Variation in global treatment for subaxial cervical spine isolated unilateral facet fractures
| Autor: | Rafael Llombart Blanco, BHAVUK GARG, Stipe Ćorluka, Brian Karamian, Jason Pui Yin Cheung, Pedro Luis Bazán, Zachary Hickman, Christian Konrads, Chadi Tannoury, Behnam Shariati, Yohan Robinson, Raphael Lotan, Paulo Pereira, Christian Knoll, Ricardo Rodrigues-Pinto, Taolin Fang, Chumpon Jetjumnong, JEEVAN KUMAR SHARMA |
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| Přispěvatelé: | Surgical clinical sciences, Neuroprotection & Neuromodulation, Neurosurgery |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Surgeons
medicine.medical_specialty Facet (geometry) business.industry 610 Medicine & health Cervical spine injury Cervical spine Cervical Vertebrae/diagnostic imaging Surgery surgery Surgical subspecialty Spinal Fusion Private practice Medicine Humans magnetic resonance imaging Orthopedics and Sports Medicine Spinal Fractures/diagnostic imaging Neurosurgery System validation business Fracture type Unilateral facet fracture · Treatment · Imaging · Subaxial · AO Spine · Survey · Global |
| Zdroj: | Karamian, Brian A; Schroeder, Gregory D; Holas, Martin; Joaquim, Andrei F; Canseco, Jose A; Rajasekaran, Shanmuganathan; Benneker, Lorin M; Kandziora, Frank; Schnake, Klaus J; Öner, F Cumhur; Kepler, Christopher K; Vaccaro, Alexander R (2021). Variation in global treatment for subaxial cervical spine isolated unilateral facet fractures. European spine journal, 30(6), pp. 1635-1650. Springer 10.1007/s00586-021-06818-z |
| DOI: | 10.1007/s00586-021-06818-z |
| Popis: | Purpose To determine the variation in the global treatment practices for subaxial unilateral cervical spine facet fractures based on surgeon experience, practice setting, and surgical subspecialty. Methods A survey was sent to 272 members of the AO Spine Subaxial Injury Classification System Validation Group worldwide. Questions surveyed surgeon preferences with regard to diagnostic work-up and treatment of fracture types F1–F3, according to the AO Spine Subaxial Cervical Spine Injury Classification System, with various associated neurologic injuries. Results A total of 161 responses were received. Academic surgeons use the facet portion of the AO Spine classification system less frequently (61.6%) compared to hospital-employed and private practice surgeons (81.1% and 81.8%, respectively) (p = 0.029). The overall consensus was in favor of operative treatment for any facet fracture with radicular symptoms (N2) and for any fractures categorized as F2N2 and above. For F3N0 fractures, significantly less surgeons from Africa/Asia/Middle East (49%) and Europe (59.2%) chose operative treatment than from North/Latin/South America (74.1%) (p = 0.025). For F3N1 fractures, significantly less surgeons from Africa/Asia/Middle East (52%) and Europe (63.3%) recommended operative treatment than from North/Latin/South America (84.5%) (p = 0.001). More than 95% of surgeons included CT in their work-up of facet fractures, regardless of the type. No statistically significant differences were seen in the need for MRI to decide treatment. Conclusion Considerable agreement exists between surgeon preferences with regard to unilateral facet fracture management with few exceptions. F2N2 fracture subtypes and subtypes with radiculopathy (N2) appear to be the threshold for operative treatment. |
| Databáze: | OpenAIRE |
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