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You searched for +publisher:"Universidade Estadual de Campinas" +contributor:("Brock, Roger Schmidt"). One record found.

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Universidade Estadual de Campinas

1. Silva, Otávio Turolo, 1985-. Avaliação de uma nova classificação do traumatismo da coluna cervical subaxial (C3-C7): Evaluation of a new subaxial cervical spine injury classification (C3-C7).

Degree: 2020, Universidade Estadual de Campinas

Abstract: Introduction: Cervical fractures have a high rate of morbidity and mortality. By this reason, a precise diagnostic is important to standardize care and improve the quality of patient assistance. A new classification was proposed by AO Spine that divides them in three in major groups: A (compression injuries), B (anterior or posterior tension band injury) and C (rotational injuries) and considers special subgroups and facet modifiers individually. Objectives: We evaluated the new classification for subaxial cervical spine trauma (SCST) based on morphological criteria obtained using CT imaging. Methods: Patients with SCST treated at the authors¿ institution were included. Five different researchers classified patients¿ injuries according to the new AOSpine system using CT imaging at 2 different times (4-week interval between each assessment). Reliability was assessed using the kappa index (k) by two forms: intra and interobserver agreement was assessed. The Kappa (k) has interpretation by intervals, as 0 to 0.20 considered slight, 0.21 to 0.40 fair, 0.41 to 0.60 moderate, 0.61 to 0.80 substantial and 0.81 to 1.00 is excellent. The agreement was assessed for fractures groups (A, B and C), subgroups and facet joint injuries. The morphology was compared to the treatment using the statistical analysis with the Chi-Square test and Multiple Concordance Analysis, with a of p<0.05 as endpoint of statiscal significance. Results: Fifty-one patients were included: 31 underwent surgical treatment, and 20 were managed non-surgically. Intraobserver agreement for subgroups ranged from 0.61 to 0.93, and interobserver agreement was 0.51 (first assessment) and 0.6 (second assessment). Intraobserver agreement for groups ranged from 0.66 to 0.95, and interobserver agreement was 0.52 (first assessment) and 0.63 (second assessment). The kappa index in all evaluations was 0.67 for Type A, 0.08 for Type B, and 0.68 for Type C injuries, and for the facet modifiers it was 0.33 (F1), 0.4 (F2), 0.56 (F3), and 0.75 (F4). Complete agreement for all components was obtained in 25 cases (49%) (19 Type A and 6 Type C). Types A0 and F1-2 were associated to non operative treatment (p=0.005 and p=0.0102 respectively) and the types B-C and F3-4 were associated to operative treatment (p=0.006) in both occasions. Additionally, menwith cervical lesions or agebetween 17 to 41 years old, were associated with operative treatment. Conclusions: While the general reliability of the new AOSpine system for SCST was acceptable for group classification, significant limitations were identified for subgroups. Type B injuries were rarely diagnosed, and only mild (Type A0) and extreme severe (Type C) injuries had a high rate of interobserver agreement. Facet modifiers and intermediate injury patterns require better descriptions to improve their low agreement in cases of SCST Advisors/Committee Members: UNIVERSIDADE ESTADUAL DE CAMPINAS (CRUESP), Ghizoni, Enrico, 1972- (advisor), Universidade Estadual de Campinas. Faculdade de Ciências Médicas (institution), Programa de Pós-Graduação em Ciências Médicas (nameofprogram), Avelar, Wagner Mauad (committee member), Montenegro, Maria Augusta Santos (committee member), Amaral, Cassio Eduardo Adami Raposo do (committee member), Brock, Roger Schmidt (committee member).

Subjects/Keywords: Fraturas da coluna vertebral; Classificação; Avaliação; Coluna vertebral; Tratamento; Spinal fractures; Classification; Evaluation; Spine; Treatment

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Silva, Otávio Turolo, 1. (2020). Avaliação de uma nova classificação do traumatismo da coluna cervical subaxial (C3-C7): Evaluation of a new subaxial cervical spine injury classification (C3-C7). (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/336961

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Silva, Otávio Turolo, 1985-. “Avaliação de uma nova classificação do traumatismo da coluna cervical subaxial (C3-C7): Evaluation of a new subaxial cervical spine injury classification (C3-C7).” 2020. Thesis, Universidade Estadual de Campinas. Accessed September 18, 2020. http://repositorio.unicamp.br/jspui/handle/REPOSIP/336961.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Silva, Otávio Turolo, 1985-. “Avaliação de uma nova classificação do traumatismo da coluna cervical subaxial (C3-C7): Evaluation of a new subaxial cervical spine injury classification (C3-C7).” 2020. Web. 18 Sep 2020.

Vancouver:

Silva, Otávio Turolo 1. Avaliação de uma nova classificação do traumatismo da coluna cervical subaxial (C3-C7): Evaluation of a new subaxial cervical spine injury classification (C3-C7). [Internet] [Thesis]. Universidade Estadual de Campinas; 2020. [cited 2020 Sep 18]. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/336961.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Silva, Otávio Turolo 1. Avaliação de uma nova classificação do traumatismo da coluna cervical subaxial (C3-C7): Evaluation of a new subaxial cervical spine injury classification (C3-C7). [Thesis]. Universidade Estadual de Campinas; 2020. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/336961

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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