augusto Visani de Luna, Lukas Grassner, Eduardo Laos, Rajendra Rao Ramalu, Sara Lener, Gerardo Zambito, Andrew J. Patterson, Christian Konrads, Mario Ganau, Mahmoud Shoaib, Paterakis Konstantinos, Zaki Amin, Garg Bhavuk, Adetunji Toluse, Zdeněk Klézl, Federico Sartor, Ribakd Rioja, Konstantinos Margetis, Paulo Pereira, Nuno Nevès, Darko Perović, Ratko Yurak, Karmacharya Balgopal, Joost Rutges, Jerônimo Buzetti Milano, Alfredo Figueiredo, Juan Lourido, Salvatore Russo, Chadi Tannoury, David Orosco Falcone, Matias Pereria Duarte, Sathish Muthu, Héctor Aceituno, Devi Prakash Tokala, Jose Ballesteros Plaza, Luiz dal Oglio da Rocha, Rodrigo Riera, Shah Gyanendra, Jun Zhang, David Suarez-Fernandez, Ali Öner, Geoffrey Tipper, Ahmad Osundina, Waeel Hamouda, Zacharia Silk, Ignacio Fernandez Bances, Aida Faruk Senan Nur, Anuj Gupta, Saul Murrieta, Francesco Ciro Tamburrelli, Miltiadis Georgiopoulos, Amrit Goyal, Sérgio Zylbersztejn, Paloma Bas, Deep Sharma, Janardhana P Aithala, Sebastián Kornfeld, Sebastian Cruz-Morande, Rehan M. Hussain, Maria Garcia Pallero, Hideki Nagashima, Hossein Elgafy, Om Patil, Joana Guasque, Ng Bing Wui, Triantafyllos Bouras, Naresh Kumar, Fon-Yih Tsuang, Andreas Morakis, Sebastian Hartmann, Pierre-Pascal Girod, Thomas Reihtmeier, Welege Wimalachandra,
Tópico(s)Trauma Management and Diagnosis
ResumoTo validate the AO Spine Subaxial Injury Classification System with participants of various experience levels, subspecialties, and geographic regions.A live webinar was organized in 2020 for validation of the AO Spine Subaxial Injury Classification System. The validation consisted of 41 unique subaxial cervical spine injuries with associated computed tomography scans and key images. Intraobserver reproducibility and interobserver reliability of the AO Spine Subaxial Injury Classification System were calculated for injury morphology, injury subtype, and facet injury. The reliability and reproducibility of the classification system were categorized as slight (ƙ = 0-0.20), fair (ƙ = 0.21-0.40), moderate (ƙ = 0.41-0.60), substantial (ƙ = 0.61-0.80), or excellent (ƙ = > 0.80) as determined by the Landis and Koch classification.A total of 203 AO Spine members participated in the AO Spine Subaxial Injury Classification System validation. The percent of participants accurately classifying each injury was over 90% for fracture morphology and fracture subtype on both assessments. The interobserver reliability for fracture morphology was excellent (ƙ = 0.87), while fracture subtype (ƙ = 0.80) and facet injury were substantial (ƙ = 0.74). The intraobserver reproducibility for fracture morphology and subtype were excellent (ƙ = 0.85, 0.88, respectively), while reproducibility for facet injuries was substantial (ƙ = 0.76).The AO Spine Subaxial Injury Classification System demonstrated excellent interobserver reliability and intraobserver reproducibility for fracture morphology, substantial reliability and reproducibility for facet injuries, and excellent reproducibility with substantial reliability for injury subtype.
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