分析 KEOPS 2 版测量脊柱畸形冠状和矢状参数的可靠性。

IF 1.6 Q3 CLINICAL NEUROLOGY
Spine deformity Pub Date : 2024-09-01 Epub Date: 2024-06-12 DOI:10.1007/s43390-024-00894-z
Joe Rassi, Mohammad Daher, Abdo Helou, Sarah Farjallah, Karim Ayoub, Ali Ghoul, Amer Sebaaly
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引用次数: 0

摘要

背景:本研究的目的是对该软件的更新版进行评估:本研究的目的是评估该软件的更新版在各种脊柱畸形患者中的应用情况:本研究将 60 名患者分为三类:20 名 AIS 患者、20 名 ASD 患者和 20 名接受过脊柱畸形矫正手术的患者。测量由两名高年级和两名低年级骨科住院医师进行,测量在两个时间点进行,间隔时间为 3 周,每次测量的病例都是随机的,以减少记忆偏差的风险。测量参数包括冠状位、矢状位、整体对齐参数和骨盆参数:在评估各组患者的观察者之间和观察者内部的可靠性时,没有一个系数小于 0.8,一致性非常高。标准误差在 0.7° 至 1.5° 之间,显示出较高的准确性。除术后组的一致性较强但不完全一致外,其他三组的结果基本相似:这是首次对新版 KEOPS 的可重复性进行评估的研究,结果显示所有测量的一致性都非常高。在术后组中,虽然显示出很高的一致性,但由于手术材料的存在,较难准确识别解剖地标,因此表现较差。尽管如此,我们还是建议在临床环境中使用该软件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of the reliability of KEOPS version 2 for the measurement of coronal and sagittal parameters in spinal deformity.

Background: The purpose of the study is to evaluate the updated version of this software in patients with various spinal deformity.

Methods: Sixty patients were included in this study and were divided into three categories: 20 patients with AIS, 20 patients with ASD, and 20 patients having undergone corrective surgery for spinal deformity. The measurements were performed by two senior and two junior orthopedic surgery residents, and were done at two points in time separated by a 3-week interval with the cases being randomized every time to reduce the risk of memory bias. Measured parameters included coronal, sagittal, global alignment parameters, and pelvic parameters.

Results: When assessing the inter- and intra-observer reliability across all the groups of patients, none of the coefficients was smaller than 0.8 with a very high level of agreement. The standard error ranged from 0.7° to 1.5° demonstrating a high level of accuracy. Fairly similar results were seen when the groups were divided into the three categories except for the post-operative groups where a strong and not perfect level of agreement was reported.

Conclusion: This is the first study to assess the reproducibility of the new version of KEOPS, showing a very high agreement in all measurements. In the post-operative group, although it showed a strong agreement, the lower performance can be explained by the presence of surgical material making it harder to identify the anatomical landmarks accurately. Nevertheless, we can recommend the usage of this software in a clinical setting.

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来源期刊
CiteScore
3.20
自引率
18.80%
发文量
167
期刊介绍: Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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