Title |
Reliability and safety of a new upper cervical spine injury treatment algorithm
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Published in |
Arquivos de Neuro-Psiquiatria, February 2017
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DOI | 10.1590/0004-282x20160200 |
Pubmed ID | |
Authors |
Andrei Fernandes Joaquim, Roger Schmidt Brock, Vinicius Monteiro de Paula Guirado, Luis Henrique Sandon, Otávio Turolo da Silva, Mário Augusto Taricco, Manoel Jacobsen Teixeira, Eberval Gadelha Figueiredo |
Abstract |
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. 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. 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. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 13 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 4 | 31% |
Student > Doctoral Student | 1 | 8% |
Student > Ph. D. Student | 1 | 8% |
Student > Master | 1 | 8% |
Researcher | 1 | 8% |
Other | 0 | 0% |
Unknown | 5 | 38% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 4 | 31% |
Neuroscience | 1 | 8% |
Physics and Astronomy | 1 | 8% |
Unknown | 7 | 54% |