Study Design: 

Survey among spine experts.

Objective: 

To investigate the different views and opinions of clinically relevant spinal post-traumatic deformity (SPTD).

Summary of Background Data: 

There is no clear definition of clinically relevant SPTD. This leads to a wide variation in characteristics used for diagnosis and treatment indications of SPTD. To understand the current concepts of SPTD a survey was conducted among spine trauma surgeons.

Methods: 

Members of the AO Spine Knowledge Forum Trauma participated in an online survey. The survey was divided in 4 domains: Demographics, criteria to define SPTD, risk factors, and management. The data were collected anonymously and analyzed using descriptive statistics, absolute, and relative frequencies. Consensus on dichotomous outcomes was set to 80% of agreement.

Results: 

Fifteen members with extensive experience in treatment of spinal trauma participated, representing the 5 AO Spine Regions. Back pain was the only criterion for definition of SPTD with complete agreement. Consensus (≥80%) was reached for kyphotic angulation outside normative ranges and impaired function. Eighty-seven percent and 100% agreed that a full-spine conventional radiograph was necessary in diagnosing and treating SPTD, respectively. The “missed B-type injury” was rated at most important by all but 1 participant. There was no agreement on other risk factors leading to clinically relevant SPTD. Concerning the management, all participants agreed that an asymptomatic patient should not undergo surgical treatment and that neurological deficit is an absolute surgical indication. For most of the participants the preferred surgical treatment of acute injury in all spine regions but the subaxial region is posterior fixation.

Conclusion: 

Some consensus exists among leading experts in the field of spine trauma care concerning the definition, diagnosis, risk factors, and management of SPTD. This study acts as the foundation for a Delphi study among the global spine community.

中文翻译：

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脊柱外伤后畸形：一项针对 AO 脊柱知识论坛成员的国际专家调查

学习规划： 

脊柱专家调查。

客观的： 

调查临床相关脊柱创伤后畸形 (SPTD) 的不同观点和意见。

背景数据摘要： 

没有临床相关 SPTD 的明确定义。这导致用于 SPTD 诊断和治疗适应症的特征有很大差异。为了解 SPTD 的当前概念，在脊柱外伤外科医生中进行了一项调查。

方法： 

AO 脊柱创伤知识论坛的成员参与了一项在线调查。该调查分为 4 个领域：人口统计、定义 SPTD 的标准、风险因素和管理。数据是匿名收集的，并使用描述性统计、绝对频率和相对频率进行分析。对二分结果的共识设定为 80% 的协议。

结果： 

15 名在脊柱外伤治疗方面具有丰富经验的成员参加了会议，代表 5 个 AO 脊柱区域。背痛是完全一致的 SPTD 定义的唯一标准。对于超出正常范围的脊柱后凸角度和功能受损达成了共识 (≥80%)。分别有 87% 和 100% 的人同意全脊柱常规 X 光片对于诊断和治疗 SPTD 是必要的。除 1 名参与者外，所有参与者都将“遗漏 B 型损伤”评为最重要。对于导致临床相关 SPTD 的其他风险因素，尚未达成一致意见。关于管理，所有与会者都同意无症状患者不应接受手术治疗，神经功能缺损是绝对的手术指征。

结论： 

脊柱创伤护理领域的主要专家就 SPTD 的定义、诊断、危险因素和管理达成了一些共识。这项研究为全球脊柱社区的德尔菲研究奠定了基础。