AO Spine-DGOU Osteoporotic Fracture Classification System: Internal Validation by the AO Spine Knowledge Forum Trauma.

Autor:	Scherer J; General Medicine & Global Health (GMGH), Department of Medicine and Orthopaedic Research Unit (ORU), Division of Orthopaedic Surgery, Faculty of Health Sciences, University of Cape Town, South Africa.; Department of Traumatology, University Hospital of Zurich, Zürich, Switzerland., Joaquim A; Neurosurgery Division, Department of Neurology, State University of Campinas, Campinas-Sao Paulo, Brazil., Vaccaro A; Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA., Kanna R; Spine Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, India., El-Sharkawi M; Department of Orthopaedic and Trauma Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt., Takahata M; Department of Orthopaedic Surgery, Dokkyo Medical University School of Medicine, Soka, Japan., Aly MM; Department of Neurosurgery, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabi.; Department of Neurosurgery, Mansoura University, Mansoura, Egypt., Camino-Willhuber G; Department of Traumatology, Policina Gipuzkoa, San Sebastian, Spain., Spiegl U; Klinik für Unfallchirurgie und Orthopädie, Klinik München Harlaching, München, Germany., Oner C; Department of Orthopaedics, University Medical Centers, Utrecht, the Netherlands., Canseco JA; Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA., Yurac R; Clinica Alemana de Santiago, University Del Desarrollo, Vitacura, Chile., Benneker LM; Department for Spine Surgery, Sonnenhof Spital, University of Bern, Switzerland., Popescu EC; Department of Neurosurgery, 'Prof. N. Oblu' Emergency Hospital, Iasi, Romania., Bransford R; Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA., Chhabra HS; Sri Balaji Action Medical Institute, New Delhi, India., Kandziora F; Center for Spine Surgery and Neurotraumatology, BG Unfallklinik Frankfurt Am Main, Frankfurt, Germany., Neva MH; Department of Orthopaedic and Trauma Surgery, Tampere University Hospital, Tampere, Finland., Schnake KJ; Center for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien Erlangen, Erlangen, Germany.; Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany.
Jazyk:	angličtina
Zdroj:	Global spine journal [Global Spine J] 2024 Sep 27, pp. 21925682241288187. Date of Electronic Publication: 2024 Sep 27.
DOI:	10.1177/21925682241288187
Abstrakt:	Study Design: Cross-sectional survey. Objectives: Injury classifications are important tools to identify fracture patterns, guide treatment-decisions and aid to identify optimal treatment plans. The AO Spine-DGOU Osteoporotic Fracture (OF) classification system was developed, and the aim of this study was to assess the reliability of this new classification system. Methods: 23 Members of the AO Spine Knowledge Forum Trauma participated in the validation process. Participants were asked to rate 33 cases according to the OF classification at 2 time points, 4 weeks apart (assessment 1 and 2). The kappa statistic (κ) was calculated to assess inter-observer reliability and intra-rater reproducibility. The gold master key for each case was determined by approval of at least 5 out of 7 members of the DGOU. Results: A total of 1386 ratings (21 raters) were performed. The overall inter-rater agreement was moderate with a combined kappa statistic for the OF classification of 0.496 in assessment 1 and 0.482 in assessment 2. The combined percentage of correct ratings (compared to gold-standard) in assessment 1 was 71.4% and 67.4% in assessment 2. The average intra-rater reproducibility was substantial (κ = 0.74, median 0.76, range 0.55 to 1.00, SD 0.13) for the assessed fracture types. Conclusions: The assessed overall inter-rater reliability was moderate and substantial in some instances. The average intra-rater reproducibility is substantial. It seems that appropriate training of the classification system can enhance inter- and intra-rater reliability. Competing Interests: Declaration of conflicting interestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The AO Spine-DGOU Injury Classification System was developed and funded by AO Spine through the AO Spine Knowledge Forum Trauma, a focused group of international spine trauma experts. AO Spine is a clinical division of the AO Foundation, which is an independent medically-guided not-for-profit organization. Individual authors of this manuscript have no disclosures to declare regarding the proposed article.
Databáze:	MEDLINE
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