Introduction to Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations
Makaleler > Tam Makale · 2021
Yazarlar: Salman Sharif, Mehmet ZİLELİ
Neurospine, Uluslararası, Wos, 2021, cilt 18, ss 651-653
Özet
Committee is focused on giving a new horizon in light of research and available recent past data.With the increasing advances and day to day variations in surgical approaches, it has become extremely important to develop new guidelines and recommendations.After developing and publishing guidelines about cervical trauma, 1 spinal cord injury, 2 lumbar spinal stenosis, 3 and cervical spondylotic myelopathy, 4 the WFNS Spine Committee has developed recommendations regarding thoracolumbar (TL) spine trauma.This was achieved after a gross literature search between 2010 and 2020 and then holding a consensus meeting.It is an honour for me to be part of this work done during the chairmanship of Prof Zileli, Prof Fornari, and myself.Up-to-date information was reviewed to reach an agreement in the World Federation of Neurosurgical Societies (WFNS) Spine Committee meeting.The first meeting was conducted live in Peshawar in December 2019, and the second meeting was a virtual meeting on June 12, 2020.Both meetings aimed to analyze a preformulated questionnaire through preliminary literature review statements based on the current evidence levels to generate recommendations through a comprehensive voting session.Delphi method was utilized to administer the questionnaire to preserve a high degree of validity.The consensus was achieved when the sum for disagreement or agreement was ≥ 66%.Each consensus point was clearly defined, with evidence strength, recommendation grade, and consensus level provided.The 6 papers you will find in the following pages are guidelines for almost all aspects of the TL fracture.The annual incidence of TL fractures is about 30/100,000 inhabitants, including osteoporotic fractures.There is a trend towards increasing fractures in developed countries, especially due to low velocity falls in the elderly population.The mortality rate after the spinal injury decreases in developed countries due to improvements in motor vehicle safety and traffic regulations.5 The TL spine is the most frequently injured spinal region in blunt trauma.The potential risk of concomitant injury to the spinal cord, chronic pain, and life-long disability presents a significant burden on patients and the health service.Due to the range of injury classification systems and varied treatment efficacy, literature on the indications for nonoperative treatment of TL fractures is conflicting.The WFNS Spine Committee was able to formulate numerous key recommendations to guide clinical practice.Although compression-type fractures and stable burst fractures can Neurospine