SwePub
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Kawaguchi K.)
 

Sökning: WFRF:(Kawaguchi K.) > Degenerative Cervic...

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

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

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • The Korean Spinal Neurosurgery Society,2020
  • printrdacarrier

Nummerbeteckningar

  • 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

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

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

Sammanhörande titlar

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

Internetlänk

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy