Reliability and safety of a new upper cervical spine injury treatment algorithm.

Autor:	Joaquim AF; Universidade de São Paulo, Divisão de Neurocirurgia, São Paulo SP, Brasil.; Universidade Estadual de Campinas, Divisão de Neurocirurgia, Campinas SP, Brasil., Brock RS; Universidade de São Paulo, Divisão de Neurocirurgia, São Paulo SP, Brasil., Guirado VM; Universidade de São Paulo, Divisão de Neurocirurgia, São Paulo SP, Brasil., Sandon LH; Universidade de São Paulo, Divisão de Neurocirurgia, São Paulo SP, Brasil., Silva OT; Universidade Estadual de Campinas, Divisão de Neurocirurgia, Campinas SP, Brasil., Taricco MA; Universidade de São Paulo, Divisão de Neurocirurgia, São Paulo SP, Brasil., Teixeira MJ; Universidade de São Paulo, Divisão de Neurocirurgia, São Paulo SP, Brasil., Figueiredo EG; Universidade de São Paulo, Divisão de Neurocirurgia, São Paulo SP, Brasil.
Jazyk:	angličtina
Zdroj:	Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2017 Feb; Vol. 75 (2), pp. 107-113.
DOI:	10.1590/0004-282X20160200
Abstrakt:	Methods: Thirty cases, previously treated according to the new algorithm, were presented to four spine surgeons who were questioned about their personal suggestion for treatment, and the treatment suggested according to the application of the algorithm. After four weeks, the same questions were asked again to evaluate reliability (intra- and inter-observer) using the Kappa index. Results: The reliability of the treatment suggested by applying the algorithm was superior to the reliability of the surgeons' personal suggestion for treatment. When applying the upper cervical spine injury treatment algorithm, an agreement with the treatment actually performed was obtained in more than 89% of the cases. Conclusion: The system is safe and reliable for treating traumatic upper cervical spine injuries. The algorithm can be used to help surgeons in the decision between conservative versus surgical treatment of these injuries.
Databáze:	MEDLINE
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