Summary of - Epidemiology and inter-observer reliability in identification of sub-axial vertebral column fractures type using CT scans

Document Type

Article

Abstract

Study Background: The research presented titled “Epidemiology and inter-observer reliability in identification of sub-axial vertebral column fractures type using CT scans” by Sindhura D N, Dr. Radhika M Pai, Dr. Shyamasunder N Bhat, Dr. Manohara Pai M M, and Dr. Raghuraj Kundangar is conducted to present the epidemiological profile of Vertebral Column Fractures (VCF) and to assess the interobserver agreement of VCF identification between spine surgeons using AO classification with CT images. VCF poses a significant public health risk, with high mortality rates, negative social and economic consequences, and significant morbidity. Efficient management and preventative strategies based on epidemiological data can lower disease burdens. Research Goals and Hypotheses: The study aimed to describe the epidemiology of VCF and evaluate the agreement of spine surgeons in identifying VCF using the AO classification of CT images.

Methodological Approach: A total of 456 cases of C3 to L5 spinal fractures with CT were identified. The epidemiological profile of all VCF patients was documented and evaluated using SPSS software. Using the AO classification of the spine, two spine surgeons identified 375 CT scans as having a single-level vertebral fracture. The Kappa coefficient (k) was employed to determine interobserver agreement while assessing VCF. Result: The most common level was the thoracolumbar region (T12- L1), accounting for 41.60%. Type A fractures (68.00%) were the leading type of VCF. The current study found good interobserver agreement (k = 0.884, p-value = 0.018) when determining the subtype of single fractures based on AO.

Conclusion: The study found good interobserver agreement in identifying VCF subtypes based on AO classification and established the epidemiology of VCF on the west coast of South India.

Publication Date

2023

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