Regional and experiential differences in surgeon preference for the treatment of cervical facet injuries: a case study survey with the AO Spine Cervical Classification Validation Group.

Canseco, Jose A; Schroeder, Gregory D; Patel, Parthik D; Grasso, Giovanni; Chang, Michael; Kandziora, Frank; Vialle, Emiliano N; Oner, F Cumhur; Schnake, Klaus J; Dvorak, Marcel F; Chapman, Jens R; Benneker, Lorin M; Rajasekaran, Shanmuganathan; Kepler, Christopher K; Vaccaro, Alexander R (2021). Regional and experiential differences in surgeon preference for the treatment of cervical facet injuries: a case study survey with the AO Spine Cervical Classification Validation Group. European spine journal, 30(2), pp. 517-523. Springer 10.1007/s00586-020-06535-z

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PURPOSE

The management of cervical facet dislocation injuries remains controversial. The main purpose of this investigation was to identify whether a surgeon's geographic location or years in practice influences their preferred management of traumatic cervical facet dislocation injuries.

METHODS

A survey was sent to 272 AO Spine members across all geographic regions and with a variety of practice experience. The survey included clinical case scenarios of cervical facet dislocation injuries and asked responders to select preferences among various diagnostic and management options.

RESULTS

A total of 189 complete responses were received. Over 50% of responding surgeons in each region elected to initiate management of cervical facet dislocation injuries with an MRI, with 6 case exceptions. Overall, there was considerable agreement between American and European responders regarding management of these injuries, with only 3 cases exhibiting a significant difference. Additionally, results also exhibited considerable management agreement between those with ≤ 10 and > 10 years of practice experience, with only 2 case exceptions noted.

CONCLUSION

More than half of responders, regardless of geographical location or practice experience, identified MRI as a screening imaging modality when managing cervical facet dislocation injuries, regardless of the status of the spinal cord and prior to any additional intervention. Additionally, a majority of surgeons would elect an anterior approach for the surgical management of these injuries. The study found overall agreement in management preferences of cervical facet dislocation injuries around the globe.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Benneker, Lorin Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0940-6719

Publisher:

Springer

Language:

English

Submitter:

Kathrin Aeschlimann

Date Deposited:

30 Dec 2020 14:42

Last Modified:

17 Feb 2021 01:34

Publisher DOI:

10.1007/s00586-020-06535-z

PubMed ID:

32700126

Uncontrolled Keywords:

Cervical spine Joint dislocations Neck injuries Spinal diseases Spinal injuries Trauma

BORIS DOI:

10.48350/150486

URI:

https://boris.unibe.ch/id/eprint/150486

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