Reliability of Interpretation of Plain Lumbar Spine Radiographs in Benign, Mechanical Low‐Back Pain
作者:
J. COSTE,
J. PAOLAGGI,
A. SPIRA,
期刊:
Spine
(OVID Available online 1991)
卷期:
Volume 16,
issue 4
页码: 426-428
ISSN:0362-2436
年代: 1991
出版商: OVID
关键词: low-back pain;radiology;metrology;reliability;kappa
数据来源: OVID
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 preestablished 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.
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