Understanding Decision Making as It Influences Treatment in Thoracolumbar Burst Fractures Without Neurological Deficit: Conceptual Framework and Methodology-Reference-Cited by-同舟云学术

Understanding Decision Making as It Influences Treatment in Thoracolumbar Burst Fractures Without Neurological Deficit: Conceptual Framework and Methodology

Published:2024-02 Issue:1_suppl Volume:14 Page:8S-16S
ISSN:2192-5682
Container-title:Global Spine Journal
language:en
Short-container-title:Global Spine Journal

Author:

Dandurand Charlotte¹^ORCID,Öner Cumhur F.²,Hazenbiller Olesja³,Bransford Richard J.⁴,Schnake Klaus⁵⁶,Vaccaro Alexander R.⁷,Benneker Lorin M.⁸^ORCID,Vialle Emiliano⁹^ORCID,Schroeder Gregory D.⁷,Rajasekaran Shanmuganathan¹⁰^ORCID,El-Skarkawi Mohammad¹¹^ORCID,Kanna Rishi M.¹⁰^ORCID,Aly Mohamed¹²¹³^ORCID,Holas Martin¹⁴^ORCID,Canseco Jose A.⁷^ORCID,Muijs Sander²,Popescu Eugen Cezar¹⁵^ORCID,Tee Jin Wee¹⁶,Camino-Willhuber Gaston¹⁷^ORCID,Joaquim Andrei Fernandes¹⁸^ORCID,Keynan Ory¹⁹,Chhabra Harvinder Singh²⁰,Bigdon Sebastian²¹^ORCID,Spiegel Ulrich²²^ORCID,Dvorak Marcel F.¹

Affiliation:

1. Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada

2. University Medical Centers, Utrecht, Netherlands

3. AO Spine, AO Network Clinical Research, AO Foundation, Davos, Switzerland

4. Harborview Medical Center, Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA

5. Center for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien, Erlangen, Germany

6. Private Medical University Nuremberg, Nuremberg, Germany

7. Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA

8. Spine Unit, Sonnenhof Spital, University of Bern, Bern, Switzerland

9. Cajuru Hospital, Catholic University of Paraná, Curitiba, Brazil

10. Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, India

11. Department of Orthopaedic and Trauma Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt

12. Department of Neurosurgery, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia

13. Department of Neurosurgery, Mansoura University, Mansoura, Egypt

14. Klinika Úrazovej Chirurgie SZU a FNsP F.D.Roosevelta, Banská Bystrica, Slovakia

15. Prof. Dr. N. Oblu” Emergency Hospital, Iasi, Romania

16. Department of Neurosurgery, National Trauma Research Institute (NTRI), The Alfred Hospital, Melbourne, VIC, Australia

17. Orthopaedic and Traumatology Department, Institute of Orthopedics “Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires, Buenes Aires, Argentina

18. Neurosurgery Division, Department of Neurology, State University of Campinas, Sao Paulo, Brazil

19. Rambam Health Care Campus, Haifa, Israel

20. Sri Balaji Action Medical Institute, New Delhi, India

21. Department of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of Bern, Bern, Switzerland

22. Department of Orthopaedics, Trauma Surgery and Plastic Surgery, University of Leipzig, Leipzig, Germany

Abstract

Study Design This paper presents a description of a conceptual framework and methodology that is applicable to the manuscripts that comprise this focus issue. Objectives Our goal is to present a conceptual framework which is relied upon to better understand the processes through which surgeons make therapeutic decisions around how to treat thoracolumbar burst fractures (TL) fractures. Methods We will describe the methodology used in the AO Spine TL A3/4 Study prospective observational study and how the radiographs collected for this study were utilized to study the relationships between various variables that factor into surgeon decision making. Results With 22 expert spine trauma surgeons analyzing the acute CT scans of 183 patients with TL fractures we were able to perform pairwise analyses, look at reliability and correlations between responses and develop frequency tables, and regression models to assess the relationships and interactions between variables. We also used machine learning to develop decision trees. Conclusions This paper outlines the overall methodological elements that are common to the subsequent papers in this focus issue.

Funder

AO Spine Knowledge Forum Trauma

Publisher

SAGE Publications

Link

http://journals.sagepub.com/doi/pdf/10.1177/21925682231210183

Reference23 articles.

1. Does Operative or Nonoperative Treatment Achieve Better Results in A3 and A4 Spinal Fractures Without Neurological Deficit?

2. Nonoperative Treatment Versus Posterior Fixation for Thoracolumbar Junction Burst Fractures Without Neurologic Deficit

3. Operative vs. konservative Behandlung von Frakturen des thorakolumbalen Übergangs

4. A review of the management of thoracolumbar burst fractures

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