Interobserver Reliability in the Classification of Thoracolumbar Fractures Using the AO Spine TL Injury Classification System Among 22 Clinical Experts in Spine Trauma Care.
Publication/Presentation Date
2-1-2024
Abstract
STUDY DESIGN: Reliability study utilizing 183 injury CT scans by 22 spine trauma experts with assessment of radiographic features, classification of injuries and treatment recommendations.
OBJECTIVES: To assess the reliability of the AOSpine TL Injury Classification System (TLICS) including the categories within the classification and the M1 modifier.
METHODS: Kappa 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.
RESULTS: Reliability of the AO Spine TLICS at differentiating A3 and A4 injuries (N = 71) (K = .466; 95% CI .458 - .474;
CONCLUSIONS: The 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.
Volume
14
Issue
1_suppl
First Page
17
Last Page
17
ISSN
2192-5682
Published In/Presented At
Canseco, J. A., Paziuk, T., Schroeder, G. D., Dvorak, M. F., Öner, C. F., Benneker, L. M., Vialle, E., Rajasekaran, S., El-Sharkawi, M., Bransford, R. J., Kanna, R. M., Holas, M., Muijs, S., Popescu, E. C., Dandurand, C., Tee, J. W., Camino-Willhuber, G., Aly, M. M., Joaquim, A. F., Keynan, O., … Vaccaro, A. R. (2024). Interobserver Reliability in the Classification of Thoracolumbar Fractures Using the AO Spine TL Injury Classification System Among 22 Clinical Experts in Spine Trauma Care. Global spine journal, 14(1_suppl), 17S–24S. https://doi.org/10.1177/21925682231202371
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
38324600
Department(s)
Administration and Leadership
Document Type
Article