• Jonathan N Grauer, Alexander R Vaccaro, John M Beiner, Brian K Kwon, Alan S Hilibrand, James S Harrop, Greg Anderson, John Hurlbert, Michael G Fehlings, Steve C Ludwig, Rune Hedlund, Paul M Arnold, Christopher M Bono, Darrel S Brodke, Marcel F S Dvorak, Charles G Fischer, John B Sledge, Christopher I Shaffrey, David G Schwartz, William R Sears, Curtis Dickman, Alok Sharan, Todd J Albert, and Glenn R Rechtine.
• Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT 06520-8071, USA. jonathan.grauer@yale.edu
• Spine. 2004 Mar 15; 29 (6): 685-96.

Study DesignQuestionnaires administered to practicing orthopedic and neurosurgical spine surgeons from various regions of the United States and abroad.ObjectivesTo determine similarities and differences in the treatment of spinal trauma.Summary Of Background DataSpinal 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.MethodsQuestionnaires 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.ResultsOf 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.ConclusionsMore commonalities were identified in the management of spinal trauma than previously reported. When found, variability in opinion was related to professional and regional differences.

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