%0 Journal Article
%T AOSpine subaxial cervical spine injury classification system
%J European spine journal
%D 2015
%A Vaccaro, Alexander R.
%A Koerner, John D.
%A Radcliff, Kris E.
%A Oner, F. Cumhur
%A Reinhold, Maximilian
%A Schnake, Klaus J.
%A Kandziora, Frank
%A Fehlings, Michael G.
%A Dvorak, Marcel F.
%A Aarabi, Bizhan
%A Rajasekaran, Shanmuganathan
%A Schroeder, Gregory D.
%A Kepler, Christopher K.
%A Vialle, Luiz R.
%V 25
%N 7
%P 2173-2184
%X PURPOSE: This project describes a morphology-based subaxial cervical spine traumatic injury classification system. Using the same approach as the thoracolumbar system, the goal was to develop a comprehensive yet simple classification system with high intra- and interobserver reliability to be used for clinical and research purposes. <br><br>METHODS: A subaxial cervical spine injury classification system was developed using a consensus process among clinical experts. All investigators were required to successfully grade 10 cases to demonstrate comprehension of the system before grading 30 additional cases on two occasions, 1 month apart. Kappa coefficients (κ) were calculated for intraobserver and interobserver reliability. <br><br>RESULTS: The classification system is based on three injury morphology types similar to the TL system: compression injuries (A), tension band injuries (B), and translational injuries (C), with additional descriptions for facet injuries, as well as patient-specific modifiers and neurologic status. Intraobserver and interobserver reliability was substantial for all injury subtypes (κ = 0.75 and 0.64, respectively). <br><br>CONCLUSIONS: The AOSpine subaxial cervical spine injury classification system demonstrated substantial reliability in this initial assessment, and could be a valuable tool for communication, patient care and for research purposes.<p /> <p>Language: en</p>
%G en
%I Holtzbrinck Springer Nature Publishing Group
%@ 0940-6719
%U http://dx.doi.org/10.1007/s00586-015-3831-3