REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS

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 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.

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Main Authors: SOUSA FILHO,ANTONIO REINALDO DE, MEDEIROS,RODRIGO CASTRO DE, MUNIZ,GEORGE BRAGA, SOUZA,MARCELO PAULO MELO DE, PEREIRA,ANDRÉ FLAVIO FREIRE, CABRAL,LUCIANO TEMPORAL BORGES, FERREIRA,MARCUS ANDRÉ COSTA, RANGEL,TÚLIO ALBUQUERQUE DE MOURA
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Coluna 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000300165
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spelling oai:scielo:S1808-185120210003001652021-09-09REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSISSOUSA FILHO,ANTONIO REINALDO DEMEDEIROS,RODRIGO CASTRO DEMUNIZ,GEORGE BRAGASOUZA,MARCELO PAULO MELO DEPEREIRA,ANDRÉ FLAVIO FREIRECABRAL,LUCIANO TEMPORAL BORGESFERREIRA,MARCUS ANDRÉ COSTARANGEL,TÚLIO ALBUQUERQUE DE MOURA Scoliosis Growth Reproducibility of Results 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.info:eu-repo/semantics/openAccessSociedade Brasileira de ColunaColuna/Columna v.20 n.3 20212021-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000300165en10.1590/s1808-185120212003235614
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author SOUSA FILHO,ANTONIO REINALDO DE
MEDEIROS,RODRIGO CASTRO DE
MUNIZ,GEORGE BRAGA
SOUZA,MARCELO PAULO MELO DE
PEREIRA,ANDRÉ FLAVIO FREIRE
CABRAL,LUCIANO TEMPORAL BORGES
FERREIRA,MARCUS ANDRÉ COSTA
RANGEL,TÚLIO ALBUQUERQUE DE MOURA
spellingShingle SOUSA FILHO,ANTONIO REINALDO DE
MEDEIROS,RODRIGO CASTRO DE
MUNIZ,GEORGE BRAGA
SOUZA,MARCELO PAULO MELO DE
PEREIRA,ANDRÉ FLAVIO FREIRE
CABRAL,LUCIANO TEMPORAL BORGES
FERREIRA,MARCUS ANDRÉ COSTA
RANGEL,TÚLIO ALBUQUERQUE DE MOURA
REPRODUCIBILITY OF THE CLASSIFICATION OF PROXIMAL HUMERAL OSSIFICATION IN IDIOPATHIC SCOLIOSIS
author_facet SOUSA FILHO,ANTONIO REINALDO DE
MEDEIROS,RODRIGO CASTRO DE
MUNIZ,GEORGE BRAGA
SOUZA,MARCELO PAULO MELO DE
PEREIRA,ANDRÉ FLAVIO FREIRE
CABRAL,LUCIANO TEMPORAL BORGES
FERREIRA,MARCUS ANDRÉ COSTA
RANGEL,TÚLIO ALBUQUERQUE DE MOURA
author_sort SOUSA FILHO,ANTONIO REINALDO DE
title 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_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_sort reproducibility of the classification of proximal humeral ossification in idiopathic scoliosis
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.
publisher Sociedade Brasileira de Coluna
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000300165
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