06/08/2026
In , Khela & Gendelberg determine that while the AO upper cervical injury classification system provides a much needed framework for classifying traumatic injuries from the occiput to the C2-C3 junction, it should not be relied upon for clinical decision-making or research purposes due to low interobserver reliability.
"In particular, the moderate agreement for injury type, especially for ligamentous (Type B) injuries, results in a risk of disparate injury classification and inconsistent treatment strategies, undermining the system’s suitability for standardized use," the authors write.
Read "Classifications in Brief: The AO Spine Upper Cervical Injury Classification System" here: https://ow.ly/KzCp50Z8ZxW