Reliability and safety of a new upper cervical spine injury treatment algorithm
ABSTRACT In the present study, we evaluated the reliability and safety of a new upper cervical spine injury treatment algorithm to help in the selection of the best treatment modality for these injuries. Methods Thirty cases, previously treated according to the new algorithm, were presented to four...
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| Veröffentlicht in: | Arquivos de neuro-psiquiatria 2017-02, Vol.75 (2), p.107-113 |
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| creator | Joaquim, Andrei Fernandes Brock, Roger Schmidt Guirado, Vinicius Monteiro de Paula Sandon, Luis Henrique Silva, Otávio Turolo da Taricco, Mário Augusto Teixeira, Manoel Jacobsen Figueiredo, Eberval Gadelha |
| description | ABSTRACT
In the present study, we evaluated the reliability and safety of a new upper cervical spine injury treatment algorithm to help in the selection of the best treatment modality for these injuries.
Methods
Thirty cases, previously treated according to the new algorithm, were presented to four spine surgeons who were questioned about their personal suggestion for treatment, and the treatment suggested according to the application of the algorithm. After four weeks, the same questions were asked again to evaluate reliability (intra- and inter-observer) using the Kappa index.
Results
The reliability of the treatment suggested by applying the algorithm was superior to the reliability of the surgeons’ personal suggestion for treatment. When applying the upper cervical spine injury treatment algorithm, an agreement with the treatment actually performed was obtained in more than 89% of the cases.
Conclusion
The system is safe and reliable for treating traumatic upper cervical spine injuries. The algorithm can be used to help surgeons in the decision between conservative versus surgical treatment of these injuries. |
| doi_str_mv | 10.1590/0004-282X20160200 |
| format | Article |
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In the present study, we evaluated the reliability and safety of a new upper cervical spine injury treatment algorithm to help in the selection of the best treatment modality for these injuries.
Methods
Thirty cases, previously treated according to the new algorithm, were presented to four spine surgeons who were questioned about their personal suggestion for treatment, and the treatment suggested according to the application of the algorithm. After four weeks, the same questions were asked again to evaluate reliability (intra- and inter-observer) using the Kappa index.
Results
The reliability of the treatment suggested by applying the algorithm was superior to the reliability of the surgeons’ personal suggestion for treatment. When applying the upper cervical spine injury treatment algorithm, an agreement with the treatment actually performed was obtained in more than 89% of the cases.
Conclusion
The system is safe and reliable for treating traumatic upper cervical spine injuries. The algorithm can be used to help surgeons in the decision between conservative versus surgical treatment of these injuries.</description><identifier>ISSN: 0004-282X</identifier><identifier>ISSN: 1678-4227</identifier><identifier>EISSN: 1678-4227</identifier><identifier>EISSN: 0004-282X</identifier><identifier>DOI: 10.1590/0004-282X20160200</identifier><identifier>PMID: 28226080</identifier><language>eng</language><publisher>Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil: Thieme Revinter Publicações Ltda</publisher><subject>Adolescent ; Adult ; Aged ; Algorithms ; Cervical Vertebrae - injuries ; classificação ; Female ; Humans ; Injury Severity Score ; Male ; Middle Aged ; NEUROSCIENCES ; Neurosurgery ; Observer Variation ; PSYCHIATRY ; Reproducibility of Results ; Spinal Injuries - classification ; Spinal Injuries - surgery ; terapêutica ; traumatismos da coluna vertebral ; traumatismos da medula espinal ; Young Adult</subject><ispartof>Arquivos de neuro-psiquiatria, 2017-02, Vol.75 (2), p.107-113</ispartof><rights>Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon.</rights><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c475t-5180f915b412f7a51375fab15355bb920770d4adfe74ea681203b384b3f6b6063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1590/0004-282X20160200.pdf$$EPDF$$P50$$Gthieme$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1590/0004-282X20160200$$EHTML$$P50$$Gthieme$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,865,886,20896,27929,27930,54592,54620</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28226080$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joaquim, Andrei Fernandes</creatorcontrib><creatorcontrib>Brock, Roger Schmidt</creatorcontrib><creatorcontrib>Guirado, Vinicius Monteiro de Paula</creatorcontrib><creatorcontrib>Sandon, Luis Henrique</creatorcontrib><creatorcontrib>Silva, Otávio Turolo da</creatorcontrib><creatorcontrib>Taricco, Mário Augusto</creatorcontrib><creatorcontrib>Teixeira, Manoel Jacobsen</creatorcontrib><creatorcontrib>Figueiredo, Eberval Gadelha</creatorcontrib><title>Reliability and safety of a new upper cervical spine injury treatment algorithm</title><title>Arquivos de neuro-psiquiatria</title><addtitle>Arq Neuropsiquiatr</addtitle><description>ABSTRACT
In the present study, we evaluated the reliability and safety of a new upper cervical spine injury treatment algorithm to help in the selection of the best treatment modality for these injuries.
