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Reliability and Validity of Thoracolumbar Injury Classification and Severity Score (TLICS)

STUDY DESIGN: A new classification system for throacolumbar spine injury, Thoracolumbar Injury Classification and Severity Score (TLICS) was evaluated retrospectively. PURPOSE: To evaluate intrarater and interrater reliability of newly proposed TLICS schemes and to estimate validity of TLICS's...

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Autores principales: Koh, Young Do, Kim, Dong Jun, Koh, Young Won
Formato: Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996622/
https://www.ncbi.nlm.nih.gov/pubmed/21165314
http://dx.doi.org/10.4184/asj.2010.4.2.109
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author Koh, Young Do
Kim, Dong Jun
Koh, Young Won
author_facet Koh, Young Do
Kim, Dong Jun
Koh, Young Won
author_sort Koh, Young Do
collection PubMed
description STUDY DESIGN: A new classification system for throacolumbar spine injury, Thoracolumbar Injury Classification and Severity Score (TLICS) was evaluated retrospectively. PURPOSE: To evaluate intrarater and interrater reliability of newly proposed TLICS schemes and to estimate validity of TLICS's final treatment recommendation. OVERVIEW OF LITERATURE: Despite numerous literature about thoracolumbar spine injury classifications, there is no consensus regarding the optimal system. METHODS: Using plain radiographs, computed tomography scanning, magnetic resonance imaging, and medical records, 3 clssifiers, consisting of 2 spine surgeons and 1 senior orthopaedic surgery resident, reviewed 114 clinical thoracolumbar spine injury cases retrospectively to classify and calculate injury severity score according to TLICS. This process were repeated on 4 weeks intervals and the scores were then compared with type of treatment that patient ultimately received. RESULTS: The intrarater reliability of TLICS was substantial agreement on total score and injury morphology, almost perfect agreement on integrity of the posterior ligament complex (PLC) and neurologic status. The interrater reliability was substantial agreement on injury morphology and integrity of the PLC, moderate agreement on total score, almost perfect agreement on neurologic status. The TLICS schems exhibited satisfactory overall validity in terms of clinical decision making. CONCLUSIONS: The TLICS was demonstrated acceptable intrarater and interrater reliability and satisfactory validity in terms of treatment recommendation.
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spelling pubmed-29966222010-12-16 Reliability and Validity of Thoracolumbar Injury Classification and Severity Score (TLICS) Koh, Young Do Kim, Dong Jun Koh, Young Won Asian Spine J Clinical Study STUDY DESIGN: A new classification system for throacolumbar spine injury, Thoracolumbar Injury Classification and Severity Score (TLICS) was evaluated retrospectively. PURPOSE: To evaluate intrarater and interrater reliability of newly proposed TLICS schemes and to estimate validity of TLICS's final treatment recommendation. OVERVIEW OF LITERATURE: Despite numerous literature about thoracolumbar spine injury classifications, there is no consensus regarding the optimal system. METHODS: Using plain radiographs, computed tomography scanning, magnetic resonance imaging, and medical records, 3 clssifiers, consisting of 2 spine surgeons and 1 senior orthopaedic surgery resident, reviewed 114 clinical thoracolumbar spine injury cases retrospectively to classify and calculate injury severity score according to TLICS. This process were repeated on 4 weeks intervals and the scores were then compared with type of treatment that patient ultimately received. RESULTS: The intrarater reliability of TLICS was substantial agreement on total score and injury morphology, almost perfect agreement on integrity of the posterior ligament complex (PLC) and neurologic status. The interrater reliability was substantial agreement on injury morphology and integrity of the PLC, moderate agreement on total score, almost perfect agreement on neurologic status. The TLICS schems exhibited satisfactory overall validity in terms of clinical decision making. CONCLUSIONS: The TLICS was demonstrated acceptable intrarater and interrater reliability and satisfactory validity in terms of treatment recommendation. Korean Society of Spine Surgery 2010-12 2010-11-24 /pmc/articles/PMC2996622/ /pubmed/21165314 http://dx.doi.org/10.4184/asj.2010.4.2.109 Text en Copyright © 2010 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Koh, Young Do
Kim, Dong Jun
Koh, Young Won
Reliability and Validity of Thoracolumbar Injury Classification and Severity Score (TLICS)
title Reliability and Validity of Thoracolumbar Injury Classification and Severity Score (TLICS)
title_full Reliability and Validity of Thoracolumbar Injury Classification and Severity Score (TLICS)
title_fullStr Reliability and Validity of Thoracolumbar Injury Classification and Severity Score (TLICS)
title_full_unstemmed Reliability and Validity of Thoracolumbar Injury Classification and Severity Score (TLICS)
title_short Reliability and Validity of Thoracolumbar Injury Classification and Severity Score (TLICS)
title_sort reliability and validity of thoracolumbar injury classification and severity score (tlics)
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996622/
https://www.ncbi.nlm.nih.gov/pubmed/21165314
http://dx.doi.org/10.4184/asj.2010.4.2.109
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