Congress of neurological surgeons systematic review and evidence-based guidelines on the evaluation and treatment of patients with thoracolumbar spine trauma: Classification of injury

Andrew T. Dailey, Paul M. Arnold, Paul A. Anderson, John H. Chi, Sanjay S. Dhall, Kurt M. Eichholz, James S. Harrop, Daniel J. Hoh, Sheeraz Qureshi, Craig H. Rabb, P. B. Raksin, Michael G. Kaiser, John E. O'Toole

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Pages (from-to)E24-E27
JournalClinical Neurosurgery
Volume84
Issue number1
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

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Keywords

  • Classification
  • Fracture
  • Thoracolumbar
  • Vertebrae

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Dailey, A. T., Arnold, P. M., Anderson, P. A., Chi, J. H., Dhall, S. S., Eichholz, K. M., Harrop, J. S., Hoh, D. J., Qureshi, S., Rabb, C. H., Raksin, P. B., Kaiser, M. G., & O'Toole, J. E. (2019). Congress of neurological surgeons systematic review and evidence-based guidelines on the evaluation and treatment of patients with thoracolumbar spine trauma: Classification of injury. Clinical Neurosurgery, 84(1), E24-E27. https://doi.org/10.1093/neuros/nyy372