Methods
Thirty cases, previously treated according to the new algorithm, were presented to four spine surgeons who were questioned about their personal suggestion for treatment, and the treatment suggested according to the application of the algorithm. After four weeks, the same questions were asked again to evaluate reliability (intra- and inter-observer) using the Kappa index.
Results
The reliability of the treatment suggested by applying the algorithm was superior to the reliability of the surgeons’ personal suggestion for treatment. When applying the upper cervical spine injury treatment algorithm, an agreement with the treatment actually performed was obtained in more than 89% of the cases.
Conclusion
The system is safe and reliable for treating traumatic upper cervical spine injuries. The algorithm can be used to help surgeons in the decision between conservative versus surgical treatment of these injuries.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Algorithms</subject><subject>Cervical Vertebrae - injuries</subject><subject>classificação</subject><subject>Female</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Middle Aged</subject><subject>NEUROSCIENCES</subject><subject>Neurosurgery</subject><subject>Observer Variation</subject><subject>PSYCHIATRY</subject><subject>Reproducibility of Results</subject><subject>Spinal Injuries - classification</subject><subject>Spinal Injuries - surgery</subject><subject>terapêutica</subject><subject>traumatismos da coluna vertebral</subject><subject>traumatismos da medula espinal</subject><subject>Young Adult</subject><issn>0004-282X</issn><issn>1678-4227</issn><issn>1678-4227</issn><issn>0004-282X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>0U6</sourceid><sourceid>EIF</sourceid><sourceid>DOA</sourceid><recordid>eNqNUk2PFCEQJUbjjqs_wIvh6KXXgoaGPpqNH5tssokfiTcCTbHLpD9G6Fbn38vYM2PiyRNQ9d5L1XsQ8pLBFZMtvAEAUXHNv3FgDXCAR2TDGqUrwbl6TDbn_gV5lvMWgIu2VU_JRanxBjRsyN0n7KN1sY_zntrR02wDlusUqKUj_qTLboeJdph-xM72NO_iiDSO2yXt6ZzQzgOOM7X9_ZTi_DA8J0-C7TO-OJ6X5Ov7d1-uP1a3dx9urt_eVp1Qcq4k0xBaJp1gPCgrWa1ksI7JWkrnWg5KgRfWB1QCbaMZh9rVWrg6NK6Bpr4kN6uun-zW7FIcbNqbyUbzpzCle2PTHLsejeLCd23wLaIXULeuFraTgTHQXkivitbVqpW7iP1kttOSxjK8-Xww0BwNVuVRLAY4EF6vhF2avi-YZzPE3GHf2xGnJRumldKCs1b_D5TJsj7wAmUrtEtTzgnDeS0G5pC3OY3z65R34bw6yi9uQH9mnAIuAFgB80PEAf_u9q_m-Q_VvwFCD699</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Joaquim, Andrei Fernandes</creator><creator>Brock, Roger Schmidt</creator><creator>Guirado, Vinicius Monteiro de Paula</creator><creator>Sandon, Luis Henrique</creator><creator>Silva, Otávio Turolo da</creator><creator>Taricco, Mário Augusto</creator><creator>Teixeira, Manoel Jacobsen</creator><creator>Figueiredo, Eberval Gadelha</creator><general>Thieme Revinter Publicações Ltda</general><general>Academia Brasileira de Neurologia - ABNEURO</general><general>Academia Brasileira de Neurologia (ABNEURO)</general><scope>0U6</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope><scope>GPN</scope><scope>DOA</scope></search><sort><creationdate>201702</creationdate><title>Reliability and safety of a new upper cervical spine injury treatment algorithm</title><author>Joaquim, Andrei Fernandes ; Brock, Roger Schmidt ; Guirado, Vinicius Monteiro de Paula ; Sandon, Luis Henrique ; Silva, Otávio Turolo da ; Taricco, Mário Augusto ; Teixeira, Manoel Jacobsen ; Figueiredo, Eberval Gadelha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-5180f915b412f7a51375fab15355bb920770d4adfe74ea681203b384b3f6b6063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Algorithms</topic><topic>Cervical Vertebrae - injuries</topic><topic>classificação</topic><topic>Female</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Middle Aged</topic><topic>NEUROSCIENCES</topic><topic>Neurosurgery</topic><topic>Observer