Validity and reliability of a computer-assisted system method to measure axial vertebral rotation.
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Hurtado-Avilés José, León-Muñoz Vicente J, Sanz-Mengibar Jose Manuel, Santonja-Renedo Fernando, Andújar-Ortuño Pilar, Collazo-Diéguez Mónica, Ferrer-López Vicente, Roca-González Joaquín, Kurochka Konstantsin Sergeevich, Cabañero-Castillo Mercedes, Alcaraz-Belzunces Joaquín, Ruiz-Cambra Nieves Aidé, Fuentes-Santos Victoria Eugenia, Ponce-Garrido Ana Belén, González-Ballester Miriam, Sánchez-Martínez Francisco Javier, Campuzano-Melgarejo Andrés, Fiorita Pietro Gino, Santonja-Medina Fernando
Аннотация
METHODS: Twelve independent evaluators with different experience levels measured 33 scoliotic curves in 21 X-rays with the software on three separate occasions, separated one month. Using the same methodology, the observers re-measured the same radiographic studies three months later but on X-ray films and in a conventional way.
RESULTS: Both methods show good validity and reliability, and the intraclass correlation coefficients are almost perfect. According to our results, the software increases 1.7 times the validity and 1.9 times the absolute reliability of axial vertebral rotation on digital X-rays according to Raimondi's method, compared to the conventional manual measurement.
CONCLUSIONS: The intra-group and inter-group agreement of the measurements with the software shows equal or minor variations than with the manual method, among the different measurement sessions and in the three experience groups. There is almost perfect agreement between the two measurement methods, so the equation and the software may be helpful to increase the accuracy in the axial vertebral rotation assessment.