| 标题： | 胸腰椎骨折经皮椎弓根螺钉内固定技术应用专家共识 |
| title： | Expert Consensus on the Application of Percutaneous Pedicle Screw Fixation for Thoracolumbar Fractures |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 专家共识 |
| classification： | Experts consensus |
| 领域： | 治疗 |
| field： | Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 1.脊柱外科医生：专门负责脊柱手术的医生，他们会直接使用该指南来指导临床手术。 2.骨科医生：处理骨折和骨骼问题的医生，可能涉及到胸腰椎骨折的初步诊断和治疗。 3.康复医师和物理治疗师：负责患者术后的康复计划和恢复过程。 4.麻醉科医生：在手术过程中负责患者麻醉管理和疼痛控制。 5.护士和护理人员：参与患者的术前教育、术中护理和术后护理工作。 6.医学生和住院医师：作为教育材料，帮助他们学习最新的治疗技术和指南。 7.研究人员：使用该指南作为研究脊柱骨折治疗技术的基础或参考。 |
| Guide 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. |
| 证据分级方法： | 参考GRADE系统，用于评估证据质量和制定推荐意见 根据研究质量和研究结果的一致性，将证据分为不同的等级。分级方法包括： 一级证据：来自设计良好的随机对照试验的证据。 二级证据：来自队列研究或设计良好的非随机对照试验的证据。 三级证据：来自病例系列、病例报告或专家意见的证据。 |
| Evidence grading 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. |
| 制定单位： | 中国人民解放军陆军军医大学第二附属医院骨科 |
| Formulating unit： | the Second Affiliated Hospital of Army Medical University |
| 注册时间： | 2024-04-25 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN585 |
| Registration number： | |
| 指南制订的目的： | 1.提供标准：为临床医生提供一个关于胸腰椎骨折使用经皮椎弓根螺钉内固定技术的标准化治疗指南。 2.指导临床决策：帮助医生做出基于证据的临床决策，包括何时以及如何应用这项技术。 3.改善患者护理：通过提供最佳实践建议，旨在改善患者的治疗效果和康复过程。 4.促进技术发展：鼓励在该领域内进行进一步的研究和技术创新，以提高手术的安全性和有效性。 5.教育和培训：为医疗专业人员提供有关经皮椎弓根螺钉内固定技术的培训和教育材料。 6.减少变异性：减少不同医疗机构和医生之间在应用这项技术时的实践变异性。 7.促进多学科合作：鼓励不同专业背景的医疗人员（如脊柱外科医生、放射科医生、康复医师等）之间的协作。 8.更新知识：反映最新的研究成果，确保医疗专业人员能够获取和应用最新的医学知识。 9.提高透明度：确保决策过程和推荐意见的制定是透明的，便于所有利益相关者理解和接受。 10.促进患者安全：通过建立明确的安全措施和并发症管理策略，减少手术风险，提高患者安全。 |
| 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. |
