Development and validation of a simplified thoracolumbar spine fracture classification system

Show simple item record Chhabra, Harvinder Singh Yelamarthy, P.K. Karthik Moolya, Srinivasan Narayan Erli, Hans Josef Theron, Francois Abel, Rainer Haak, Michael Tuli, Sagun Yadav, S.L. Hoque, Md Fazlul 2022-04-14T10:23:26Z 2022-04-14T10:23:26Z 2021-12
dc.description.abstract STUDY DESIGN : Development and validation of fracture classification system. OBJECTIVE: To develop and validate a Simplified Classification System (SCS) for Thoraco-Lumbar (TL) fractures (SCS – TL fractures). SETTING : Tertiary Spinal Injuries Centre, New Delhi, India METHODS : Based on the International Spinal Cord Society Spine Trauma Study Group (ISCoS STSG, n = 23) experts’ clinical consensus conducted by the senior author and on his own experience, the Denis classification for TL fractures was modified to develop a SCS-TL fractures that could guide the management. After Face and Content validation, Construct validation was done in two stages. First stage analyzed if management of 30 cases of TL fractures, as suggested by the SCS - TL fractures and ISCoS STSG (n = 9) as well as other (n = 5) experts, matched. Second stage was a one year prospective study analyzing if the management suggested matched the management actually carried out by different spine surgeons (n = 10) working at a single institution. RESULTS : In the first stage there was 100% agreement for management (conservative or surgical) as proposed by experts and that suggested by the proposed classification for TL fractures whereas for surgical approach there was 88% agreement. In the second stage, there was 100% agreement for the management as well as surgical approach as carried out at our centre and that proposed by the SCS for TL fractures. CONCLUSIONS : The proposed SCS-TL fractures helps in classifying and in decision making for management of TL fractures. The next phase of validation would involve multicentric reliability studies and prospective application of the SCS- TL fractures. en_US
dc.description.department Orthopaedic Surgery en_US
dc.description.librarian hj2022 en_US
dc.description.uri en_US
dc.identifier.citation Chhabra, H.S., Yelamarthy, P.K.K., Moolya, S.N. et al. Development and validation of a simplified thoracolumbar spine fracture classification system. Spinal Cord 59, 1268–1277 (2021). en_US
dc.identifier.issn 2366-3286 (print)
dc.identifier.issn 2366-3294 (online)
dc.identifier.other 10.1038/s41393-021-00706-5
dc.language.iso en en_US
dc.publisher Springer en_US
dc.rights © 2021, The Author(s), under exclusive licence to International Spinal Cord Society. The original publication is available at : [6 months embargo] en_US
dc.subject Simplified classification system (SCS) en_US
dc.subject Thoraco-lumbar fractures en_US
dc.subject Spine fractures en_US
dc.title Development and validation of a simplified thoracolumbar spine fracture classification system en_US
dc.type Postprint Article en_US

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