Understanding Decision Making as It Influences Treatment in Thoracolumbar Burst Fractures Without Neurological Deficit: Conceptual Framework and Methodology.

Dandurand, Charlotte; Öner, Cumhur F; Hazenbiller, Olesja; Bransford, Richard J; Schnake, Klaus; Vaccaro, Alexander R; Benneker, Lorin M; Vialle, Emiliano; Schroeder, Gregory D; Rajasekaran, Shanmuganathan; El-Skarkawi, Mohammad; Kanna, Rishi M; Aly, Mohamed; Holas, Martin; Canseco, Jose A; Muijs, Sander; Popescu, Eugen Cezar; Tee, Jin Wee; Camino-Willhuber, Gaston; Joaquim, Andrei Fernandes; ... (2024). Understanding Decision Making as It Influences Treatment in Thoracolumbar Burst Fractures Without Neurological Deficit: Conceptual Framework and Methodology. Global spine journal, 14(1_suppl), 8S-16S. Sage 10.1177/21925682231210183

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STUDY DESIGN

This paper presents a description of a conceptual framework and methodology that is applicable to the manuscripts that comprise this focus issue.

OBJECTIVES

Our goal is to present a conceptual framework which is relied upon to better understand the processes through which surgeons make therapeutic decisions around how to treat thoracolumbar burst fractures (TL) fractures.

METHODS

We will describe the methodology used in the AO Spine TL A3/4 Study prospective observational study and how the radiographs collected for this study were utilized to study the relationships between various variables that factor into surgeon decision making.

RESULTS

With 22 expert spine trauma surgeons analyzing the acute CT scans of 183 patients with TL fractures we were able to perform pairwise analyses, look at reliability and correlations between responses and develop frequency tables, and regression models to assess the relationships and interactions between variables. We also used machine learning to develop decision trees.

CONCLUSIONS

This paper outlines the overall methodological elements that are common to the subsequent papers in this focus issue.

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:

Bigdon, Sebastian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2192-5682

Publisher:

Sage

Language:

English

Submitter:

Pubmed Import

Date Deposited:

12 Feb 2024 16:32

Last Modified:

13 Feb 2024 15:11

Publisher DOI:

10.1177/21925682231210183

PubMed ID:

38324598

Uncontrolled Keywords:

burst fractures methodology thoracolumbar treatment recommendations

BORIS DOI:

10.48350/192669

URI:

https://boris.unibe.ch/id/eprint/192669

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