nach oben

European Spine Journal

Erschienen in:

01.06.2006 | Original Article

Validation of new clinical quantitative analysis software applicable in spine orthopaedic studies

verfasst von: S. Champain, K. Benchikh, A. Nogier, C. Mazel, J. De. Guise, W. Skalli

Erschienen in: European Spine Journal | Ausgabe 6/2006

Einloggen, um Zugang zu erhalten

Abstract

The objective of this study was to evaluate an X-ray films analysis software, i.e. to estimate the reliability and validity of clinical measurements by means of this software. The authors first performed tests of precision and reproducibility of measures. The precision for dynamic modules was estimated at ±2° for the lumbar analysis and ±3° for the cervical one. Mean reproducibility coefficients calculated for postural modules are about 4° for the angular parameters and 3 mm for the linear ones. We also evaluated clinical applicability of the software through its validity. Reference values calculated on a population of healthy subjects showed agreement with the literature. Then, when analysing postural X-ray films of severe scoliotic patients, we found that inter-observer reproducibility coefficients show a lower reliability of measurements; the main cause seems to be the low visibility of anatomic landmarks due to the quality of X-ray films and to the degree of deformity. This study allowed to better estimate the reliability and the usefulness of this tool, allowing for multicentric studies and exchanges.

once agreement between observers and normal distributions have been checked

Altmann D, Bland M (1983) Measurement in medicine: the analysis of method comparison studies. Statistician 32:307–317

Bernhardt M, Bridwell KH (1989) Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction. Spine 14(7):717–721PubMed

Cheung J, Wever DJ, Veldhuizen AG, Klein JP, Verdonck B, Nijlunsing R, Cool JC, Van Horn JR (2002) The reliability of quantitative analysis on digital images of the scoliotic spine. Eur Spine J 11:535–542

Duval-Beaupère G, Schimt C, Cosson PH (1992) A barycentrometric study of the sagittal shape of spine and pelvis. Ann Biomed Eng 20(4):51–62

Gelb DE, Lenke LG, Bridwell KH, Blanke KB, McEnery KW (1995) An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine 20(12):1351–1358PubMed

Guigui P, Levassor N et al (2003) Physiological value of pelvic and spinal parameters of sagittal balance: analysis of 250 healthy volunteers. Rev Chir Orthop Reparatrice Appar Mot 89(6):496–506PubMed

Hopkins WG (2000) Measures of reliability in sports medicine and science. Sports Med 30:1–15PubMed

Jackson RP, Kanemura T, Kawakami N, Hales C (2000) Lumbopelvic lordosis and pelvic balance on repeated standing lateral radiographs of adults volunteers and untreated patients with constant low back pain. Spine 25(5):575–586CrossRefPubMed

Jackson RP, McManus AC (1994) Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex and size. Spine 19(14):1611–1618PubMed

10.

Kauffmann C, Godbout B, De Guise J (1998) Simplified active contour model applied to bone structures segmentation in digital radiographs. In: Medical imaging 1998, SPIE’S International Symposium, San Diego, California, USA, 21–27 February, 3338: 663–672

11.

Legaye J, Hecquet J, Marty C, Duval-Beaupère G (1993) Equilibre sagittal du rachis. Rachis 5(5):215–226

12.

Marty C, Boisaubert B, Descamps H, Montigny JP, Hecquet J, Legaye J, Duval-Beaupère G (2002) The sagittal anatomy of the sacrum among young adults, infants, and spondylolisthesis patients. Eur Spine J 11(2):119–125

13.

Pearcy MJ, Bogduk N (1988) Instantaneous axes of rotation of the lumbar intervertebral joints. Spine 13(9):1033–1041PubMed

14.

Portney LG, Watkins MP (1993) Foundations of clinical research Applications and practice. Appleton& Lange, Norwalk ISBN 0-8385-1065-5, pp 509–516

15.

Precision measurement of disc height, vertebral height and sagittal plane displacement from lateral radiographic views of lumbar spine (1997) Clinical biomechanics 12(suppl):1

16.

Prothèses discales et arthrodèses dans la pathologie dégénérative du rachis lombaire - rapport de l’ANAES, Mai 2000

17.

Rajnics P, Pomero V, De Guise J, Mouilleseaux B, Lavaste F, Skalli W (2001) Computer-assisted assessment of spinal sagittal plane radiographs. J Spinal Disord 14:135–142PubMed

18.

Rillardon L, Levassor N, Guigui P, Wodecki P, Cardinne L, Templier A, Skalli W (2003) Validation of a tool to measure pelvic and spinal parameters of sagittal balance. Rev Chir Orthop Reparatrice Appar Mot 89(3):218–227PubMed

19.

Sai Wing Lee, Kris WN Wong et al (2002) Development and validation of a new technique for assessing lumbar spine motion. Spine 27:E215–E220PubMed

20.

Shea KG, Stevens PM, Nelson M, Smith Jt, Masters KS, Yandow S (1998) A comparison of manual versus computer-assisted radiographic measurement. Intraobserver measurement variability for Cobb angles. Spine 23:551–555PubMed

21.

Shrout P, Fleiss J (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 68:420–428

22.

Stagnara P, De Mauroy JC, Dran G et al (1982) Reciprocal angulation of vertebral bodies in a sagittal plane: approach to references for evaluation of kyphosis and lordosis. Spine 7(4):335–342PubMed

23.

Templier A, Skalli W, Diop A, Vital JM, Mazel C, Saillant G, Delecrin J, Dubousset J, Lavaste F (1999) Evaluation radiographique quantitative des arthrodèses rachidiennes lombaires: protocole et analyse préliminaire d’une série multicentrique de 119 cas. Rachis, pp 23–37

24.

Toussignant M, Duclos E et al (2002) Validity study for the cervical range of motion device used for lateral flexion in patients with neck pain. Spine 27:812–817PubMed

25.

Troyanovich SJ, Cailliet R, Janik TJ, Harrison DD, Harrison DE (1997) Radiographic mensuration characteristics of the sagittal lumbar spine from a normal population with a method to synthesize prior studies of lordosis. J Spinal Disord 10:380–386PubMed

26.

Vaz G, Roussouly P, Berthonnaud E, Dimnet J (2002) Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J 11(1):80–87

27.

Voutsinas SA, MacEwen GD (1986) Sagittal profiles of the spine. Clin Orthop 210:235–242PubMed

28.

White Paper on Sagittal Plane Alignment, Scoliosis Research Society

Titel: Validation of new clinical quantitative analysis software applicable in spine orthopaedic studies
verfasst von: S. Champain
K. Benchikh
A. Nogier
C. Mazel
J. De. Guise
W. Skalli
Publikationsdatum: 01.06.2006
Verlag: Springer-Verlag
Erschienen in: European Spine Journal / Ausgabe 6/2006
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-005-0927-1

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2006

Spinal canal narrowing during simulated frontal impact

Validity and interobserver agreement of a new radiographic grading system for intervertebral disc degeneration: Part I. Lumbar spine

Primary stability of anterior lumbar stabilization: interdependence of implant type and endplate retention or removal

Comparing precision of distortion-compensated and stereophotogrammetric Roentgen analysis when monitoring fusion in the cervical spine

Back and neck pain in seniors—prevalence and impact