Abstract:
OBJECTIVE:The AOSpine Subaxial Cervical Spine Injury Classification System was introduced to improve communication, clinical management, and research. Here, the system was studied in relation to injury severity along with admission and long term neurologic follow-up. METHODS:A retrospective study was performed in subaxial cervical spine injury patients. Morphology was classified using the AOSpine Subaxial Cervical Spine Injury Classification System. Six major morphology subtypes were selected for analysis. The American Spinal Injury Association (ASIA) motor and Abbreviated Injury Severity (AIS) scores were recorded at admission and at follow-up >6 months. Admission intramedullary lesion length (IMLL) on MRI was recorded. RESULTS:In all, 82 patients met criteria for analysis. The mean follow-up time was 11 months (range, 6-33 months). The were 36 patients with morphology subtypes A0, 4 with A1/A2, 9 with A3/A4, 8 with B2, 11 with B3, and 14 with C. The A1/2 subtype had the least severe injuries on admission. The C and A3/A4 subtypes had the most severe injuries. The subtype C had the lowest ASIA Motor Score (AMS) and second highest percentage of complete injuries. A3/A4 patients had the highest percentage of complete injuries on admission. At follow-up, A3/A4 patients had the lowest AMS, and 33% of patients continued to have complete injuries. C subtype injuries all converted to AIS incomplete injuries on follow-up (P = 0.04). IMLL was found to be significantly different compared across multiple morphologic subtypes. Surgical management for each morphology subtype was reported. CONCLUSION:The AOSpine Subaxial Cervical Spine Injury Classification System successfully associated injury morphology with IMLL along with admission and long-term neurologic function and recovery.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Mushlin H,Kole MJ,Chryssikos T,Cannarsa G,Schwartzbauer G,Aarabi Bdoi
10.1016/j.wneu.2019.06.092subject
Has Abstractpub_date
2019-10-01 00:00:00pages
e368-e374eissn
1878-8750issn
1878-8769pii
S1878-8750(19)31644-4journal_volume
130pub_type
杂志文章abstract:BACKGROUND:Surgical treatment of meningiomas next to venous sinuses is difficult because of their irregular growth patterns and infiltration into the venous sinuses, making gross total resection impossible in some patients. We evaluated the postoperative clinical and neurologic course of this tumor subgroup. METHODS:T...
journal_title:World neurosurgery
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journal_title:World neurosurgery
pub_type: 杂志文章
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abstract::The authors discuss the implications of the COVID-19 pandemic on the use of telehealth in the United States. ...
journal_title:World neurosurgery
pub_type: 杂志文章,评审
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更新日期:2020-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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journal_title:World neurosurgery
pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/j.wneu.2011.02.021
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journal_title:World neurosurgery
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pub_type: 临床试验,杂志文章,多中心研究
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journal_title:World neurosurgery
pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2018-12-01 00:00:00
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更新日期:2017-10-01 00:00:00
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更新日期:2017-02-01 00:00:00
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更新日期:2017-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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更新日期:2019-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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更新日期:2017-10-01 00:00:00
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journal_title:World neurosurgery
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更新日期:2018-12-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2018-12-28 00:00:00
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journal_title:World neurosurgery
pub_type:
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更新日期:2020-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2012-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-04-01 00:00:00
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更新日期:2019-01-10 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00