Enad Jerome G, Slakey Joseph B, McNulty Patrick S
Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Am J Orthop (Belle Mead NJ). 2008 Apr;37(4):E60-3.
There are various methods for measuring kyphosis after thoracolumbar burst fracture. The reliability and reproducibility of these methods are not well defined. In the study reported here, we examined 4 commonly used measurement methods in order to determine intraobserver variability, interobserver variability, and variability between measurement methods. All 4 methods were found to be accurate and reproducible when used by 4 observers on 2 occasions. One method, in comparison with the others, tended to overestimate degree of kyphosis. Understanding the methods for measuring kyphotic deformity after thoracolumbar burst fracture is essential in making decisions about prognosis and treatment.
测量胸腰椎爆裂骨折后后凸畸形的方法有多种。这些方法的可靠性和可重复性尚未得到明确界定。在本文报道的研究中，我们检查了4种常用的测量方法，以确定观察者内变异性、观察者间变异性以及测量方法之间的变异性。4位观察者在两个不同时间使用这4种方法时，发现所有方法都是准确且可重复的。与其他方法相比，有一种方法往往会高估后凸畸形的程度。了解胸腰椎爆裂骨折后测量后凸畸形的方法对于做出预后和治疗决策至关重要。
