Interobserver reproducibility of radiographic evaluation of lumbar spine instability

Segundo, Saulo De Tarso De Sá Pereira; Filho, Edgar Santiago Valesin; Lenza, Mário; Santos, Durval do Carmo Barros; Rosemberg, Laércio Alberto; Ferretti, Mário

doi:10.1590/s1679-45082016ao3489

Cited by 7 publications

(4 citation statements)

References 35 publications

(43 reference statements)

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“…Furthermore, we were able to demonstrate that the comparison of plain radiographs to either CT scans or MRI images is more sensitive for the detection of increased sagittal translation than functional X-rays alone. As there is a multitude of different functional radiographs that lack standardized routines and depend on compliance and effort of patients and examiners alike, different results due to impaired specificity have to be expected ( 18 , 26 , 30 ). Simplifying the diagnostic process reduces interpatient and interexaminer differences and might help avoid misdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

Intermodal Detection of Lumbar Instability in Degenerative Spondylolisthesis is Superior to Functional Radiographs

et al. 2022

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PurposeIn this study, we compare different imaging modalities to find the most sensitive and efficient way of detecting instability in lumbar spondylolisthesis.MethodsPatients presenting with spondylolisthesis from June 01, 2018 to May 31, 2020 with functional radiographs and either CT scans or MRI images were included in our single-center retrospective cohort study. The amount of translation, in millimeters, was measured on supine MRI images, CT scans, and radiographs of inclination while sitting, standing, or prone and reclination while standing using the Meyerding technique. The amount of translation was compared among the different modalities.ResultsA total of 113 patients with spondylolisthesis on 125 vertebral levels were included in this study. The mean patient age was 73.52 ± 12.59 years; 69 (60.5%) patients were females. The most affected level was L4/5 (62.4%), followed by L3/4 (16%) and L5/S1 (13.6%). The average translations measured on supine CT were 4.13 ± 5.93 mm and 4.42 ± 3.49 mm on MRI (p = 0.3 for the difference between MRI and CT). The difference of inclination while sitting radiograph to slice imaging was 3.37 ± 3.64 mm (p < 0.0001), inclination while standing to slice imaging was 2.67 ± 3.03 mm (p < 0.0001), reclination while standing to slice imaging was 1.6 ± 3.15 mm (p = 0.03), and prone to slice imaging was 2.19 ± 3.02 mm (p = 0.03).ConclusionWe found that a single radiograph in either inclination, reclination, or prone position compared to a CT scan or an MRI image in supine position can detect instability in spondylolisthesis more efficiently than comparison of functional radiographs in any position.

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Section: Discussionmentioning

confidence: 99%

Intermodal Detection of Lumbar Instability in Degenerative Spondylolisthesis is Superior to Functional Radiographs

et al. 2022

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“…In Chuna manual therapy [ 15 , 16 , 17 ], vertebral alignment is evaluated according to the relative positions of the upper and lower vertebral bodies [ 18 ]. Among many diagnostic methods, X-ray has the advantage of being objective and highly reproducible [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Reliability Analysis of Vertebral Landmark Labelling on Lumbar Spine X-ray Images

Jang

Kim

et al. 2023

Diagnostics

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Vertebral landmark labelling on X-ray images is important for objective and quantitative diagnosis. Most studies related to the reliability of labelling focus on the Cobb angle, and it is difficult to find studies describing landmark point locations. Since points are the most fundamental geometric feature that can generate lines and angles, the assessment of landmark point locations is essential. The aim of this study is to provide a reliability analysis of landmark points and vertebral endplate lines with a large number of lumbar spine X-ray images. A total of 1000 pairs of anteroposterior and lateral view lumbar spine images were prepared, and 12 manual medicine experts participated in the labelling process as raters. A standard operating procedure (SOP) was proposed by consensus of the raters based on manual medicine and provided guidelines for reducing sources of error in landmark labelling. High intraclass correlation coefficients ranging from 0.934 to 0.991 verified the reliability of the labelling process using the proposed SOP. We also presented means and standard deviations of measurement errors, which could be a valuable reference for evaluating both automated landmark detection algorithms and manual labelling by experts.

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“…In addition to the relationship between weight gain and the onset of pain, the acute production of inflammatory cytokines of adipose tissue in patients with low back pain is also studied. 9,10 On the other hand, physical exercise is a non-pharmacological therapy with few collateral or adverse effects, consisting of activities of a systematic nature, with a sequence of movements that can include numerous activities or forms of aerobic, resistance, flexibility, strength, and speed exercises, among others, focused on the health of the individual. 11,12 The goal of aerobic exercise is to incorporate low to moderate intensity activities of longer duration, involving the rhythmicity of muscle groups to promote abundant oxygen intake.…”

Section: Introductionmentioning

confidence: 99%

Effect of Physical Training in Obese Patients With Low Back Pain: A Systematic Review

et al. 2022

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Objective: To understand the hypoalgesic effect of exercises in obese patients with low back pain. Methods: From the methodological point of view, this is a systematic review study supported by the PRISMA guidelines (2020). Only clinical trials with defined eligibility criteria were included and the methodological evaluation was carried out using the Risk of Bias 2.0 (RoB 2.0) tool. Results: Four clinical trials were found, which underwent an assessment of risk of bias and were mostly categorized as moderate risk of bias or with some concerns. Conclusions: Moderate-intensity interval training (MIIT), high-intensity interval training (HIIT), and total resistance or lumbar spine extension exercises were shown to be effective for pain control, quality of life, and functional performance in obese individuals. On the other hand, the exercises alone did not produce a decrease in body composition. Level of evidence I; Systematic review.

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Interobserver reproducibility of radiographic evaluation of lumbar spine instability

Cited by 7 publications

References 35 publications

Intermodal Detection of Lumbar Instability in Degenerative Spondylolisthesis is Superior to Functional Radiographs

Intermodal Detection of Lumbar Instability in Degenerative Spondylolisthesis is Superior to Functional Radiographs

Reliability Analysis of Vertebral Landmark Labelling on Lumbar Spine X-ray Images

Effect of Physical Training in Obese Patients With Low Back Pain: A Systematic Review

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