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Type: Artigo
Title: Reliability And Safety Of A New Upper Cervical Spine Injury Treatment Algorithm
Author: Joaquim
Andrei Fernandes; Brock
Roger Schmidt; de Paula Guirado
Vinicius Monteiro; Sandon
Luis Henrique; da Silva
Otavio Turolo; Taricco
Mario Augusto; Teixeira
Manoel Jacobsen; Figueiredo
Eberval Gadelha
Abstract: In the present study, we evaluated the reliability and safety of a new upper cervical spine injury treatment algorithm to help in the selection of the best treatment modality for these injuries. 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.
Subject: Spinal Injuries
Spinal Cord Injuries
Editor: Assoc Arquivos Neuro- Psiquiatria
São Paulo
Rights: aberto
Identifier DOI: 10.1590/0004-282X20160200
Date Issue: 2017
Appears in Collections:Unicamp - Artigos e Outros Documentos

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