Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500521 |
Resumo: | ABSTRACT Objective: To evaluate the inter and intraobserver agreement of the Magerl AO and AOSpine thoracolumbar fracture classification systems. Methods: The participants were divided into two groups, the first composed of six spinal surgeons and the other composed of 18 medical orthopedic residents. On two different occasions, separated by an interval of one month, the participants analyzed and classified 25 radiographs with thoracolumbar fractures using both thoracolumbar fracture classification systems, Magerl AO and AOSpine. The results were analyzed for classification reliability using the Kappa coefficient (k). Results: The Magerl AO classification system showed a fair interobserver agreement (k = 0.32), considering the fractures type and subtype, whereas the AOSpine classification system showed a moderate interobserver agreement (k = 0.59). The Magerl AO classification showed a fair intraobserver agreement for both residents and specialists (k = 0.21 and 0.38, respectively), while the AOSpine showed a substantial agreement between residents (k = 0.62) and moderate between specialists (k = 0.53). Conclusions: When evaluating fracture morphology, the AOSpine thoracolumbar fracture classification system presented a better reliability and reproducibility compared to the Magerl AO classification system. |
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Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fracturesSpinal injuriesMargerl AO classificationAOSpine classificationInterobserver and intraobserver agreementABSTRACT Objective: To evaluate the inter and intraobserver agreement of the Magerl AO and AOSpine thoracolumbar fracture classification systems. Methods: The participants were divided into two groups, the first composed of six spinal surgeons and the other composed of 18 medical orthopedic residents. On two different occasions, separated by an interval of one month, the participants analyzed and classified 25 radiographs with thoracolumbar fractures using both thoracolumbar fracture classification systems, Magerl AO and AOSpine. The results were analyzed for classification reliability using the Kappa coefficient (k). Results: The Magerl AO classification system showed a fair interobserver agreement (k = 0.32), considering the fractures type and subtype, whereas the AOSpine classification system showed a moderate interobserver agreement (k = 0.59). The Magerl AO classification showed a fair intraobserver agreement for both residents and specialists (k = 0.21 and 0.38, respectively), while the AOSpine showed a substantial agreement between residents (k = 0.62) and moderate between specialists (k = 0.53). Conclusions: When evaluating fracture morphology, the AOSpine thoracolumbar fracture classification system presented a better reliability and reproducibility compared to the Magerl AO classification system.Sociedade Brasileira de Ortopedia e Traumatologia2018-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500521Revista Brasileira de Ortopedia v.53 n.5 2018reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2018.07.015info:eu-repo/semantics/openAccessLopes,Felipe Augusto RozalesFerreira,Ana Paula Ribeiro BonilauriSantos,Ricardo André Acácio dosMaçaneiro,Carlos Henriqueeng2018-10-16T00:00:00Zoai:scielo:S0102-36162018000500521Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2018-10-16T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures |
title |
Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures |
spellingShingle |
Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures Lopes,Felipe Augusto Rozales Spinal injuries Margerl AO classification AOSpine classification Interobserver and intraobserver agreement |
title_short |
Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures |
title_full |
Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures |
title_fullStr |
Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures |
title_full_unstemmed |
Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures |
title_sort |
Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures |
author |
Lopes,Felipe Augusto Rozales |
author_facet |
Lopes,Felipe Augusto Rozales Ferreira,Ana Paula Ribeiro Bonilauri Santos,Ricardo André Acácio dos Maçaneiro,Carlos Henrique |
author_role |
author |
author2 |
Ferreira,Ana Paula Ribeiro Bonilauri Santos,Ricardo André Acácio dos Maçaneiro,Carlos Henrique |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Lopes,Felipe Augusto Rozales Ferreira,Ana Paula Ribeiro Bonilauri Santos,Ricardo André Acácio dos Maçaneiro,Carlos Henrique |
dc.subject.por.fl_str_mv |
Spinal injuries Margerl AO classification AOSpine classification Interobserver and intraobserver agreement |
topic |
Spinal injuries Margerl AO classification AOSpine classification Interobserver and intraobserver agreement |
description |
ABSTRACT Objective: To evaluate the inter and intraobserver agreement of the Magerl AO and AOSpine thoracolumbar fracture classification systems. Methods: The participants were divided into two groups, the first composed of six spinal surgeons and the other composed of 18 medical orthopedic residents. On two different occasions, separated by an interval of one month, the participants analyzed and classified 25 radiographs with thoracolumbar fractures using both thoracolumbar fracture classification systems, Magerl AO and AOSpine. The results were analyzed for classification reliability using the Kappa coefficient (k). Results: The Magerl AO classification system showed a fair interobserver agreement (k = 0.32), considering the fractures type and subtype, whereas the AOSpine classification system showed a moderate interobserver agreement (k = 0.59). The Magerl AO classification showed a fair intraobserver agreement for both residents and specialists (k = 0.21 and 0.38, respectively), while the AOSpine showed a substantial agreement between residents (k = 0.62) and moderate between specialists (k = 0.53). Conclusions: When evaluating fracture morphology, the AOSpine thoracolumbar fracture classification system presented a better reliability and reproducibility compared to the Magerl AO classification system. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-01 |
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=S0102-36162018000500521 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500521 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2018.07.015 |
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 Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.53 n.5 2018 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
_version_ |
1752122361509838848 |