Classification systems for acute thoracolumbar trauma.
Purpose of review: Many thoracolumbar injury-classification schemes have been proposed, but a widely accepted and reliable system to characterize injuries and guide treatment has not been established.Recent findings: Recent studies have shown that the most widely used classifications do not produce...
| Publicado en: | Current Opinion in Orthopaedics Vol. 18; no. 3; pp. 253 - 259 |
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| Autores principales: | , , , , |
| Formato: | pictorial questionnaire/scale review tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
2007 May
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106143008&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106143008 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10419918 IR2 jtl: Current Opinion in Orthopaedics issn: 10419918 maglogo: N pubinfo: dt: 2007 May vid: 18 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106143008 106143008 2009591066 106143008 ppf: 253 ppct: 6 formats: tig: atl: Classification systems for acute thoracolumbar trauma. aug: au: Fassett DR Politi R Patel A Brown Z Vaccaro AR affil: Depts of Neurosurgery and Orthopaedics, Thomas Jefferson University, Philadelphia, PA sug: subj: Instrument Construction Evaluation Instrument Validation Evaluation Lumbar Vertebrae Pathology Spinal Cord Injuries Classification Spinal Fractures Classification Thoracic Injuries Classification Thoracic Vertebrae Pathology Algorithms Classification Methods Clinical Assessment Tools Decision Making, Clinical Methods Medical Practice, Evidence-Based Neuropsychological Tests Orthopedic Surgery Utilization Practice Guidelines Research Instruments Severity of Illness Indices Spinal Cord Injuries Diagnosis Spinal Cord Injuries Pathology Spinal Cord Injuries Prognosis Spinal Cord Injuries Surgery Spinal Fractures Diagnosis Spinal Fractures Pathology Spinal Fractures Prognosis Spinal Fractures Surgery Thoracic Injuries Diagnosis Thoracic Injuries Pathology Thoracic Injuries Surgery Treatment Outcomes Validation Studies ab: Purpose of review: Many thoracolumbar injury-classification schemes have been proposed, but a widely accepted and reliable system to characterize injuries and guide treatment has not been established.Recent findings: Recent studies have shown that the most widely used classifications do not produce consistent classification of injuries and have marginal reliability for clinical and research use. In addition, most classification systems do not provide an algorithm to guide treatment. As a result, the Spine Trauma Study Group has attempted to develop a new classification system that would reliably describe an injury and assist in guiding treatment. Studies of the initial version of this classification system showed encouraging results in predicting operative and nonoperative management, but marginal reliability in some areas of the classification prompted continued refinement. The most recent version to date is now referred to as the Thoracolumbar Injury Classification and Severity Score, which scores injuries based on fracture morphology, integrity of posterior ligamentous complex, and neurological status.Summary: Creation of an ideal thoracolumbar classification remains difficult. The Thoracolumbar Injury Classification and Severity Score has been developed with the hope of improving the reliability of thoracolumbar fracture classification and providing a classification that guides treatment. pubtype: Academic Journal doctype: pictorial questionnaire/scale review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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