Independent Reliability Analysis of a New Classification for Pyogenic Spondylodiscitis
dc.contributor.author | Camino Willhuber, Gaston | |
dc.contributor.author | Guiroy, Alfredo | |
dc.contributor.author | Zamorano, Juan | |
dc.contributor.author | Astur, Nelson | |
dc.contributor.author | Valacco, Marcelo | |
dc.date.accessioned | 2021-10-28T15:16:43Z | |
dc.date.available | 2021-10-28T15:16:43Z | |
dc.date.issued | 2021 | |
dc.description.abstract | Study design: Diagnostic study, level of evidence III. Objective: Pyogenic spondylodiscitis can cause deformity, neurological compromise, disability, and death. Recently, a new classification of spondylodiscitis based on magnetic resonance imaging was published. The objective of this study is to perform an independent reliability analysis of this new classification. Methods: We selected 35 cases from our database of different spine centers in Latin America and from the literature; 8 observers evaluated the classification and graded the scenarios according to the methodological grading of the classification developed by Pola et al. Cases were sent to the observers in a random sequence after 3 weeks to assess intraobserver reliability. The interobserver and intraobserver reliabilities were performed with Fleiss and Cohen statistics, respectively. Results: The overall Fleiss κ value for interobserver agreement was substantial, with 0.67 (95% CI = 0.43-0.91) in the first reading and 0.67 (95% CI = 0.45-0.89) in second reading for the main types of classification. The Cohen κ value for intraobserver agreement was also substantial, with 0.68 (95% CI = 0.45-0.92). The interobserver agreement analysis for the subtypes of this classification was overall substantial, with 0.60 (95% CI = 0.37-0.83) in the first reading and 0.61 (95% CI = 0.41-0.81) in the second reading. The overall intraobserver agreement for subtypes of the classification was also substantial, with 0.63 (95% CI = 0.34-0.93). Conclusion: The new classification developed by Pola et al showed substantial interobserver and intraobserver agreements. More studies are required to validate the usefulness of this classification especially in clinical practice. | es |
dc.identifier.citation | Global Spine J . 2021 Jun;11(5):669-673 | es |
dc.identifier.uri | http://hdl.handle.net/11447/4967 | |
dc.language.iso | en_US | es |
dc.subject | disc space infection | es |
dc.subject | pyogenic spondylodiscitis | es |
dc.subject | spondylodiscitis classification | es |
dc.subject | vertebral osteomyelitis | es |
dc.title | Independent Reliability Analysis of a New Classification for Pyogenic Spondylodiscitis | es |
dc.type | Article | es |
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