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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2007-9-7
pubmed:abstractText
A reliable and reproducible measurement technique for the sagittal contour in vertebral fractures is paramount to clinical decision-making. This study was designed to determine the most reliable measurement technique in osteoporotic vertebral compression fracture. Fifteen lateral radiographs of thoracic and lumbar fractures were selected and measured on two separate occasions by three spine surgeons using six different measurement techniques (centroid, Harrison posterior tangent method and 4 different types of modified Cobb method). The radiograph quality was assessed and the center beam location was determined. The inter- and intraobserver variance of the Cobb method 4 and the Harrison posterior tangent method were significantly lower than for the other four methods. The intraobserver correlation coefficients were the most consistent using the Cobb method 4 (0.982), followed by the Harrison posterior tangent method (0.953) and Cobb method 1 (0.874). The intraobserver agreement (% of repeated measures within 5 degrees of the original measurement) ranged from 42% to 98% for each technique for all three observers, with the Cobb method 4 showing the best agreement (97.8%) followed by the Harrison posterior tangent method (93.7%). The Cobb method 4 and Harrison posterior tangent method, when applied to measuring the kyphosis, were reliable and had a similar small error range. The Cobb method 4 showed the best overall reliability. The centroid method and the other Cobb methods using a fractured endplate did not produce an accurate result due to inter- and intraobserver differences in determining the baseline.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0967-5868
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
961-5
pubmed:meshHeading
pubmed-meshheading:17646103-Data Interpretation, Statistical, pubmed-meshheading:17646103-Diagnosis, Differential, pubmed-meshheading:17646103-Diagnostic Errors, pubmed-meshheading:17646103-Fractures, Compression, pubmed-meshheading:17646103-Humans, pubmed-meshheading:17646103-Kyphosis, pubmed-meshheading:17646103-Lumbar Vertebrae, pubmed-meshheading:17646103-Observer Variation, pubmed-meshheading:17646103-Osteoporosis, pubmed-meshheading:17646103-Predictive Value of Tests, pubmed-meshheading:17646103-Radiography, pubmed-meshheading:17646103-Radiography, Thoracic, pubmed-meshheading:17646103-Reproducibility of Results, pubmed-meshheading:17646103-Sensitivity and Specificity, pubmed-meshheading:17646103-Spinal Fractures, pubmed-meshheading:17646103-Spine, pubmed-meshheading:17646103-Thoracic Vertebrae
pubmed:year
2007
pubmed:articleTitle
Analysis of accuracy of kyphotic angle measurement for vertebral osteoporotic compression fractures.
pubmed:affiliation
Department of Neurosurgery, St. Vincent Hospital, The Catholic University of Korea, Suwon, Korea.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't