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01-04-2016 | Original Article

The surgical algorithm for the AOSpine thoracolumbar spine injury classification system

Authors: Alexander R. Vaccaro, Gregory D. Schroeder, Christopher K. Kepler, F. Cumhur Oner, Luiz R. Vialle, Frank Kandziora, John D. Koerner, Mark F. Kurd, Max Reinhold, Klaus J. Schnake, Jens Chapman, Bizhan Aarabi, Michael G. Fehlings, Marcel F. Dvorak

Published in: European Spine Journal | Issue 4/2016

Abstract

Purpose

The goal of the current study is to establish a surgical algorithm to accompany the AOSpine thoracolumbar spine injury classification system.

Methods

A survey was sent to AOSpine members from the six AO regions of the world, and surgeons were asked if a patient should undergo an initial trial of conservative management or if surgical management was warranted. The survey consisted of controversial injury patterns. Using the results of the survey, a surgical algorithm was developed.

Results

The AOSpine Trauma Knowledge forum defined that the injuries in which less than 30 % of surgeons would recommend surgical intervention should undergo a trial of non-operative care, and injuries in which 70 % of surgeons would recommend surgery should undergo surgical intervention. Using these thresholds, it was determined that injuries with a thoracolumbar AOSpine injury score (TL AOSIS) of three or less should undergo a trial of conservative treatment, and injuries with a TL AOSIS of more than five should undergo surgical intervention. Operative or non-operative treatment is acceptable for injuries with a TL AOSIS of four or five.

Conclusion

The current algorithm uses a meaningful injury classification and worldwide surgeon input to determine the initial treatment recommendation for thoracolumbar injuries. This allows for a globally accepted surgical algorithm for the treatment of thoracolumbar trauma.

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Title: The surgical algorithm for the AOSpine thoracolumbar spine injury classification system
Authors: Alexander R. Vaccaro
Gregory D. Schroeder
Christopher K. Kepler
F. Cumhur Oner
Luiz R. Vialle
Frank Kandziora
John D. Koerner
Mark F. Kurd
Max Reinhold
Klaus J. Schnake
Jens Chapman
Bizhan Aarabi
Michael G. Fehlings
Marcel F. Dvorak
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 4/2016
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-015-3982-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The surgical algorithm for the AOSpine thoracolumbar spine injury classification system

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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