INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000100008 |
Resumo: | ABSTRACT Objective: To evaluate the interobserver agreement of the new AOSpine classification for subaxial cervical fractures. Methods: A descriptive study, which11 traumatic lesions of the subaxial cervical spine (through radiographic and tomographic images), were evaluated by 16 observers being: 6 senior surgeons, 4 fellows in spinal surgery and 6 physicians residents in Orthopedics and Traumatology by the new AOSpine classification, with subsequent statistical analysis of the results. An agreement analysis was performed using the Kappa coefficient, both individually and in combination, with an interpretation of the index performed using the standardized model for Landis and Koch. To determine the level of significance of the analyzes, values less than 0.05 were considered statistically significant. Results: In general, the level of agreement among the examiners was considered reasonable. The lesions “A0 (F3)”, “A4 (F3)”, “B1”, “B3”, “B3 (F3)”, “C”, “C (F3)” and “F3”showed a low level of agreement between the examiners. The level of reasonable agreement was obtained between fractures “A0”, “A1”, “A4”, “B2” and “C (F4)”. The only fracture that presented a moderate level of agreement was the “C (F4 BL)” lesion. This result indicates that the referred injury was the fracture of the subaxial column that presented the best level of agreement among the 16 examiners in the present study. Conclusions: The results of the study indicate an intermediate agreement of the new AOSpine classification for subaxial cervical lesion and point to the need to carry out studies that seek to evaluate this new classification in order to better evaluate its strengths and weaknesses, contributing for its improvement. Level of evidence III; Diagnostic study - investigation of a diagnostic test. |
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INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONSReproducibility of ResultsFracturesbone/classificationReliabilityABSTRACT Objective: To evaluate the interobserver agreement of the new AOSpine classification for subaxial cervical fractures. Methods: A descriptive study, which11 traumatic lesions of the subaxial cervical spine (through radiographic and tomographic images), were evaluated by 16 observers being: 6 senior surgeons, 4 fellows in spinal surgery and 6 physicians residents in Orthopedics and Traumatology by the new AOSpine classification, with subsequent statistical analysis of the results. An agreement analysis was performed using the Kappa coefficient, both individually and in combination, with an interpretation of the index performed using the standardized model for Landis and Koch. To determine the level of significance of the analyzes, values less than 0.05 were considered statistically significant. Results: In general, the level of agreement among the examiners was considered reasonable. The lesions “A0 (F3)”, “A4 (F3)”, “B1”, “B3”, “B3 (F3)”, “C”, “C (F3)” and “F3”showed a low level of agreement between the examiners. The level of reasonable agreement was obtained between fractures “A0”, “A1”, “A4”, “B2” and “C (F4)”. The only fracture that presented a moderate level of agreement was the “C (F4 BL)” lesion. This result indicates that the referred injury was the fracture of the subaxial column that presented the best level of agreement among the 16 examiners in the present study. Conclusions: The results of the study indicate an intermediate agreement of the new AOSpine classification for subaxial cervical lesion and point to the need to carry out studies that seek to evaluate this new classification in order to better evaluate its strengths and weaknesses, contributing for its improvement. Level of evidence III; Diagnostic study - investigation of a diagnostic test.Sociedade Brasileira de Coluna2021-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000100008Coluna/Columna v.20 n.1 2021reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120212001238367info:eu-repo/semantics/openAccessVital,Leandro ViníciusResende,Rogério Lúcio Chaves deLeal,Jefferson SoaresGuimarães,Renato de MeloFaria,Ângelo Ribeiro Vaz deeng2021-02-12T00:00:00Zoai:scielo:S1808-18512021000100008Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2021-02-12T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS |
title |
INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS |
spellingShingle |
INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS Vital,Leandro Vinícius Reproducibility of Results Fractures bone/classification Reliability |
title_short |
INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS |
title_full |
INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS |
title_fullStr |
INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS |
title_full_unstemmed |
INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS |
title_sort |
INTEROBSERVER REPRODUCIBILITY ASSESSMENT OF THE NEW AOSPINE CLASSIFICATION FOR SUBAXIAL CERVICAL LESIONS |
author |
Vital,Leandro Vinícius |
author_facet |
Vital,Leandro Vinícius Resende,Rogério Lúcio Chaves de Leal,Jefferson Soares Guimarães,Renato de Melo Faria,Ângelo Ribeiro Vaz de |
author_role |
author |
author2 |
Resende,Rogério Lúcio Chaves de Leal,Jefferson Soares Guimarães,Renato de Melo Faria,Ângelo Ribeiro Vaz de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Vital,Leandro Vinícius Resende,Rogério Lúcio Chaves de Leal,Jefferson Soares Guimarães,Renato de Melo Faria,Ângelo Ribeiro Vaz de |
dc.subject.por.fl_str_mv |
Reproducibility of Results Fractures bone/classification Reliability |
topic |
Reproducibility of Results Fractures bone/classification Reliability |
description |
ABSTRACT Objective: To evaluate the interobserver agreement of the new AOSpine classification for subaxial cervical fractures. Methods: A descriptive study, which11 traumatic lesions of the subaxial cervical spine (through radiographic and tomographic images), were evaluated by 16 observers being: 6 senior surgeons, 4 fellows in spinal surgery and 6 physicians residents in Orthopedics and Traumatology by the new AOSpine classification, with subsequent statistical analysis of the results. An agreement analysis was performed using the Kappa coefficient, both individually and in combination, with an interpretation of the index performed using the standardized model for Landis and Koch. To determine the level of significance of the analyzes, values less than 0.05 were considered statistically significant. Results: In general, the level of agreement among the examiners was considered reasonable. The lesions “A0 (F3)”, “A4 (F3)”, “B1”, “B3”, “B3 (F3)”, “C”, “C (F3)” and “F3”showed a low level of agreement between the examiners. The level of reasonable agreement was obtained between fractures “A0”, “A1”, “A4”, “B2” and “C (F4)”. The only fracture that presented a moderate level of agreement was the “C (F4 BL)” lesion. This result indicates that the referred injury was the fracture of the subaxial column that presented the best level of agreement among the 16 examiners in the present study. Conclusions: The results of the study indicate an intermediate agreement of the new AOSpine classification for subaxial cervical lesion and point to the need to carry out studies that seek to evaluate this new classification in order to better evaluate its strengths and weaknesses, contributing for its improvement. Level of evidence III; Diagnostic study - investigation of a diagnostic test. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000100008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000100008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120212001238367 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.20 n.1 2021 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
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1752126616440406016 |