Evidence map›Paper›PMID 27190734›Full record

ArticleGlobal spine journal2016

The Thoracolumbar AOSpine Injury Score.

Christopher K Kepler, Alexander R Vaccaro, Gregory D Schroeder, John D Koerner, Luiz R Vialle, Bizhan Aarabi, Shanmuganathan Rajasekaran, Carlo Bellabarba, Jens R Chapman, Frank Kandziora and 4 more

Abstract read
In one paragraph

Article in Global spine journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Acute management of spinal fractures: What you need to know.The journal of trauma and acute care surgery · 2026
    Review
  4. Article
  5. Article
  6. Article
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  8. Article
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  11. Article
  12. Review
  13. Article
  14. Thoracolumbar injuries: prehospital and emergency management, imaging, classifications and clinical implications.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Christopher K KeplerDepartment of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Alexander R VaccaroDepartment of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Gregory D SchroederDepartment of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
John D KoernerDepartment of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Luiz R VialleDepartment of Orthopaedic Surgery, Catholic University, Curitiba, Brazil.
Bizhan AarabiDepartment of Neurosurgery, University of Maryland School of Medicine, Baltimore, Maryland, United States.
Shanmuganathan RajasekaranDepartment of Orthopaedic Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
Carlo BellabarbaDepartment of Orthopaedic Surgery, University of Washington, Seattle, Washington, United States.
Jens R ChapmanDepartment of Orthopaedic Surgery, The Swedish Neuroscience Institute, Seattle, Washington, United States.
Frank KandzioraCenter for Spinal Surgery and Neurotraumatology, Berufsgenossenschaftliche Unfallklinik Frankfurt, Frankfurt/Main, Germany.
Klaus J SchnakeCenter for Spinal Surgery, Schön Klinik Nürnberg Fürth, Fürth, Germany.
Marcel F DvorakDepartment of Orthopaedic Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Max ReinholdDepartment of Orthopaedic Surgery, Medical University Innsbruck, Innsbruck, Austria.
F Cumhur OnerDepartment of Orthopaedic Surgery, University Medical Center, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

AOSpineAOSpine injury scorethoracolumbar spine injury classification systemthoracolumbar traumaTL AOSIS

Identifiers

PMID27190734
PMCPMC4868575

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.