Journal of Korean Neurosurgical Society

  • 제52권3호
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  • Pages.200-203
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Interobserver and Intraobserver Reliability of Sub-Axial Injury Classification and Severity Scale between Radiologist, Resident and Spine Surgeon

  • Lee, Woo Jin (Department of Neurosurgery, Inha University College of Medicine) ;
  • Yoon, Seung Hwan (Department of Neurosurgery, Inha University College of Medicine) ;
  • Kim, Yeo Ju (Department of Radiology, Inha University College of Medicine) ;
  • Kim, Ji Yong (Department of Neurosurgery, Korea Armed Forces Busan Hospital) ;
  • Park, Hyung Chun (Department of Neurosurgery, Inha University College of Medicine) ;
  • Park, Chon Oon (Department of Neurosurgery, Inha University College of Medicine)
  • 투고 : 2011.12.31
  • 심사 : 2012.09.17
  • 발행 : 2012.09.28
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초록

Objective : The sub-axial injury classification (SLIC) and severity scale was developed to decide whether to operate the cervical injured patient or not, but the reliability of SLIC and severity scale among the different physicians was not well known. Therefore, we evaluated the reliability of SLIC among a spine surgeon, a resident of neurosurgery and a neuro-radiologist. Methods : In retrograde review in single hospital from 2002 to 2009 years, 75 cases of sub-axial spine injured patients underwent operation. Each case was blindly reviewed for the SLIC and severity scale by 3 different observers by two times with 4 weeks interval with randomly allocated. The compared axis was the injury morphology score, the disco-ligamentous complex score, the neurological status score and total SLIC score; the neurological status score was derived from the review of medical record. The kappa value was used for the statistical analysis. Results : Interobserver agreement of SLIC and severity scale was substantial agreement in the score of injury morphology [intraclass correlation (ICC)=0.603] and total SLIC and severity sacle (ICC value=0.775), but was fair agreement in the disco-ligamentous complex score (ICC value= 0.304). Intraobserver agreements were almost perfect agreement in whole scales with ICC of 0.974 in a spine surgeon, 0.948 in a resident of neurosurgery, and 0.963 in a neuro-radiologist. Conclusion : The SLIC and severity scale is comprehensive and easily applicable tool in spine injured patient. Moreover, it is very useful tool to communicate among spine surgeons, residents of neurosurgery and neuro-radiologists with sufficient reproducibility.

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참고문헌

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피인용 문헌

  1. Subaxial Cervical Spine Trauma: Evaluation and Surgical Decision-Making vol.4, pp.1, 2012, https://doi.org/10.1055/s-0033-1356764
  2. Subaxial Injury Classification Scoring System Treatment Recommendations : External Agreement Study Based on Retrospective Review of 185 Patients vol.40, pp.3, 2012, https://doi.org/10.1097/brs.0000000000000666
  3. EVALUATION OF MAGNETIC RESONANCE IMAGING GUIDELINES FOR DIFFERENTIATION BETWEEN THORACOLUMBAR INTERVERTEBRAL DISK EXTRUSIONS AND INTERVERTEBRAL DISK PROTRUSIONS IN DOGS vol.57, pp.5, 2012, https://doi.org/10.1111/vru.12394
  4. Subaxial Cervical Spine Injuries: WFNS Spine Committee Recommendations vol.17, pp.4, 2012, https://doi.org/10.14245/ns.2040368.184
  5. Establishing the Injury Severity of Subaxial Cervical Spine Trauma : Validating the Hierarchical Nature of the AO Spine Subaxial Cervical Spine Injury Classification System vol.46, pp.10, 2021, https://doi.org/10.1097/brs.0000000000003873