The grading model for the assessment of the total amount of epidural fibrosis in postoperative lumbar spine

Purpose To present a new model derived from Ross’s model for the assessment of the total amount of epidural fibrosis and to present inter- and intravariability study. Methods Two readers blinded to each other and blinded to their first and second reading retrospectively evaluated the magnetic resona...

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Veröffentlicht in:European spine journal 2013-04, Vol.22 (4), p.892-897
Hauptverfasser: Lubina, Zvonimir Ivan, Baranovic, Senka, Karlak, Ivan, Novacic, Karlo, Potocki-Karacic, Tanja, Lovrić, Dražen
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container_end_page 897
container_issue 4
container_start_page 892
container_title European spine journal
container_volume 22
creator Lubina, Zvonimir Ivan
Baranovic, Senka
Karlak, Ivan
Novacic, Karlo
Potocki-Karacic, Tanja
Lovrić, Dražen
description Purpose To present a new model derived from Ross’s model for the assessment of the total amount of epidural fibrosis and to present inter- and intravariability study. Methods Two readers blinded to each other and blinded to their first and second reading retrospectively evaluated the magnetic resonance examinations in 32 postoperative spine surgery patients using this model. Results Paired and unpaired two-sided t tests showed no significant difference between the first and second reading, and interclass correlation coefficient revealed good interobserver reliability. Conclusion The proposed model enables estimation of the amount of epidural fibrosis in postoperative lumbar spine and does not require any additional software or hardware. It is designed for multi-centered clinical studies where it is necessary to compare the values of epidural fibrosis between the tested and control group. The use of the proposed model is fast and practical and helps to avoid complications arising from image format, calibration and software, which are often encountered in multi-centered studies.
doi_str_mv 10.1007/s00586-012-2537-z
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Methods Two readers blinded to each other and blinded to their first and second reading retrospectively evaluated the magnetic resonance examinations in 32 postoperative spine surgery patients using this model. Results Paired and unpaired two-sided t tests showed no significant difference between the first and second reading, and interclass correlation coefficient revealed good interobserver reliability. Conclusion The proposed model enables estimation of the amount of epidural fibrosis in postoperative lumbar spine and does not require any additional software or hardware. It is designed for multi-centered clinical studies where it is necessary to compare the values of epidural fibrosis between the tested and control group. 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subjects Double-Blind Method
Epidural Space - pathology
Fibrosis
Humans
Ideas and Technical Innovations
Lumbar Vertebrae - pathology
Lumbar Vertebrae - surgery
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Models, Biological
Neurosurgery
Observer Variation
Postoperative Complications - epidemiology
Postoperative Complications - pathology
Prevalence
Retrospective Studies
Surgical Orthopedics
title The grading model for the assessment of the total amount of epidural fibrosis in postoperative lumbar spine
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