RELIABILITY OF INTERPRETATION OF PLAIN LUMBAR SPINE RADIOGRAPHS IN BENIGN, MECHANICAL LOW-BACK-PAIN

被引：30

作者：

COSTE, J

PAOLAGGI, JB

SPIRA, A

机构：

[1] Department of Rheumatology, Ambroise Paré Hospital, Boulogne

[2] INSERM, Bicetre Hospital, Le Kremlin-Bicetre

来源：

SPINE | 1991年 / 16卷 / 04期

关键词：

Kappa; Low-back pain; Metrology; Radiology; Reliability;

D O I：

10.1097/00007632-199104000-00006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A study was conducted to investigate the variability of interpretation of plain lumbar spine radiographs by rheumatologists in benign low-back pain (LBP). Intra- and interobserver agreement in classifying the presence of primary radiologic abnormalities according to pre-established criteria was assessed by the Kappa statistic in 115 anteroposterior and lateral radiograms. A significant variability of interpretation was observed for many findings often considered important in benign LBP. Particularly, low levels of agreement were observed for apophyseal joint abnormalities, Schmorl's nodes, spondylolysis, and structural deviations. Elaboration and validation of better standardized criteria for the main radiologic abnormalities is needed to improve the reliability of interpretation of lumbar spine radiographs.

引用

页码：426 / 428

页数：3

共 19 条

[1]

A description of rheumatology practice, Arthritis Rheum, 20, (1977)

[2]

Cypress B.K., Characteristics of physician visits for back symptoms: A national perspective, Am J Public Health, 73, pp. 389-395, (1983)

[3]

Deyo R.A., Me Niesh L.M., Cone R.O., Observer variability in the interpretation of lumbar spine radiographs, Arthritis Rheum, 28, pp. 1066-1070, (1985)

[4]

Deyo R.A., Diehl A.K., Lumbar spine films in primary care: Current use and effect of selective ordering criteria, J Gen Intern Med, 1, pp. 20-25, (1986)

[5]

Festi D., Lalloni L., Taroni F., Et al., Inter and intra-observer variation in ultrasonographic detection o f gallstones: The multicenter Italian study on epidemiology of cholelithiasis, Eur J Epidemiol, 5, pp. 51-57, (1989)

[6]

Fleiss J., Statistical Methods for Rates and Proportions, pp. 212-236, (1981)

[7]

Frymoyer J.W., Newberg A., Pope M.H., Et al., Spine radiographs in patients with low-back pain, J Bone Joint Surg, 66A, pp. 1048-1055, (1984)

[8]

Frymoyer J.W., Back pain and sciatica, N Engl J Med, 318, pp. 291-300, (1988)

[9]

Fullenlove T.M., Williams A.J., Comparative roentgen findings in symptomatic and asymptomatic backs, Radiology, 68, pp. 572-574, (1957)

[10]

Huit L., Cervical, dorsal and lumbar spinal syndromes, Acta Orthop Scand, 24, pp. 174-175, (1954)

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