Canadian Spine SocietyCPSS-1. Abstract ID 108. Radiographic reporting in adolescent idiopathic scoliosis: Is there a discrepancy between radiologists’ reports and surgeons’ assessments?CPSS-2. Abstract ID 21. Pediatric posterior spinal deformity correction: 30-day postoperative infection rate and risk factorsCPSS-3. Abstract ID 17. “Ultra-low dose” computed tomography without sedation is feasible and should be considered as part of the preoperative optimization pathway in paediatric patients with neuromuscular scoliosisCPSS-4. Abstract ID 20. SeeSpine: a novel surface topography smartphone application for monitoring curve progression in adolescent idiopathic scoliosisCPSS-5. Abstract ID 78. Pilot study: a machine learning algorithm for the detection of adolescent idiopathic scoliosis from images taken with modern smartphone technologyCPSS-6. Abstract ID 101. Preoperative parameters influencing vertebral body tethering outcomes: patient characteristics play an important role in determining the outcomes at 2 years after surgeryCPSS-7. Abstract ID 63. Preoperative bending radiographs are the best predictor of scoliosis correction on the first erect radiograph in vertebral body tethering: a single-centre retrospective studyCPSS-8. Abstract ID 18. Adverse events after zoledronate infusion in medically complex patients with neuromuscular scoliosisCPSS-9. Abstract ID 5. Sequential rod rolling for surgical correction of Lenke type 2 adolescent idiopathic scoliosis: a 3D analysisCPSS-10. Abstract ID 123. A comparative study of protocols for spinal casting as a surgical delay strategy in severe early-onset scoliosisA-11. Abstract ID 50. Does the type of pelvic fixation affect pelvic incidence after adult spinal deformity surgery? A retrospective analysisA-12. Abstract ID 51. How does pelvic fixation affect the compensatory mechanisms after adult spinal deformity surgery? A retrospective analysisA-13. Abstract ID 44. Development of a biomechanical model to identify risk factors in sagittal alignment contributing to proximal junctional kyphosisA-14. Abstract ID 32. Biomechanical characterization of semirigid constructs and the potential effect on proximal junctional kyphosisA-15. Abstract ID 65. Early adjacent disc characteristics are not associated with reoperation in short-segment lumbar fusionsA-16. Abstract ID 39. Concurrent validation of a novel inertial measurement unit–based method to evaluate spinal motion in clinical settingsA-17. Abstract ID 68. Distal lordosis is associated with reoperation for adjacent segment disease in patients with degenerative lumbar fusionA-18. Abstract ID 69. Automatic extraction of spinopelvic parameters using artificial intelligence methods and a review on the effects of spine stiffness, spinal fusion and spinopelvic parameters on lower limb motion and total hip arthroplasty outcomesA-19. Abstract ID 38. Gender differences in fusion rates in the treatment of degenerative lumbar spondylolisthesis: analysis from the CSORN prospective degenerative lumbar spondylolisthesis studyA-20. Abstract ID 29. L3–4 hyperlordosis after a reduction in lower lumbar lordosis with L4–L5 fusion surgery is common in patients requiring L3–4 revision surgery for adjacent segment diseaseB-21. Abstract ID 40. Predictors of dynamic instability in the decision to fuse in degenerative lumbar spondylolisthesis: results from the Canadian Spine Outcomes and Research Network prospective degenerative lumbar spondylolisthesisstudyB-22. Abstract ID 49. Impact of preoperative insomnia on poor postoperative pain control after elective spine surgery and the Modified Calgary Postoperative Pain After Spine Surgery scoreB-23. Abstract ID 115. Influence of high pelvic incidence on operative difficulty in patients treated surgically for degenerative lumbar spondylolisthesisB-24. Abstract ID 45. Reoperation rates for adjacent segment disease in degenerative lumbar fusion surgery: a comparison between minimally invasive versus open surgical approachesB-25. Abstract ID 118. Assessment of changes in opioid utilization 1 year after elective spine surgery: a Canadian Spine Outcomes and Research Network studyB-26. Abstract ID 93. Preoperative neuroleptic and opioid use effects on postoperative pain and disability after spinal surgery for lumbar radiculopathyB-27. Abstract ID 52. The importance of lower extremity compensation mechanisms in lumbar degenerative pathology: a retrospective analysisB-28. Abstract ID 107. Persistent poor sleep is associated with worse pain and quality of life in patients with degenerative thoracolumbar conditions undergoing surgery: a retrospective cohort studyB-29. Abstract ID 126. Opioid use in low back pain is associated with increased utilization of health care services and likelihood of work absenteeismB-30. Abstract ID 53. Wait times for degenerative lumbar spine consultation and surgery: a repeated cross-sectional analysis of the Canadian Spine Outcomes and Research NetworkC-31. Abstract ID 33. Pati
Notice bibliographique
Résumé
Background: Cobb angle measurement is a standard method for quantification of scoliosis in patients with adolescent idiopathic scoliosis (AIS).Clinicians rely on Cobb angle measurements to guide treatment decisions.Timely and accurate diagnosis at the primary care level is required to screen patients eligible for timesensitive brace treatment, which is typically delivered in the tertiary care setting.Therefore, accurate and reliable measurement of Cobb angle at the community level is crucial.This study investigated the agreement in Cobb angle measurement between radiologist and the treating spine surgeon.Methods: A retrospective audit of radiographs for patients with AIS was performed.A random sample of 80 patients was selected and radiographic reports (Cobb angle, Risser stage and end vertebrae) by radiologists and spine surgeons were compared.To assess interrater reliability, interclass correlation coefficients (ICC) with 95% confidence intervals (CIs) were computed.Interclass correlation coefficients < 0.70, 0.70-0.79,0.80-89, and 0.9-0.99 were considered poor, fair, good and excellent reliability, respectively.All radiographs were assessed for quality.Results: The agreement of Cobb angle between spine surgeons was excellent (ICC 0.96, 95% CI 0.94 to 0.97).The agreement between spine surgeons and radiologists was poor (ICC 0.65, 95% CI 0.13 to 0.97).The ICC between spine surgeons and community radiologists and pediatric radiologists was poor (ICC 0.45, 95% CI 0.17 to 0.66) and good (ICC 0.87, 95% CI -0.46 to 0.96), respectively.However, 35 out of 80 radiographs performed did not meet the standard criteria.Risser stage was not reported in 56 of the 80 radiology reports.Interclass correlation coefficients between spine surgeons and radiologists for Risser stage was poor (ICC 0.625, 95% CI 0.325 to 0.794).For end vertebrae identification, there was absolute agreement of end vertebrae identification in 23 of the 80 scans.Conclusion: This study demonstrated a significant disagreement in Cobb angle measurement between radiologists and spine surgeons, which may negatively affect referral wait times and timely treatment for AIS.Quality improvement initiatives, such as continuing medical education, to improve Cobb angle measurement among community radiologists is required to improve scoliosis screening at the primary care level.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,006 | 0,021 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,002 |
| Bibliométrie | 0,011 | 0,011 |
| Études des sciences et des technologies | 0,004 | 0,001 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,003 | 0,003 |
| Intégrité de la recherche | 0,003 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,120 | 0,030 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».