Term and definition of a deformity after a spine trauma: Results of an international Delphi study

IF 1.9 Q3 CLINICAL NEUROLOGY Brain & spine Pub Date : 2024-01-01 DOI:10.1016/j.bas.2024.102749
E.E.A. De Gendt , S.P.J. Muijs , L.M. Benneker , F.C. Oner
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Abstract

Introduction

Deformity of the spinal column after trauma could lead to pain, impaired function, and may sometimes necessitate extensive and high-risk surgery. This ‘condition’ has multiple terms and definitions that are used in research and clinics. A specific term and definition of this condition however is still lacking. A uniform and internationally accepted term and definition are necessary to compare cases and treatments in the future.

Research question

Reach consensus on the term and definition of this deformity after spine trauma using a Delphi approach.

Material and methods

An ‘all-rounds invitation’ Delphi process was used in this study among a group of international experts. The first round consisted of an online survey using input from preparatory studies, a typical clinical case and ICD-11 codes. The second round showed the results in-person and discussion was encouraged. Participants voted for rejection of certain terms. In the third round the final vote took place. When >80 % of the votes was for or against a term the term was rejected or accepted.

Results

Response rate was high (≥84 %). The 3 Delphi rounds were completed. Unanimous voting led to the acceptance of the term and abbreviation as PSD. Deformity in any plane, pain, impaired function, and neurological deficit, were deemed important to include in the definition of PSD.

Discussion and conclusion

Unanimous consensus was reached on ‘Posttraumatic spinal deformity: Condition where a trauma to the spine results in a deformity in any plane and results in pain and an impaired function with or without a neurological deficit.’

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脊柱创伤后畸形的术语和定义:国际德尔菲研究的结果
导言:外伤后脊柱畸形会导致疼痛、功能受损,有时可能需要进行广泛而高风险的手术。这种 "病症 "在研究和临床上有多种术语和定义。然而,目前仍缺乏关于这种病症的专门术语和定义。研究问题采用德尔菲法就脊柱创伤后畸形的术语和定义达成共识。材料和方法在这项研究中,一组国际专家采用了 "全方位邀请 "德尔菲法。第一轮由在线调查组成,调查内容包括前期研究、典型临床病例和 ICD-11 编码。第二轮是当面展示结果并鼓励讨论。与会者投票决定是否否决某些术语。第三轮进行了最终投票。当支持或反对某个术语的票数达到 80% 时,该术语即被否决或接受。完成了 3 轮德尔菲讨论。投票结果一致同意术语和缩写为 PSD。任何平面的畸形、疼痛、功能受损和神经功能缺损都被认为是 PSD 定义中的重要内容:脊柱创伤后畸形:脊柱创伤导致任何平面的畸形,并导致疼痛和功能受损,伴有或不伴有神经功能缺损"。
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来源期刊
Brain & spine
Brain & spine Surgery
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
71 days
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