Document Type
Article
Publication Date
7-22-2020
Abstract
PURPOSE: The management of cervical facet dislocation injuries remains controversial. The main purpose of this investigation was to identify whether a surgeon's geographic location or years in practice influences their preferred management of traumatic cervical facet dislocation injuries.
METHODS: A survey was sent to 272 AO Spine members across all geographic regions and with a variety of practice experience. The survey included clinical case scenarios of cervical facet dislocation injuries and asked responders to select preferences among various diagnostic and management options.
RESULTS: A total of 189 complete responses were received. Over 50% of responding surgeons in each region elected to initiate management of cervical facet dislocation injuries with an MRI, with 6 case exceptions. Overall, there was considerable agreement between American and European responders regarding management of these injuries, with only 3 cases exhibiting a significant difference. Additionally, results also exhibited considerable management agreement between those with ≤ 10 and > 10 years of practice experience, with only 2 case exceptions noted.
CONCLUSION: More than half of responders, regardless of geographical location or practice experience, identified MRI as a screening imaging modality when managing cervical facet dislocation injuries, regardless of the status of the spinal cord and prior to any additional intervention. Additionally, a majority of surgeons would elect an anterior approach for the surgical management of these injuries. The study found overall agreement in management preferences of cervical facet dislocation injuries around the globe.
Recommended Citation
Canseco, Jose A; Schroeder, Gregory D; Patel, Parthik D; Grasso, Giovanni; Chang, Michael; Kandziora, Frank; Vialle, Emiliano N; Oner, F Cumhur; Schnake, Klaus J; Dvorak, Marcel F; Chapman, Jens R; Benneker, Lorin M; Rajasekaran, Shanmuganathan; Kepler, Christopher K; and Vaccaro, Alexander R, "Regional and experiential differences in surgeon preference for the treatment of cervical facet injuries: a case study survey with the AO Spine Cervical Classification Validation Group" (2020). Department of Neurosurgery Faculty Papers. Paper 128.
https://jdc.jefferson.edu/neurosurgeryfp/128
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
32700126
Language
English
Comments
This is the final published version of this article from the European Spine Journal, 2020, Jul 22.
The published version of the article can also be found at: https://doi.org/10.1007/s00586-020-06535-z
Copyright. The Authors