An evidence-based medicine process to determine outcomes after cervical spine trauma: what surgeons should be telling their patients

Spine
Peter LewkoniaCharles Fisher

Abstract

A systematic review of the available medical literature from 1980 to 2010 was conducted and combined with expert opinion from a recent survey of experts regarding cervical spine fractures. Using an objective, hierarchical approach, the best available evidence is presented for health-related quality-of-life outcomes for these injuries. To provide an evidence-based set of guidelines for cervical spine injuries in order to reduce variability in the information given to patients and their families. Patients' expectations regarding quality-of-life outcomes are highly dependent on the information provided by surgeons early in the treatment course. Our previous work has demonstrated that there is substantial variability in what surgeons tell patients regarding outcomes of cervical spine injuries, thus patients' expectations will differ and outcomes vary. Four common cervical spine injuries (C1 burst, Hangman fracture, odontoid fracture, and unilateral facet fracture) treated both surgically and nonsurgically were considered. We assessed the evidence regarding 5 health-related quality-of-life outcomes: time to return to work, activity level, hospital stay, the proportion of patients who are pain free and patients who have regained full...Continue Reading

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Citations

Dec 15, 2015·The Spine Journal : Official Journal of the North American Spine Society·Joshua ShatskyRichard J Bransford
May 1, 2013·Spine·Alexander R VaccaroPeter G Whang
Apr 26, 2013·Spine·Alexander R Vaccaro, Charles Fisher
Oct 25, 2013·Spine·Charles FisherAlexander R Vaccaro
Aug 1, 2015·Global Spine Journal·Philipp SchleicherFrank Kandziora
Aug 18, 2017·Journal of Orthopaedic Trauma·Frank KandzioraMatti Scholz
Apr 6, 2018·Clinical Spine Surgery : a Spine Publication·Richard M SmithSteven C Ludwig
Aug 5, 2017·Der Unfallchirurg·Matti ScholzPhilipp Kobbe
Sep 14, 2018·Global Spine Journal·Matti ScholzUNKNOWN Spine Section of the German Society for Orthopaedics and Trauma
Oct 22, 2019·Zeitschrift für Orthopädie und Unfallchirurgie·Georg OsterhoffUNKNOWN AG „Obere Halswirbelsäule“ und AG „Osteoporotische Frakturen“ der Sektion Wirbelsäule der Deutschen Gesellschaft für Orthopä
Sep 17, 2021·Der Unfallchirurg·Philipp SchleicherFrank Kandziora

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