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Degenerative Cervic...
Degenerative Cervical Myelopathy : A 7-Letter Coding System That Supports Decision-Making for the Surgical Approach
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- Papavero, Luca (author)
- Clinic for Spine Surgery, Schoen Clinic Hamburg Eilbek, Hamburg, Germany.
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- Schmeiser, Gregor (author)
- Clinic for Spine Surgery, Schoen Clinic Hamburg Eilbek, Hamburg, Germany.
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- Kothe, Ralph (author)
- Clinic for Spine Surgery, Schoen Clinic Hamburg Eilbek, Hamburg, Germany.
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- Boszczyk, Bronek (author)
- Spine Center, Benedictus Hospital, Tutzing, Germany.
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- Heese, Oliver (author)
- Spine Center, Schoen Clinic Munich Harlaching, München, Germany.
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- Kawaguchi, Yoshiharu (author)
- Orthopedic Surgery, University of Toyama, Toyama, Japan.
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- MacDowall, Anna (author)
- Uppsala universitet,Ortopedi,Ortopedi och Handkirurgi
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- Olerud, Claes (author)
- Uppsala universitet,Ortopedi
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- Paidakakos, Nikolaos (author)
- Spine Center, University of Nottingham, Nottingham, UK.
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- Panagiotou, Anastasios (author)
- Spine Center, University of Nottingham, Nottingham, UK.
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- Pitzen, Tobias (author)
- Spine Center, SRH-Clinic, Karlsbad-Langensteinbach, Germany.
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- Richter, Marcus (author)
- Spine Center, St. Josefs-Hospital, Wiesbaden, Germany.
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- Riew, K Daniel (author)
- University Medical Center, Spine Division, Columbia University, New York, NY, USA.
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- Stevenson, Aaron (author)
- Spinal Unit, Royal Adelaide Hospital, Adelaide, Australia.
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- Tan, Lee (author)
- University Medical Center, Spine Division, Columbia University, New York, NY, USA.
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- Ueshima, Ryo (author)
- Orthopedic Surgery, University of Toyama, Toyama, Japan.
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- Yau, Y H (author)
- Spinal Unit, Royal Adelaide Hospital, Adelaide, Australia.
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- Mayer, Michael (author)
- Spine Center, Schoen Clinic Munich Harlaching, München, Germany.
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Clinic for Spine Surgery, Schoen Clinic Hamburg Eilbek, Hamburg, Germany Spine Center, Benedictus Hospital, Tutzing, Germany. (creator_code:org_t)
- The Korean Spinal Neurosurgery Society, 2020
- 2020
- English.
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In: Neurospine. - : The Korean Spinal Neurosurgery Society. - 2586-6583 .- 2586-6591. ; 17:1, s. 164-171
- Related links:
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https://www.e-neuros...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- OBJECTIVE: To validate with a prospective study a decision-supporting coding system for the surgical approach for multilevel degenerative cervical myelopathy.METHODS: Ten cases were presented on an internet platform, including clinical and imaging data. A single-approach (G1), a choice between 2 (G2), or 3 approaches (G3) were options. Senior and junior spine surgeons analyzed 7 parameters: location and extension of the compression of the spinal cord, C-spine alignment and instability, general morbidity and bone diseases, and K-line and multilevel corpectomy. For each parameter, an anterior, posterior, or combined approach was suggested. The most frequent letter or the last letter (if C) of the resulting 7-letter code (7LC) suggested the surgical approach. Each surgeon performed 2 reads per case within 8 weeks.RESULTS: G1: Interrater reliability between junior surgeons improved from the first read (κ = 0.40) to the second (κ = 0.76, p < 0.001) but did not change between senior surgeons (κ = 0.85). The intrarater reliability was similar for junior (κ = 0.78) and senior (κ = 0.71) surgeons. G2: Junior/senior surgeons agreed completely (58%/62%), partially (24%/23%), or did not agree (18%/15%) with the 7LC choice. G3: junior/senior surgeons agreed completely (50%/50%) or partially (50%/50%) with the 7LC choice.CONCLUSION: The 7LC showed good overall reliability. Junior surgeons went through a learning curve and converged to senior surgeons in the second read. The 7LC helps less experienced surgeons to analyze, in a structured manner, the relevant clinical and imaging parameters influencing the choice of the surgical approach, rather than simply pointing out the only correct one.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)
Keyword
- Anterior approach
- Combined approach
- Degenerative cervical myelopathy
- Multicenter study
- Posterior approach
Publication and Content Type
- ref (subject category)
- art (subject category)
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Neurospine
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- By the author/editor
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Papavero, Luca
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Schmeiser, Grego ...
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Kothe, Ralph
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Boszczyk, Bronek
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Heese, Oliver
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Kawaguchi, Yoshi ...
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MacDowall, Anna
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Olerud, Claes
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Paidakakos, Niko ...
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Panagiotou, Anas ...
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Pitzen, Tobias
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Richter, Marcus
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Riew, K Daniel
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Stevenson, Aaron
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Tan, Lee
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Ueshima, Ryo
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Yau, Y H
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Mayer, Michael
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Radiology Nuclea ...
- Articles in the publication
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Neurospine
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Uppsala University