The Thoracolumbar AOSpine Injury Score

被引:77
作者
Kepler, Christopher K. [1 ]
Vaccaro, Alexander R. [1 ]
Schroeder, Gregory D. [1 ]
Koerner, John D. [1 ]
Vialle, Luiz R. [2 ]
Aarabi, Bizhan [3 ]
Rajasekaran, Shanmuganathan [4 ]
Bellabarba, Carlo [5 ]
Chapman, Jens R. [6 ]
Kandziora, Frank [7 ]
Schnake, Klaus J. [8 ]
Dvorak, Marcel F. [9 ]
Reinhold, Max [10 ]
Oner, F. Cumhur [11 ]
机构
[1] Thomas Jefferson Univ, Dept Orthopaed Surg, Rothman Inst, Philadelphia, PA 19107 USA
[2] Catholic Univ, Dept Orthopaed Surg, Curitiba, Parana, Brazil
[3] Univ Maryland, Sch Med, Dept Neurosurg, Baltimore, MD 21201 USA
[4] Ganga Hosp, Dept Orthopaed Surg, Coimbatore, Tamil Nadu, India
[5] Univ Washington, Dept Orthopaed Surg, Seattle, WA 98195 USA
[6] Swedish Neurosci Inst, Dept Orthopaed Surg, Seattle, WA USA
[7] Berufsgenossenschaftliche Unfallklin Frankfurt, Ctr Spinal Surg & Neurotraumatol, Frankfurt, Germany
[8] Schon Klin Nurnberg Furth, Ctr Spinal Surg, Furth, Germany
[9] Univ British Columbia, Dept Orthopaed Surg, Vancouver, BC V5Z 1M9, Canada
[10] Med Univ Innsbruck, Dept Orthopaed Surg, A-6020 Innsbruck, Austria
[11] Univ Med Ctr, Dept Orthopaed Surg, Utrecht, Netherlands
关键词
AOSpine; thoracolumbar spine injury classification system; TL AOSIS; AOSpine injury score; thoracolumbar trauma;
D O I
10.1055/s-0035-1563610
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design Survey of 100 worldwide spine surgeons. Objective To develop a spine injury score for the AOSpine Thoracolumbar Spine Injury Classification System. Methods Each respondent was asked to numerically grade the severity of each variable of the AOSpine Thoracolumbar Spine Injury Classification System. Using the results, as well as limited input from the AOSpine Trauma Knowledge Forum, the Thoracolumbar AOSpine Injury Score was developed. Results Beginning with 1 point for A1, groups A, B, and C were consecutively awarded an additional point (A1, 1 point; A2, 2 points; A3, 3 points); however, because of a significant increase in the severity between A3 and A4 and because the severity of A4 and B1 was similar, both A4 and B1 were awarded 5 points. An uneven stepwise increase in severity moving from N0 to N4, with a substantial increase in severity between N2 (nerve root injury with radicular symptoms) and N3 (incomplete spinal cord injury) injuries, was identified. Hence, each grade of neurologic injury was progressively given an additional point starting with 0 points for N0, and the substantial difference in severity between N2 and N3 injuries was recognized by elevating N3 to 4 points. Finally, 1 point was awarded to the M1 modifier (indeterminate posterolateral ligamentous complex injury). Conclusion The Thoracolumbar AOSpine Injury Score is an easy-to-use, data-driven metric that will allow for the development of a surgical algorithm to accompany the AOSpine Thoracolumbar Spine Injury Classification System.
引用
收藏
页码:329 / 334
页数:6
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