Evidence map›Paper›PMID 30899991›Full record

ArticleDer Orthopade2020

Interrater reliability of three-dimensional reconstruction of the spine : Low-dose stereoradiography for evaluating bracing in adolescent idiopathic scoliosis.

H Almansour, W Pepke, J Rehm, T Bruckner, D Spira, M Akbar

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Article in Der Orthopade, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Validity of a fast automated 3d spine reconstruction measurements for biplanar radiographs: SOSORT 2024 award winner.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

H AlmansourDepartment of Orthopedic Surgery, Trauma Surgery and Spinal Cord Injury, Heidelberg University, Schlierbacher Landstr. 200A, 69118, Heidelberg, Germany.
W PepkeDepartment of Orthopedic Surgery, Trauma Surgery and Spinal Cord Injury, Heidelberg University, Schlierbacher Landstr. 200A, 69118, Heidelberg, Germany.
J RehmDepartment of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
T BrucknerInstitute of Medical Biometry and Informatics, Heidelberg University, Heidelberg, Germany.
D SpiraDepartment of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
M AkbarDepartment of Orthopedic Surgery, Trauma Surgery and Spinal Cord Injury, Heidelberg University, Schlierbacher Landstr. 200A, 69118, Heidelberg, Germany. michael.akbar@med.uni-heidelberg.de.
Heidelberg University · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBracing constitutes the mainstay treatment for mild scoliosis. The 3D reconstruction of the spine using low-dose stereoradiographic imaging (LSI) is increasingly being used to determine the true shape of the deformity and to assess the success of bracing.

objectiveThe aim of the study was to validate the measurement of 3D spinopelvic parameters and vertebral rotation in the setting of bracing treatment via a reliability study conducted in adherence to the guidelines for reporting reliability and agreement studies (GRRAS). MATERIAL AND

methodsFull spine stereoradiographs of patients with adolescent idiopathic scoliosis (AIS) who underwent Chêneau bracing were retrospectively analyzed. The 3D reconstruction was performed by two experienced operators in a blinded manner and randomized order. Rotation of every vertebra was computed in the coronal, sagittal and axial planes. Sagittal spinopelvic parameters were evaluated. All measurements were statistically compared to determine agreement of the measurement of brace correction using the intraclass correlation coefficient (ICC).

resultsIn this study, 45 patients (81% females) aged 12.5 ± 2 years were included. The mean absolute difference was less than 3.5° for all measured angles, less than 4 mm for sagittal vertical axis (SVA) and less than 1.5 mm for lateral pelvic shift. The ICC was high for all parameters (ICC >0.81). Despite the overall high reliability, the reliability of axial rotation was lower in the upper and middle thoracic spine and the lower lumbar spine.

conclusionBrace wearing during full spine LSI acquisition does not affect spinal measurements. The LSI under bracing treatment produces reliable measurements of spinopelvic parameters as well as vertebral rotation. These reproducible 3D data enable spine surgeons to assess the true shape of the deformity, to quantify rotation of each vertebra and enhance the understanding of the efficacy of bracing treatment.

Indexed as

BracesAdolescentChildFemaleHumansImaging, Three-DimensionalKyphosisMalePredictive Value of TestsRadiation DosageRadiographic Image Interpretation, Computer-AssistedRadiosurgeryReproducibility of ResultsRetrospective StudiesScoliosisSpineAxial rotationBraceChêneauEOSSpino-pelvic parameters

Identifiers

PMID30899991
OpenAlexW2925003563

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.