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Similarities and differences in the treatment of spine trauma between surgical specialties and location of practice.

Publication ,  Journal Article
Grauer, JN; Vaccaro, AR; Beiner, JM; Kwon, BK; Hilibrand, AS; Harrop, JS; Anderson, G; Hurlbert, J; Fehlings, MG; Ludwig, SC; Hedlund, R ...
Published in: Spine (Phila Pa 1976)
March 15, 2004

STUDY DESIGN: Questionnaires administered to practicing orthopedic and neurosurgical spine surgeons from various regions of the United States and abroad. OBJECTIVES: To determine similarities and differences in the treatment of spinal trauma. SUMMARY OF BACKGROUND DATA: Spinal trauma is generally referred to subspecialists of orthopedic or neurosurgical training. Prior studies have suggested that there is significant variability in the management of such injuries. METHODS: Questionnaires based on eight clinical scenarios of commonly encountered cervical, thoracic, and lumbar injuries were administered to 35 experienced spinal surgeons. Surgeons completed profile information and answered approximately one dozen questions for each case. Data were analyzed with SPSS software to determine the levels of agreement and characteristics of respondents that might account for a lack of agreement on particular aspects of management. RESULTS: Of the 35 surgeons completing the questionnaire, 63% were orthopedists, 37% were neurosurgeons, and 80% had been in practice for more than 5 years. Considerable agreement was found in the majority of clinical decisions, including whether or not to operate and the timing of surgery. Of the differences noted, neurosurgeons were more likely to obtain a MRI, and orthopedists were more likely to use autograft as a sole graft material. Physicians from abroad were, in general, more likely to operate and to use an anterior approach during surgery than physicians from the northeastern United States. CONCLUSIONS: More commonalities were identified in the management of spinal trauma than previously reported. When found, variability in opinion was related to professional and regional differences.

Duke Scholars

Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

March 15, 2004

Volume

29

Issue

6

Start / End Page

685 / 696

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Spinal Injuries
  • Spinal Fractures
  • Practice Patterns, Physicians'
  • Orthopedics
  • Orthopedics
  • Neurosurgery
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Grauer, J. N., Vaccaro, A. R., Beiner, J. M., Kwon, B. K., Hilibrand, A. S., Harrop, J. S., … Rechtine, G. R. (2004). Similarities and differences in the treatment of spine trauma between surgical specialties and location of practice. Spine (Phila Pa 1976), 29(6), 685–696. https://doi.org/10.1097/01.brs.0000115137.11276.0e
Grauer, Jonathan N., Alexander R. Vaccaro, John M. Beiner, Brian K. Kwon, Alan S. Hilibrand, James S. Harrop, Greg Anderson, et al. “Similarities and differences in the treatment of spine trauma between surgical specialties and location of practice.Spine (Phila Pa 1976) 29, no. 6 (March 15, 2004): 685–96. https://doi.org/10.1097/01.brs.0000115137.11276.0e.
Grauer JN, Vaccaro AR, Beiner JM, Kwon BK, Hilibrand AS, Harrop JS, et al. Similarities and differences in the treatment of spine trauma between surgical specialties and location of practice. Spine (Phila Pa 1976). 2004 Mar 15;29(6):685–96.
Grauer, Jonathan N., et al. “Similarities and differences in the treatment of spine trauma between surgical specialties and location of practice.Spine (Phila Pa 1976), vol. 29, no. 6, Mar. 2004, pp. 685–96. Pubmed, doi:10.1097/01.brs.0000115137.11276.0e.
Grauer JN, Vaccaro AR, Beiner JM, Kwon BK, Hilibrand AS, Harrop JS, Anderson G, Hurlbert J, Fehlings MG, Ludwig SC, Hedlund R, Arnold PM, Bono CM, Brodke DS, Dvorak MFS, Fischer CG, Sledge JB, Shaffrey CI, Schwartz DG, Sears WR, Dickman C, Sharan A, Albert TJ, Rechtine GR. Similarities and differences in the treatment of spine trauma between surgical specialties and location of practice. Spine (Phila Pa 1976). 2004 Mar 15;29(6):685–696.

Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

March 15, 2004

Volume

29

Issue

6

Start / End Page

685 / 696

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Spinal Injuries
  • Spinal Fractures
  • Practice Patterns, Physicians'
  • Orthopedics
  • Orthopedics
  • Neurosurgery
  • Middle Aged
  • Male