Su QH, Li YC, Zhang Y, Tan J, Cheng B. Assessment of load-sharing thoracolumbar injury: A modified scoring system. World J Clin Cases 2020; 8(21): 5128-5138 [PMID: 33269249 DOI: 10.12998/wjcc.v8.i21.5128]
Corresponding Author of This Article
Biao Cheng, MD, PhD, Doctor, Professor, Surgeon Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301 Yanchang Middle Road, Shanghai 200072, China. dr_chengbiao@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Study
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Su QH, Li YC, Zhang Y, Tan J, Cheng B. Assessment of load-sharing thoracolumbar injury: A modified scoring system. World J Clin Cases 2020; 8(21): 5128-5138 [PMID: 33269249 DOI: 10.12998/wjcc.v8.i21.5128]
World J Clin Cases. Nov 6, 2020; 8(21): 5128-5138 Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5128
Assessment of load-sharing thoracolumbar injury: A modified scoring system
Qi-Hang Su, Yong-Chao Li, Yan Zhang, Jun Tan, Biao Cheng
Qi-Hang Su, Biao Cheng, Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200072, China
Qi-Hang Su, Yong-Chao Li, Yan Zhang, Jun Tan, Department of Orthopedics, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China
Author contributions: Su QH and Li YC contributed equally to this work; Su QH and Cheng B designed research; Su QH, Zhang Y, Li YC, and Tan J performed the research; Su QH and Li YC contributed new analytic tools; Su QH, Li YC, and Cheng B analyzed data; Su QH wrote the paper.
Supported byMulticenter Clinical Trial of hUC-MSCs in the Treatment of Late Chronic Spinal Cord Injury, No. 2017YFA0105404; and the Project of Shanghai Science and Technology Commission, No. 19441901702.
Institutional review board statement: Shanghai East Hospital (East Hospital Affiliated to Tongji University) Medical Ethics Committee approved the study protocol, which met the relevant guidelines and regulations of Shanghai Medical Ethics Committee.
Informed consent statement: All included volunteers had signed an informed consent form.
Conflict-of-interest statement: The authors declare that they have no financial or other conflicts of interest in relation to this research and its publication.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at [15221378017@163.com]. Participants gave informed consent for data sharing.
Corresponding author: Biao Cheng, MD, PhD, Doctor, Professor, Surgeon Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301 Yanchang Middle Road, Shanghai 200072, China. dr_chengbiao@163.com
Received: May 12, 2020 Peer-review started: May 12, 2020 First decision: September 14, 2020 Revised: September 14, 2020 Accepted: September 23, 2020 Article in press: September 23, 2020 Published online: November 6, 2020 Processing time: 178 Days and 3.3 Hours
Core Tip
Core Tip: Many classification systems of thoracolumbar spinal fractures have been proposed to facilitate communication among clinicians and to enhance treatment protocols. But none have achieved universal adoption. Patients with thoracolumbar injury classification and severity score of 4 can choose conservative treatment or surgery, since no objective criteria are available and subjective selectivity is ambiguous. Therefore, it is urgent to establish a unified, reliable, and reproducible classification system to guide clinical practice in thora-columbar fractures. Based on prior literature, clinical experience, expert consultations, and retrospective analysis, the present study has developed a modified patient scoring system for cases with thoracolumbar injury classification and severity score of 4, namely the load-sharing thoracolumbar injury score.
