REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS
ABSTRACT Objective To evaluate the intra- and interobserver reproducibility of the classification of proximal humeral ossification in patients with idiopathic scoliosis. Methods Observational, descriptive, cross-sectional study. Radiographs (anteroposterior) of 29 patients diagnosed with idiopat...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Coluna (SBC)
2021-09-01
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| Series: | Coluna/Columna |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000300165&tlng=en |
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| author | ANTONIO REINALDO DE SOUSA FILHO RODRIGO CASTRO DE MEDEIROS GEORGE BRAGA MUNIZ MARCELO PAULO MELO DE SOUZA ANDRÉ FLAVIO FREIRE PEREIRA LUCIANO TEMPORAL BORGES CABRAL MARCUS ANDRÉ COSTA FERREIRA TÚLIO ALBUQUERQUE DE MOURA RANGEL |
| author_facet | ANTONIO REINALDO DE SOUSA FILHO RODRIGO CASTRO DE MEDEIROS GEORGE BRAGA MUNIZ MARCELO PAULO MELO DE SOUZA ANDRÉ FLAVIO FREIRE PEREIRA LUCIANO TEMPORAL BORGES CABRAL MARCUS ANDRÉ COSTA FERREIRA TÚLIO ALBUQUERQUE DE MOURA RANGEL |
| author_sort | ANTONIO REINALDO DE SOUSA FILHO |
| collection | DOAJ |
| description | ABSTRACT Objective To evaluate the intra- and interobserver reproducibility of the classification of proximal humeral ossification in patients with idiopathic scoliosis. Methods Observational, descriptive, cross-sectional study. Radiographs (anteroposterior) of 29 patients diagnosed with idiopathic scoliosis were chosen and investigated at the Spine Surgery Outpatient Clinic of the Department of Orthopedics and Traumatology of the Hospital Getúlio Vargas, Recife, Pernambuco. These radiographs were evaluated and classified by 9 spinal orthopedic surgeons at two moments, with a minimum interval of 30 days, for analysis of the intraobserver and interobserver reproducibility of the classification of proximal humeral ossification used as a predictor of peak growth velocity. Results Intraobserver reproducibility achieved moderate to substantial concordance with the kappa index. In the analysis of interobserver reproducibility using the Fleiss’ kappa method, a reasonable to moderate concordance was observed, except for in stage 5, in which concordance ranged from substantial to almost perfect. Conclusion In this study, the reproducibility of the Li classification in most of the stages was reasonable to moderate for the interobserver assessment and moderate to substantial for the intraobserver assessment, which differs from the current literature. Level of evidence III; Diagnostic studies – Investigation of a diagnostic test. |
| first_indexed | 2024-12-20T08:04:16Z |
| format | Article |
| id | doaj.art-8f1a1ddd6050417995e94bb10ea0438c |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-12-20T08:04:16Z |
| publishDate | 2021-09-01 |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-8f1a1ddd6050417995e94bb10ea0438c2022-12-21T19:47:26ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2021-09-0120316516810.1590/s1808-185120212003235614REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSISANTONIO REINALDO DE SOUSA FILHOhttps://orcid.org/0000-0002-8436-7613RODRIGO CASTRO DE MEDEIROShttps://orcid.org/0000-0002-7346-0687GEORGE BRAGA MUNIZhttps://orcid.org/0000-0003-1360-5001MARCELO PAULO MELO DE SOUZAhttps://orcid.org/0000-0003-1171-8387ANDRÉ FLAVIO FREIRE PEREIRAhttps://orcid.org/0000-0001-7108-9442LUCIANO TEMPORAL BORGES CABRALhttps://orcid.org/0000-0002-6584-9764MARCUS ANDRÉ COSTA FERREIRAhttps://orcid.org/0000-0002-0377-2722TÚLIO ALBUQUERQUE DE MOURA RANGELhttps://orcid.org/0000-0002-5324-7440ABSTRACT Objective To evaluate the intra- and interobserver reproducibility of the classification of proximal humeral ossification in patients with idiopathic scoliosis. Methods Observational, descriptive, cross-sectional study. Radiographs (anteroposterior) of 29 patients diagnosed with idiopathic scoliosis were chosen and investigated at the Spine Surgery Outpatient Clinic of the Department of Orthopedics and Traumatology of the Hospital Getúlio Vargas, Recife, Pernambuco. These radiographs were evaluated and classified by 9 spinal orthopedic surgeons at two moments, with a minimum interval of 30 days, for analysis of the intraobserver and interobserver reproducibility of the classification of proximal humeral ossification used as a predictor of peak growth velocity. Results Intraobserver reproducibility achieved moderate to substantial concordance with the kappa index. In the analysis of interobserver reproducibility using the Fleiss’ kappa method, a reasonable to moderate concordance was observed, except for in stage 5, in which concordance ranged from substantial to almost perfect. Conclusion In this study, the reproducibility of the Li classification in most of the stages was reasonable to moderate for the interobserver assessment and moderate to substantial for the intraobserver assessment, which differs from the current literature. Level of evidence III; Diagnostic studies – Investigation of a diagnostic test.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000300165&tlng=enScoliosisGrowthReproducibility of Results |
| spellingShingle | ANTONIO REINALDO DE SOUSA FILHO RODRIGO CASTRO DE MEDEIROS GEORGE BRAGA MUNIZ MARCELO PAULO MELO DE SOUZA ANDRÉ FLAVIO FREIRE PEREIRA LUCIANO TEMPORAL BORGES CABRAL MARCUS ANDRÉ COSTA FERREIRA TÚLIO ALBUQUERQUE DE MOURA RANGEL REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS Coluna/Columna Scoliosis Growth Reproducibility of Results |
| title | REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS |
| title_full | REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS |
| title_fullStr | REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS |
| title_full_unstemmed | REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS |
| title_short | REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS |
| title_sort | reproducibility of the classification of proximal humeral ossification in idiopathic scoliosis |
| topic | Scoliosis Growth Reproducibility of Results |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000300165&tlng=en |
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