The reliability of the AOSpine Thoracolumbar Spine Injury Classification System in children: an international validation study.
Autor: | Mo AZ; Department of Orthopaedic Surgery, Georgetown University Medical Center, Washington, District of Columbia, United States., Miller PE; Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, Massachusetts, United States., Pizones J; Spine Unit, Hospital Universitario La Paz, Madrid, Spain., Helenius I; Professor and Chairman, Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Ruf M; Center for Spinal Surgery, Orthopedics, and Traumatology, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Germany., El-Hawary R; IWK Health Centre, Halifax, Nova Scotia, Canada., de Oliveira RG; Sarah Hospital, Brasília, Brazil., Ovadia D; Dana Dwek Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel., Kawakami N; Director of Spine & Scoliosis Center, Department of Orthopedic Surgery, Ichinomiyanishi Hospital, Ichinomiya, Japan., Crawford H; Paediatric Orthopaedic Surgeon, Starship Children's Hospital, Auckland, New Zealand., Odent T; Service de Chirurgie Orthopédique Pédiatrique, Université François Rabelais de Tours, PRES Centre-Val de Loire Université, Hôpital Gatien-de-Clocheville, Tours, France., Yazici M; Hacettepe University, Faculty of Medicine, Orthopaedics, Ankara, Turkey., Johnson MB; Royal Children's Hospital, Melbourne, Victoria, Australia., Miyanji F; Department of Orthopedics, British Columbia Children's Hospital, Pediatric Orthopedics and Spine Surgery, Vancouver, British Columbia, Canada., Hedequist DJ; Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, Massachusetts, United States. |
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Jazyk: | angličtina |
Zdroj: | Journal of children's orthopaedics [J Child Orthop] 2021 Oct 01; Vol. 15 (5), pp. 472-478. |
DOI: | 10.1302/1863-2548.15.200188 |
Abstrakt: | Purpose: To evaluate the AOSpine Thoracolumbar Spine Injury Classification System and if it is reliable and reproducible when applied to the paediatric population globally. Methods: A total of 12 paediatric orthopaedic surgeons were asked to review MRI and CT imaging of 25 paediatric patients with thoracolumbar spine traumatic injuries, in order to determine the classification of the lesions observed. The evaluators classified injuries into primary categories: A, B and C. Interobserver reliability was assessed for the initial reading by Fleiss's kappa coefficient (k Results: In total, 25 cases were read for a total of 300 initial and 300 repeated evaluations. Adjusted interobserver reliability was almost perfect (kF = 0.74; 95% CI 0.71 to 0.78) across all observers. Sub-classification reliability was substantial (α Conclusion: The inter- and intraobserver reliability for the AOSpine Thoracolumbar Spine Injury Classification System was high amongst paediatric orthopaedic surgeons. The AOSpine Thoracolumbar Spine Injury Classification System is a promising option as a uniform fracture classification in children. Level of Evidence: III. (Copyright © 2021, The author(s).) |
Databáze: | MEDLINE |
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