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Canadian Spine SocietyCPSS-1. Abstract ID 108. Radiographic reporting in adolescent idiopathic scoliosis: Is there a discrepancy between radiologists’ reports and surgeons’ assessments?CPSS-2. Abstract ID 21. Pediatric posterior spinal deformity correction: 30-day postoperative infection rate and risk factorsCPSS-3. Abstract ID 17. “Ultra-low dose” computed tomography without sedation is feasible and should be considered as part of the preoperative optimization pathway in paediatric patients with neuromuscular scoliosisCPSS-4. Abstract ID 20. SeeSpine: a novel surface topography smartphone application for monitoring curve progression in adolescent idiopathic scoliosisCPSS-5. Abstract ID 78. Pilot study: a machine learning algorithm for the detection of adolescent idiopathic scoliosis from images taken with modern smartphone technologyCPSS-6. Abstract ID 101. Preoperative parameters influencing vertebral body tethering outcomes: patient characteristics play an important role in determin

2Citations signalées, ce qui n’est pas une note de qualité
126Institutions déclarées
21Pays d’affiliation déclarés

Rattachement africain : ca, us, fr, au, nl, ie, sa, rs, in, jm, ch, br, it, jp, de, hu, Égypte, ro, es, gr, gb. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

Background: Cobb angle measurement is a standard method for quantification of scoliosis in patients with adolescent idiopathic scoliosis (AIS).Clinicians rely on Cobb angle measurements to guide treatment decisions.Timely and accurate diagnosis at the primary care level is required to screen patients eligible for timesensitive brace treatment, which is typically delivered in the tertiary care setting.Therefore, accurate and reliable measurement of Cobb angle at the community level is crucial.This study investigated the agreement in Cobb angle measurement between radiologist and the treating spine surgeon.Methods: A retrospective audit of radiographs for patients with AIS was performed.A random sample of 80 patients was selected and radiographic reports (Cobb angle, Risser stage and end vertebrae) by radiologists and spine surgeons were compared.To assess interrater reliability, interclass correlation coefficients (ICC) with 95% confidence intervals (CIs) were computed.Interclass correlation coefficients < 0.70, 0.70-0.79,0.80-89, and 0.9-0.99 were considered poor, fair, good and excellent reliability, respectively.All radiographs were assessed for quality.Results: The agreement of Cobb angle between spine surgeons was excellent (ICC 0.96, 95% CI 0.94 to 0.97).The agreement between spine surgeons and radiologists was poor (ICC 0.65, 95% CI 0.13 to 0.97).The ICC between spine surgeons and community radiologists and pediatric radiologists was poor (ICC 0.45, 95% CI 0.17 to 0.66) and good (ICC 0.87, 95% CI -0.46 to 0.96), respectively.However, 35 out of 80 radiographs performed did not meet the standard criteria.Risser stage was not reported in 56 of the 80 radiology reports.Interclass correlation coefficients between spine surgeons and radiologists for Risser stage was poor (ICC 0.625, 95% CI 0.325 to 0.794).For end vertebrae identification, there was absolute agreement of end vertebrae identification in 23 of the 80 scans.Conclusion: This study demonstrated a significant disagreement in Cobb angle measurement between radiologists and spine surgeons, which may negatively affect referral wait times and timely treatment for AIS.Quality improvement initiatives, such as continuing medical education, to improve Cobb angle measurement among community radiologists is required to improve scoliosis screening at the primary care level.

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Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Canadian Spine SocietyCPSS-1. Abstract ID 108. Radiographic reporting in adolescent idiopathic scoliosis: Is there a discrepancy between radiologists’ reports and surgeons’ assessments?CPSS-2. Abstract ID 21. Pediatric posterior spinal deformity correction: 30-day postoperative infection rate and risk factorsCPSS-3. Abstract ID 17. “Ultra-low dose” computed tomography without sedation is feasible and should be considered as part of the preoperative optimization pathway in paediatric patients with neuromuscular scoliosisCPSS-4. Abstract ID 20. SeeSpine: a novel surface topography smartphone application for monitoring curve progression in adolescent idiopathic scoliosisCPSS-5. Abstract ID 78. Pilot study: a machine learning algorithm for the detection of adolescent idiopathic scoliosis from images taken with modern smartphone technologyCPSS-6. Abstract ID 101. Preoperative parameters influencing vertebral body tethering outcomes: patient characteristics play an important role in determin
Date Crossref
11/08/2023
Éditeur
CMA Impact Inc.
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Où se fait cette recherche

  • University of Calgary From the Department of Orthopaedic Surgery pays non établi dans la notice
    Université ou école supérieure
  • University of Alberta Division of Neurosurgery pays non établi dans la notice
    Université ou école supérieure
  • UCLA Health pays non établi dans la notice
    Établissement de santé
  • University of Toronto Division of Orthopaedic Surgery pays non établi dans la notice
    Université ou école supérieure
  • Hospital for Sick Children pays non établi dans la notice
    Établissement de santé
  • Université Laval pays non établi dans la notice
    Université ou école supérieure
  • University of Ottawa Health Science Department pays non établi dans la notice
    Université ou école supérieure
  • Ottawa University pays non établi dans la notice
    Université ou école supérieure
  • Centre Hospitalier Universitaire Sainte-Justine pays non établi dans la notice
    Établissement de santé
  • Université de Montréal Division of Orthopaedic Surgery pays non établi dans la notice
    Université ou école supérieure
  • Children's Hospital of Eastern Ontario pays non établi dans la notice
    Établissement de santé
  • Centre Hospitalier Universitaire de Besançon pays non établi dans la notice
    Établissement de santé

From the Department of Orthopaedic Surgery — University of Calgary, Division of Neurosurgery — University of Alberta et UCLA Health, avec 9 autres affiliations. Pays d’affiliation : Égypte.

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

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