Spinal cord · 2026
The Italian Spine Trauma Registry: design and rationale of a prospective nationwide multicenter study on surgically treated spinal trauma.
СтатьяМногоцентровое исследованиеНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Rispoli Rossella, Bistazzoni Simona, Savoldi Fabio, Certo Francesco, Passanisi Maurizio, Nina PierPaolo, Maugeri Rosario, Quaglietta Paolo, Vitali Matteo, Donnarumma Pasquale, Anania Carla Daniela, Tartara Fulvio, Costa Francesco, Melloni Ilaria, Chahine Rabih, Delvecchio Carlo, Cofano Fabio, Soffiati Cesare Francesco, Del Verme Jacopo, Cappelletto Barbara
Аннотация
STUDY DESIGN: Prospective, nationwide, multicenter observational cohort registry with first-year implementation data.
OBJECTIVES: To describe the design and rationale of the Italian Spine Trauma Registry (TVMit) and assess the feasibility of standardized nationwide recruitment and longitudinal data collection in surgically treated spinal trauma.
SETTING: Forty-eight neurosurgical centers across Italy.
METHODS: Adults aged ≥ 16 years undergoing surgery for traumatic spinal column and/or spinal cord injury are prospectively enrolled from 2025 to 2034. Standardized data include demographics, injury characteristics, neurological status, surgical timing and technique, perioperative management, complications, rehabilitation, and Patient-Reported Outcome Spine Trauma (PROST), with follow-up at 3, 12, and 24 months.
RESULTS: During the first year, 673 participants were enrolled. Lumbar injuries were most frequent (46.2%), followed by thoracic (30.6%), subaxial cervical (15.0%), and upper cervical injuries (8.0%). Surgery within 48 h was more frequent for subaxial cervical injuries (46.5%), and posterior approaches predominated at upper cervical, thoracic, and lumbar levels.
CONCLUSIONS: TVMit has established a feasible national prospective platform for standardized real-world data collection in surgically managed spinal trauma. Longitudinal neurological and patient-reported outcomes will support benchmarking, comparative effectiveness research, and future predictive modeling.
OBJECTIVES: To describe the design and rationale of the Italian Spine Trauma Registry (TVMit) and assess the feasibility of standardized nationwide recruitment and longitudinal data collection in surgically treated spinal trauma.
SETTING: Forty-eight neurosurgical centers across Italy.
METHODS: Adults aged ≥ 16 years undergoing surgery for traumatic spinal column and/or spinal cord injury are prospectively enrolled from 2025 to 2034. Standardized data include demographics, injury characteristics, neurological status, surgical timing and technique, perioperative management, complications, rehabilitation, and Patient-Reported Outcome Spine Trauma (PROST), with follow-up at 3, 12, and 24 months.
RESULTS: During the first year, 673 participants were enrolled. Lumbar injuries were most frequent (46.2%), followed by thoracic (30.6%), subaxial cervical (15.0%), and upper cervical injuries (8.0%). Surgery within 48 h was more frequent for subaxial cervical injuries (46.5%), and posterior approaches predominated at upper cervical, thoracic, and lumbar levels.
CONCLUSIONS: TVMit has established a feasible national prospective platform for standardized real-world data collection in surgically managed spinal trauma. Longitudinal neurological and patient-reported outcomes will support benchmarking, comparative effectiveness research, and future predictive modeling.