Variation</topic><topic>PSYCHIATRY</topic><topic>Reproducibility of Results</topic><topic>Spinal Injuries - classification</topic><topic>Spinal Injuries - surgery</topic><topic>terapêutica</topic><topic>traumatismos da coluna vertebral</topic><topic>traumatismos da medula espinal</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Joaquim, Andrei Fernandes</creatorcontrib><creatorcontrib>Brock, Roger Schmidt</creatorcontrib><creatorcontrib>Guirado, Vinicius Monteiro de Paula</creatorcontrib><creatorcontrib>Sandon, Luis Henrique</creatorcontrib><creatorcontrib>Silva, Otávio Turolo da</creatorcontrib><creatorcontrib>Taricco, Mário Augusto</creatorcontrib><creatorcontrib>Teixeira, Manoel Jacobsen</creatorcontrib><creatorcontrib>Figueiredo, Eberval Gadelha</creatorcontrib><collection>Thieme Connect Journals Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Arquivos de neuro-psiquiatria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Joaquim, Andrei Fernandes</au><au>Brock, Roger Schmidt</au><au>Guirado, Vinicius Monteiro de Paula</au><au>Sandon, Luis Henrique</au><au>Silva, Otávio Turolo da</au><au>Taricco, Mário Augusto</au><au>Teixeira, Manoel Jacobsen</au><au>Figueiredo, Eberval Gadelha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reliability and safety of a new upper cervical spine injury treatment algorithm</atitle><jtitle>Arquivos de neuro-psiquiatria</jtitle><addtitle>Arq Neuropsiquiatr</addtitle><date>2017-02</date><risdate>2017</risdate><volume>75</volume><issue>2</issue><spage>107</spage><epage>113</epage><pages>107-113</pages><issn>0004-282X</issn><issn>1678-4227</issn><eissn>1678-4227</eissn><eissn>0004-282X</eissn><abstract>ABSTRACT
In the present study, we evaluated the reliability and safety of a new upper cervical spine injury treatment algorithm to help in the selection of the best treatment modality for these injuries.
Methods
Thirty cases, previously treated according to the new algorithm, were presented to four spine surgeons who were questioned about their personal suggestion for treatment, and the treatment suggested according to the application of the algorithm. After four weeks, the same questions were asked again to evaluate reliability (intra- and inter-observer) using the Kappa index.
Results
The reliability of the treatment suggested by applying the algorithm was superior to the reliability of the surgeons’ personal suggestion for treatment. When applying the upper cervical spine injury treatment algorithm, an agreement with the treatment actually performed was obtained in more than 89% of the cases.
Conclusion
The system is safe and reliable for treating traumatic upper cervical spine injuries. The algorithm can be used to help surgeons in the decision between conservative versus surgical treatment of these injuries.</abstract><cop>Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil</cop><pub>Thieme Revinter Publicações Ltda</pub><pmid>28226080</pmid><doi>10.1590/0004-282X20160200</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Arquivos de neuro-psiquiatria, 2017-02, Vol.75 (2), p.107-113 |
| issn | 0004-282X 1678-4227 1678-4227 0004-282X |
| language | eng |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Thieme Connect Journals Open Access |
| subjects | Adolescent Adult Aged Algorithms Cervical Vertebrae - injuries classificação Female Humans Injury Severity Score Male Middle Aged NEUROSCIENCES Neurosurgery Observer Variation PSYCHIATRY Reproducibility of Results Spinal Injuries - classification Spinal Injuries - surgery terapêutica traumatismos da coluna vertebral traumatismos da medula espinal Young Adult |
| title | Reliability and safety of a new upper cervical spine injury treatment algorithm |
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