How reliable is the distinction between thoracolumbar AO type A3 and A4 fractures? A systematic literature review.
Yasmeen Jamal AlabdallatGregory D SchroederSaid SiddiquiJosefin ÅkerstedtMohamed M AlyPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2024)
Considerable variability exists in interobserver reliability for distinguishing A3 and A4 fractures from slight to excellent agreement. This variability might be attributed to methodological heterogeneity among studies, limitations of reliability analysis, or diagnostic pitfalls in differentiating between A3 and A4. Most observational studies comparing the outcome of A3 and A4 fractures do not report interobserver agreement, and this should be considered when interpreting their results.
Keyphrases