Reliability and safety of a new upper cervical spine injury treatment algorithm.

Abstract:

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.

journal_name

Arq Neuropsiquiatr

authors

Joaquim AF,Brock RS,Guirado VM,Sandon LH,Silva OT,Taricco MA,Teixeira MJ,Figueiredo EG

doi

10.1590/0004-282X20160200

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

107-113

issue

2

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2017000200007

journal_volume

75

pub_type

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