| Title： | Expert Consensus on the Application of Percutaneous Pedicle Screw Fixation for Thoracolumbar Fractures |
| Edition： | Original |
| Classification： | Experts consensus |
| Field： | Treatment |
| Countries and regions： | China |
| Guidelines users： | 1.Spine surgeons: Medical professionals who specialize in surgical procedures of the spine, utilizing the guidelines to directly inform and direct clinical surgeries. 2.Orthopedic surgeons: Physicians who manage fractures and skeletal issues, potentially involving the initial diagnosis and treatment of thoracolumbar fractures. 3.Rehabilitation physicians and physical therapists: Responsible for formulating and overseeing the postoperative rehabilitation plans and the recovery process for patients. 4.Anesthesiologists: Medical specialists who manage anesthesia and pain control during the surgical procedure. 5.Nurses and nursing staff: Engaged in preoperative education for patients, intraoperative care, and postoperative nursing care. 6.Medical students and residents: Utilize the guidelines as educational material to learn about the latest treatment techniques and protocols. 7.Researchers: Employ the guidelines as a foundational or referential source for the study of spinal fracture treatment technologies. |
| Evidence classification method： | The GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) system is a widely recognized framework for evaluating the quality of evidence and for developing recommendations within clinical practice guidelines. This system classifies evidence into hierarchical levels predicated on the rigor of the underlying research and the uniformity of the findings. The stratification is as follows: High-Quality Evidence (Level 1): This designation is reserved for evidence obtained from randomized controlled trials (RCTs) that exhibit methodological excellence, minimizing the potential for bias and providing a robust basis for inference. Moderate-Quality Evidence (Level 2): This level encompasses evidence generated from well-executed cohort studies or non-randomized controlled trials that, while susceptible to certain biases, yield results that are considered credible and valuable for decision-making. Low-Quality Evidence (Level 3): Evidence in this category is sourced from case series, case reports, and expert opinion, which, despite their limitations, can offer valuable insights, particularly in areas where higher levels of evidence are scarce or unavailable. |
| Development unit： | the Second Affiliated Hospital of Army Medical University |
| Registration time: | 2024-04-25 |
| Registration number： | PREPARE-2024CN585 |
| Purpose of the guideline: | 1.Establish Guidelines: Provide clinical doctors with a set of guidelines for the use of percutaneous pedicle screw fixation technology in the treatment of thoracolumbar fractures. 2.Guide Clinical Decision-Making: Assist doctors in making evidence-based clinical decisions, including when and how to apply this technology. 3.Improve Patient Care: Aims to improve patient treatment outcomes and the rehabilitation process by providing best practice recommendations. 4.Promote Technological Development: Encourage further research and technological innovation in this field to enhance the safety and effectiveness of the surgery. 5.Education and Training: Provide medical professionals with training and educational materials related to percutaneous pedicle screw fixation technology. 6.Reduce Variability: Decrease the variability in the application of this technology among different medical institutions and physicians. 7.Facilitate Multidisciplinary Collaboration: Encourage collaboration among medical professionals from various specialties (such as spinal surgeons, radiologists, rehabilitation physicians, etc.). 8.Update Knowledge: Reflect the latest research findings to ensure that medical professionals can access and apply the most up-to-date medical knowledge. 9.Enhance Transparency: Ensure that the decision-making process and the formulation of recommendations are transparent, facilitating understanding and acceptance by all stakeholders. 10.Promote Patient Safety: Reduce surgical risks and enhance patient safety by establishing clear safety measures and complication management strategies. |
