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  • Papavero, LucaClinic for Spine Surgery, Schoen Clinic Hamburg Eilbek, Hamburg, Germany. (author)

Degenerative Cervical Myelopathy : A 7-Letter Coding System That Supports Decision-Making for the Surgical Approach

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • The Korean Spinal Neurosurgery Society,2020
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-429150
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-429150URI
  • https://doi.org/10.14245/ns.1938010.005DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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 and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Schmeiser, GregorClinic for Spine Surgery, Schoen Clinic Hamburg Eilbek, Hamburg, Germany. (author)
  • Kothe, RalphClinic for Spine Surgery, Schoen Clinic Hamburg Eilbek, Hamburg, Germany. (author)
  • Boszczyk, BronekSpine Center, Benedictus Hospital, Tutzing, Germany. (author)
  • Heese, OliverSpine Center, Schoen Clinic Munich Harlaching, München, Germany. (author)
  • Kawaguchi, YoshiharuOrthopedic Surgery, University of Toyama, Toyama, Japan. (author)
  • MacDowall, AnnaUppsala universitet,Ortopedi,Ortopedi och Handkirurgi(Swepub:uu)annma990 (author)
  • Olerud, ClaesUppsala universitet,Ortopedi(Swepub:uu)claesor (author)
  • Paidakakos, NikolaosSpine Center, University of Nottingham, Nottingham, UK. (author)
  • Panagiotou, AnastasiosSpine Center, University of Nottingham, Nottingham, UK. (author)
  • Pitzen, TobiasSpine Center, SRH-Clinic, Karlsbad-Langensteinbach, Germany. (author)
  • Richter, MarcusSpine Center, St. Josefs-Hospital, Wiesbaden, Germany. (author)
  • Riew, K DanielUniversity Medical Center, Spine Division, Columbia University, New York, NY, USA. (author)
  • Stevenson, AaronSpinal Unit, Royal Adelaide Hospital, Adelaide, Australia. (author)
  • Tan, LeeUniversity Medical Center, Spine Division, Columbia University, New York, NY, USA. (author)
  • Ueshima, RyoOrthopedic Surgery, University of Toyama, Toyama, Japan. (author)
  • Yau, Y HSpinal Unit, Royal Adelaide Hospital, Adelaide, Australia. (author)
  • Mayer, MichaelSpine Center, Schoen Clinic Munich Harlaching, München, Germany. (author)
  • Clinic for Spine Surgery, Schoen Clinic Hamburg Eilbek, Hamburg, Germany.Spine Center, Benedictus Hospital, Tutzing, Germany. (creator_code:org_t)

Related titles

  • In:Neurospine: The Korean Spinal Neurosurgery Society17:1, s. 164-1712586-65832586-6591

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  • Neurospine (Search for host publication in LIBRIS)

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