Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients With Thoracolumbar Spine Trauma: Classification of Injury
| Autor: | P B Raksin, Andrew T. Dailey, Paul M. Arnold, John H. Chi, Craig H. Rabb, Paul A. Anderson, Kurt M Eichholz, Sheeraz A. Qureshi, Sanjay S. Dhall, Daniel J. Hoh, John E. O'Toole, James S. Harrop, Michael G. Kaiser |
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| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Evidence-based practice Neurosurgery MEDLINE Guidelines as Topic Computed tomography Neurosurgical Procedures Thoracic Vertebrae 03 medical and health sciences 0302 clinical medicine Humans Medicine Evidence-Based Medicine Lumbar Vertebrae medicine.diagnostic_test business.industry Thoracolumbar spine Magnetic resonance imaging Evidence-based medicine Guideline musculoskeletal system Neurosurgeons Treatment Outcome Spinal Injuries 030220 oncology & carcinogenesis Physical therapy Spinal Fractures Surgery Spine injury Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Neurosurgery. 84:E24-E27 |
| ISSN: | 1524-4040 0148-396X |
| Popis: | Question 1 Are there classification systems for fractures of the thoracolumbar spine that have been shown to be internally valid and reliable (ie, do these instruments provide consistent information between different care providers)? Recommendation 1 A classification scheme that uses readily available clinical data (eg, computed tomography scans with or without magnetic resonance imaging) to convey injury morphology, such as Thoracolumbar Injury Classification and Severity Scale or the AO Spine Thoracolumbar Spine Injury Classification System, should be used to improve characterization of traumatic thoracolumbar injuries and communication among treating physicians. Strength of Recommendation: Grade B. Question 2 In treating patients with thoracolumbar fractures, does employing a formally tested classification system for treatment decision-making affect clinical outcomes? Recommendation 2 There is insufficient evidence to recommend a universal classification system or severity score that will readily guide treatment of all injury types and thereby affect outcomes. Strength of Recommendation: Grade Insufficient The full version of the guideline can be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_2. |
| Databáze: | OpenAIRE |
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