Evidence map›Paper›PMID 34580417›Full record

ArticleSpinal cord2021

Development and validation of a simplified thoracolumbar spine fracture classification system.

Harvinder Singh Chhabra, P K Karthik Yelamarthy, Srinivasan Narayan Moolya, Hans Josef Erli, Francois Theron, Rainer Abel, Michael Haak, Sagun Tuli, S L Yadav, Md Fazlul Hoque

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In one paragraph

Article in Spinal cord, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% of its field
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

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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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

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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

10 authors at 7 institutions in 5 countries.

Harvinder Singh ChhabraChief of Spine Services & Medical Director, Indian Spinal Injuries Center Sector - C, Vasant Kunj, New Delhi, India. issicon@isiconline.org.ORCID http://orcid.org/0000-0001-9795-2443
P K Karthik Yelamarthy *Consultant Spine and Orthopedic Surgeon, Udai Omni Hospital, Hyderabad, India.
Srinivasan Narayan Moolya *Tejasvini Hospital, SSIOT Manglore, Manglore, India.
Hans Josef ErliRet. Director of the Department of Spine Surgery, Vivantes Humboldt Hospital, Berlin, Germany.
Francois TheronLecturer in Orthopedics, University of Pretoria, Pretoria, South Africa.
Rainer AbelDoctor of Medicine, Klinikum Bayreuth GmbH, Orthopedic Surgery, Bayreuth, Germany.ORCID http://orcid.org/0000-0002-8328-8438
Michael HaakChief, Orthopaedic Spine Surgery, Director, Orthopaedic Spine Fellowship, Geisinger Health System, Danville, PA, USA.
Sagun TuliSpine Neurosurgeon, Head Florida Spinal Surgery Center, Miami, FL, USA.
S L YadavDepartment of Physical Medicine & Rehabilitation, All India Institute of Medical Sciences, New Delhi, India.ORCID http://orcid.org/0000-0001-9800-0540
Md Fazlul HoqueSenior Consultant Orthopaedic and Spinal Surgery Square Hospitals Ltd, Dhaka, Bangladesh.
All India Institute of Medical Sciences · INBayreuth Medical Center · DEGeisinger Health System · USIndian Spinal Injuries Centre · INSquare Hospitals · BDUniversity of Pretoria · ZAVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designDevelopment and validation of fracture classification system.

objectiveTo develop and validate a Simplified Classification System (SCS) for Thoraco-Lumbar (TL) fractures (SCS - TL fractures).

settingTertiary Spinal Injuries Centre, New Delhi, India

methodsBased 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.

resultsIn 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.

conclusionsThe 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.

Indexed as

Spinal Cord InjuriesSpinal FracturesHumansLumbar VertebraeProspective StudiesReproducibility of ResultsThoracic Vertebrae

Identifiers

PMID34580417
OpenAlexW3204196938

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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.