Evidence map›Paper›PMID 38324600›Full record

ArticleGlobal spine journal2024

Interobserver Reliability in the Classification of Thoracolumbar Fractures Using the AO Spine TL Injury Classification System Among 22 Clinical Experts in Spine Trauma Care.

Jose A Canseco, Taylor Paziuk, Gregory D Schroeder, Marcel F Dvorak, Cumhur F Öner, Lorin M Benneker, Emiliano Vialle, Shanmuganathan Rajasekaran, Mohammad El-Sharkawi, Richard J Bransford and 15 more

Abstract read
In one paragraph

Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. How reliable is the distinction between thoracolumbar AO type A3 and A4 fractures? A systematic literature review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Pooled it
  2. Diagnostic accuracy of various methods for measuring interspinous widening in thoracolumbar posterior ligamentous complex injury shown on MRI.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
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  4. Review
  5. 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

25 authors.

Jose A CansecoDepartment of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0002-2152-5725
Taylor PaziukDepartment of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0002-6083-4176
Gregory D SchroederDepartment of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.
Marcel F DvorakCombined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, Canada.
Cumhur F ÖnerUniversity Medical Centers, Utrecht, the Netherlands.
Lorin M BennekerSpine Unit, Sonnenhof Spital, University of Bern, Bern, Switzerland.ORCID 0000-0002-5320-5638
Emiliano VialleCajuru Hospital, Catholic University of Paraná, Curitiba, Brazil.ORCID 0000-0003-1157-4889
Shanmuganathan RajasekaranDepartment of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, India.ORCID 0000-0001-6043-006X
Mohammad El-SharkawiDepartment of Orthopaedic and Trauma Surgery, Faculty of Medicine, Assiut University Medical School, Assiut, Egypt.ORCID 0000-0001-6177-7145
Richard J BransfordDepartment of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.
Rishi M KannaDepartment of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, India.ORCID 0000-0001-5817-4909
Martin HolasKlinika Úrazovej Chirurgie SZU a FNsP F.D.Roosevelta, Banská Bystrica, Slovakia.ORCID 0000-0002-3763-8767
Sander MuijsUniversity Medical Centers, Utrecht, the Netherlands.
Eugen Cezar PopescuProf. Dr. N. Oblu" Emergency Hospital, Iasi, Romania.ORCID 0000-0001-5732-5402
Charlotte DandurandCombined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, Canada.ORCID 0000-0002-4520-6454
Jin W TeeDepartment of Neurosurgery, National Trauma Research Institute (NTRI), The Alfred Hospital, Melbourne, VIC, Australia.
Gaston Camino-WillhuberOrthopaedic and Traumatology Department, Institute of Orthopedics "Carlos E. Ottolenghi" Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.ORCID 0000-0002-5684-7679
Mohamed M AlyDepartment of Neurosurgery, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabi.ORCID 0000-0001-5221-8288
Andrei Fernandes JoaquimNeurosurgery Division, Department of Neurology, State University of Campinas, Campinas-Sao Paulo, Brazil.ORCID 0000-0003-2645-0483
Ory KeynanRambam Health Care Campus, Haifa, Israel.
Harvinder Singh ChhabraSri Balaji Action Medical Institute, New Delhi, India.
Sebastian BigdonDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0002-4649-0610
Ulrich J SpieglDepartment of Orthopaedics, Trauma Surgery and Plastic Surgery, University of Leipzig, Leipzig, Germany.ORCID 0000-0002-5179-4192
Klaus SchnakeCenter for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien Erlangen, Erlangen, Germany.
Alexander R VaccaroDepartment of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designReliability study utilizing 183 injury CT scans by 22 spine trauma experts with assessment of radiographic features, classification of injuries and treatment recommendations.

objectivesTo assess the reliability of the AOSpine TL Injury Classification System (TLICS) including the categories within the classification and the M1 modifier.

methodsKappa and Intraclass correlation coefficients were produced. Associations of various imaging characteristics (comminution, PLC status) and treatment recommendations were analyzed through regression analysis. Multivariable logistic regression modeling was used for making predictive algorithms.

resultsReliability of the AO Spine TLICS at differentiating A3 and A4 injuries (N = 71) (K = .466; 95% CI .458 - .474;

conclusionsThe reliability of surgeons differentiating between A3 and A4 injuries in the AOSpine TLICS is substantial and the utilization of the M1 modifier occurs more frequently with higher grades in the system.

Indexed as

AO spine thoracolumbar injury classificationreliabilitythoracolumbar fractures

Identifiers

PMID38324600
PMCPMC10867533

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.