Evidence map›Paper›PMID 34858534›Full record

ArticleJournal of children's orthopaedics2021

The reliability of the AOSpine Thoracolumbar Spine Injury Classification System in children: an international validation study.

Andrew Z Mo, Patricia E Miller, Javier Pizones, Ilkka Helenius, Michael Ruf, Ron El-Hawary, Rafael Garcia de Oliveira, Dror Ovadia, Noriaki Kawakami, Haemish Crawford and 5 more

Abstract read
In one paragraph

Article in Journal of children's orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

15 authors.

Andrew Z MoDepartment of Orthopaedic Surgery, Georgetown University Medical Center, Washington, District of Columbia, United States.ORCID https://orcid.org/0000-0002-5168-5033
Patricia E MillerDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston, Massachusetts, United States.
Javier PizonesSpine Unit, Hospital Universitario La Paz, Madrid, Spain.
Ilkka HeleniusProfessor and Chairman, Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Michael RufCenter for Spinal Surgery, Orthopedics, and Traumatology, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Germany.
Ron El-HawaryIWK Health Centre, Halifax, Nova Scotia, Canada.
Rafael Garcia de OliveiraSarah Hospital, Brasília, Brazil.ORCID https://orcid.org/0000-0002-9160-9246
Dror OvadiaDana Dwek Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.
Noriaki KawakamiDirector of Spine & Scoliosis Center, Department of Orthopedic Surgery, Ichinomiyanishi Hospital, Ichinomiya, Japan.
Haemish CrawfordPaediatric Orthopaedic Surgeon, Starship Children's Hospital, Auckland, New Zealand.
Thierry OdentService de Chirurgie Orthopédique Pédiatrique, Université François Rabelais de Tours, PRES Centre-Val de Loire Université, Hôpital Gatien-de-Clocheville, Tours, France.
Muharrem YaziciHacettepe University, Faculty of Medicine, Orthopaedics, Ankara, Turkey.
Michael B JohnsonRoyal Children's Hospital, Melbourne, Victoria, Australia.
Firoz MiyanjiDepartment of Orthopedics, British Columbia Children's Hospital, Pediatric Orthopedics and Spine Surgery, Vancouver, British Columbia, Canada.
Daniel J HedequistDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston, Massachusetts, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the AOSpine Thoracolumbar Spine Injury Classification System and if it is reliable and reproducible when applied to the paediatric population globally.

methodsA total of 12 paediatric orthopaedic surgeons were asked to review MRI and CT imaging of 25 paediatric patients with thoracolumbar spine traumatic injuries, in order to determine the classification of the lesions observed. The evaluators classified injuries into primary categories: A, B and C. Interobserver reliability was assessed for the initial reading by Fleiss's kappa coefficient (k

resultsIn total, 25 cases were read for a total of 300 initial and 300 repeated evaluations. Adjusted interobserver reliability was almost perfect (kF = 0.74; 95% CI 0.71 to 0.78) across all observers. Sub-classification reliability was substantial (α

conclusionThe inter- and intraobserver reliability for the AOSpine Thoracolumbar Spine Injury Classification System was high amongst paediatric orthopaedic surgeons. The AOSpine Thoracolumbar Spine Injury Classification System is a promising option as a uniform fracture classification in children. LEVEL OF EVIDENCE: III.

Indexed as

AOSpineintraobserver reliabilityposterior ligamentous complexthoracolumbarThoracolumbar Injury Classification System

Identifiers

PMID34858534
PMCPMC8582611

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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.