Interobserver reliability in the classification of thoracolumbar fractures using the AO spine TL injury classification system among 22 clinical experts in spine trauma care

Faculty of Medicine

Assiut University

Interobserver reliability in the classification of thoracolumbar fractures using the AO spine TL injury classification system among 22 clinical experts in spine trauma care

Research Authors
Jose A Canseco, Taylor Paziuk, Gregory D Schroeder, Marcel F Dvorak, Cumhur F Öner, Lorin M Benneker, Emiliano Vialle, Shanmuganathan Rajasekaran, Mohammad El-Sharkawi, Richard J Bransford, Rishi M Kanna, Martin Holas, Sander Muijs, Eugen Cezar Popescu, C
Research Date
Research Department
Department of Orthopedic Surgery and Traumatology
Research Journal
Global spine journal
Research Member
Mohammad Mostafa Mohammad El-Sharkawi
Research Publisher
SAGE Publications
Research Website
https://journals.sagepub.com/doi/full/10.1177/21925682231202371
Research Year
2024
Research Abstract

Study Design

Reliability study utilizing 183 injury CT scans by 22 spine trauma experts with assessment of radiographic features, classification of injuries and treatment recommendations.

Objectives

To assess the reliability of the AOSpine TL Injury Classification System (TLICS) including the categories within the classification and the M1 modifier.

Methods

Kappa and Intraclass correlation coefficients were produced. Associations of various imaging characteristics (comminution, PLC status) and treatment recommendations were analyzed through regression analysis. Multivariable logistic regression modeling was used for making predictive algorithms.

Results

Reliability of the AO Spine TLICS at differentiating A3 and A4 injuries (N = 71) (K = .466; 95% CI .458 – .474; P < .001) demonstrated moderate agreement. Similarly, the average intraclass correlation coefficient (ICC) amongst A3 and A4 injuries was excellent (ICC …