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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Lee, Woo Jin (Department of Neurosurgery, Inha University College of Medicine) Yoon, Seung Hwan (Department of Neurosurgery, Inha University College of Medicine) Kim, Yeo Ju (Department of Radiology, Inha University College of Medicine) Kim, Ji Yong (Department of Neurosurgery, Korea Armed Forces Busan Hospital) Park, Hyung Chun (Department of Neurosurgery, Inha University College of Medicine) Park, Chon Oon (Department of Neurosurgery, Inha University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제52권 제3호
발행연도
2012.1
수록면
200 - 203 (4page)

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Objective : The sub-axial injury classification (SLIC) and severity scale was developed to decide whether to operate the cervical injured patient or not, but the reliability of SLIC and severity scale among the different physicians was not well known. Therefore, we evaluated the reliability of SLIC among a spine surgeon, a resident of neurosurgery and a neuro-radiologist. Methods : In retrograde review in single hospital from 2002 to 2009 years, 75 cases of sub-axial spine injured patients underwent operation. Each case was blindly reviewed for the SLIC and severity scale by 3 different observers by two times with 4 weeks interval with randomly allocated. The compared axis was the injury morphology score, the disco-ligamentous complex score, the neurological status score and total SLIC score; the neurological status score was derived from the review of medical record. The kappa value was used for the statistical analysis. Results : Interobserver agreement of SLIC and severity scale was substantial agreement in the score of injury morphology [intraclass correlation (ICC)=0.603] and total SLIC and severity sacle (ICC value=0.775), but was fair agreement in the disco-ligamentous complex score (ICC value= 0.304). Intraobserver agreements were almost perfect agreement in whole scales with ICC of 0.974 in a spine surgeon, 0.948 in a resident of neurosurgery, and 0.963 in a neuro-radiologist. Conclusion : The SLIC and severity scale is comprehensive and easily applicable tool in spine injured patient. Moreover, it is very useful tool to communicate among spine surgeons, residents of neurosurgery and neuro-radiologists with sufficient reproducibility.
#Cervical trauma #Sub-axial injury classification scale #Cervical spine injury #Interobserver agreement #Intraobserver reliability

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참고문헌 (14)

참고문헌 신청
Allen BL Jr / 1982 / A mechanisticclassification of closed, indirect fractures and dislocations of the lowercervical spine / Spine (Phila Pa 1976) 7:1~27 google schola Anderson PA / 2007 / Cervical spine injury severity score. Assessment of reliability / J Bone Joint Surg Am 89:1057~1065 google schola Bono CM / 2011 / Reliability and reproducibility of subaxial cervical injury descriptionsystem : a standardized nomenclature schema / Spine (Phila Pa 1976) 36:1140~1144 google schola Dvorak MF / 2007 / The surgical approach to subaxial cervical spine injuries : anevidence-based algorithm based on the SLIC classification system / Spine (Phila Pa 1976) 32:2620~2629 google schola Harris JH Jr / 1986 / A practical classificationof acute cervical spine injuries / Orthop Clin North Am 17:15~30 google schola

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