Is magnetic resonance imaging needed for decision making diagnosis and treatment of thoracic and lumbar vertebral fractures?

Durmaz, Altuğ; İlter, Mehmet Hakan; Tuzlalı, Hatice

doi:10.1007/s00590-021-03165-z

Cited by 7 publications

(3 citation statements)

References 28 publications

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“…A recent meta-analysis reported that MRI can change TLFs classification in 17% and treatment decisions in 22% of cases. ( Aly et al, 2022b ), ( Aly et al, 2024 ), ( Pizones et al, 2011 ), ( Winklhofer et al, 2013 ), ( Durmaz et al, 2021 ) The considerable variability in the reported impact of MRI could be due to the methodological challenges in analyzing the impact of MRI on TLFs ( Aly et al, 2024 ). Previous research comprised a heterogeneous population regarding the fracture types, neurological status, and treatment modalities ( Aly et al, 2024 ).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, different metrics were used to assess MRI's impact on treatment decisions, including surgeons' decisions, TLICS, or Thoracolumbar AOSpine injury severity Score (TLAOSIS). ( Pizones et al, 2011 ), ( Winklhofer et al, 2013 ), ( Aly et al, 2022b ), ( Durmaz et al, 2021 ), ( Vaccaro et al, 2016 ) The primary goal of this study is to propse a standardized methodology for measuring the impact of MRI on TLF decision-making that allows for comparing studies findings and synthesis of higher levels of evidence.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Towards a standardized reporting of the impact of magnetic resonance imaging on the decision-making of thoracolumbar fractures without neurological deficit: Conceptual framework and proposed methodology

Aly,

Bigdon,

Speigl

et al. 2024

Brain and Spine

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Towards a standardized reporting of the impact of magnetic resonance imaging on the decision-making of thoracolumbar fractures without neurological deficit: Conceptual framework and proposed methodology

Aly,

Bigdon,

Speigl

et al. 2024

Brain and Spine

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“…Although the TLICS method considers PLC integrity, the impact of intervertebral disc damage on spinal stability was not examined. In addition, due to limits in technical progress and a multitude of influencing factors, PLC integrity cannot be assessed reliably, compromising the consistency of the TLICS system (10)(11)(12). Consequently, we presented a modified TLICS system, which included the evaluation of "disc injury status" and a reduction in the score for "PLC integrity."…”

Section: Introductionmentioning

confidence: 99%

Reliability and repeatability of a modified thoracolumbar spine injury classification scoring system

Zhang

Deng

et al. 2023

Front. Surg.

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PurposeOn the basis of the Thoracolumbar Injury Classification and Severity Score (TLICS), an modified TLICS classification system was presented, its reliability and repeatability were assessed, and the factors influencing classification consistency were examined.MethodsFive spinal surgeons were chosen at random. The clinical data of 120 patients with thoracolumbar fractures admitted to the Department of Spine Surgery, Ningbo Sixth Hospital from December 2019 to June 2021 were categorized using the modified TLICS system. After 6 weeks, disrupt the order of data again. Using unweighted Cohen's kappa coefficients, the consistency of the modified TLICS system was assessed in five aspects: neurofunctional status, disc injury status, fracture morphology, posterior ligament complex (PLC) integrity, and treatment plan.ResultsIn terms of reliability, the average kappa values for the subclasses of the modified TLICS system (neurofunctional status and disc injury status) were 0.920 and 0.815, respectively, reaching the category of complete confidence. Fracture morphology and treatment plan had average kappa values of 0.670 and 0.660, respectively, which were basically reliable. The average kappa value of PLC integrity was 0.453, which belonged to the category of moderate confidence. The average kappa coefficients of each subcategory (neurological status, disc injury status) had excellent consistency, and the kappa values were 0.936 and 0.879, respectively, which belonged to the completely credible category. The kappa values of fracture morphology and treatment plan repeatability were 0.772 and 0.749, respectively, reaching the basic credibility category. PLC integrity repeatability kappa value is low, 0.561, to moderate credibility category.ConclusionThe modified TLICS system is intuitive and straightforward to understand. The examination of thoracolumbar fracture injuries is more exhaustive and precise, with excellent reliability and repeatability. The examination of neurological status and disc injury status is quite reliable and consistent. The consistency of fracture morphology is slightly poor, which is basically credible; the PLC integrity consistency is poor, reaching a reliability level of moderate, which may be associated with the subjectivity of clinical evaluation of PLC.

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How frequently MRI modifies thoracolumbar fractures’ classification or decision-making? A systematic review and meta-analysis

Aly,

Soliman,

Elemam

et al. 2024

Eur Spine J

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Is magnetic resonance imaging needed for decision making diagnosis and treatment of thoracic and lumbar vertebral fractures?

Cited by 7 publications

References 28 publications

Towards a standardized reporting of the impact of magnetic resonance imaging on the decision-making of thoracolumbar fractures without neurological deficit: Conceptual framework and proposed methodology

Towards a standardized reporting of the impact of magnetic resonance imaging on the decision-making of thoracolumbar fractures without neurological deficit: Conceptual framework and proposed methodology

Reliability and repeatability of a modified thoracolumbar spine injury classification scoring system

How frequently MRI modifies thoracolumbar fractures’ classification or decision-making? A systematic review and meta-analysis

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