A Practical Classification System for Acute Cervical Spinal Cord Injury Based on a Three-Phased Modified Delphi Process From the AOSpine Spinal Cord Injury Knowledge Forum

This study addresses the need for a practical classification system for acute cervical spinal cord injuries (SCI). Current methods are limited in capturing the heterogeneity of these injuries and guiding treatment decisions effectively. The researchers developed a new system through a three-phase Delphi method, involving expert discussions and an international survey of spine surgeons, focusing on factors influencing surgical management. The resulting classification system considers spinal stability, cord compression, and neurological status to categorize cervical SCI, aiming to improve communication and treatment strategies among healthcare professionals.

• 1
  Spinal stability, cord compression, and neurological impairment are the most important factors influencing surgeons' decisions regarding the surgical management of cervical SCI.
• 2
  Most surgeons prefer to operate within 24 hours post-SCI in cases with instability, severe cord compression, or severe neurological deficits.
• 3
  A significant portion of surgeons identified access to operating rooms and availability of urgent imaging as barriers to timely surgical intervention.