Interrater reliability of identifying indicators of posterior ligamentous complex disruption when plain films are indeterminate in thoracolumbar injuries

Schweitzer K. M., Vaccaro A. R., Harrop J. S., Hurlbert J., Carrino J. A., Rechtine G. R., ...More

JOURNAL OF ORTHOPAEDIC SCIENCE, vol.12, no.5, pp.437-442, 2007 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 5
  • Publication Date: 2007
  • Doi Number: 10.1007/s00776-007-1155-9
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED)
  • Page Numbers: pp.437-442
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No


Background. The Spine Trauma Study Group (STSG) has proposed a novel thoracolumbar injury classification system and score (TLICS) in an attempt to define traumatic spinal injuries and direct appropriate management schemes objectively. The TLICS assigns specific point values based on three variables to generate a final severity score that guides potential treatment options. Within this algorithm, significant emphasis has been placed on posterior ligamentous complex (PLC) integrity. The purpose of this study was to determine the interrater reliability of indicators surgeons use when assessing PLC disruption on imaging studies, including computed tomography (CT) and magnetic resonance imaging (MRI).