Gallo, D

Rigo, M

Villagrasa, M

English

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Scoliosis
Open AccessOral presentation
A specific scoliosis classification correlating with brace treatment: 
description and reliability
M Rigo*, M Villagrasa and D Gallo
Address: Institut E. Salvá. Vía Augusta 185. 08021 Barcelona, Spain
Email: M Rigo* - lolo_rigo@hotmail.com
* Corresponding author    
Purpose
To show the intra- and inter-observer reliability of a scol-
iosis classification system correlating with brace treat-
ment.
Background
Different classification systems have been used mainly
correlating with surgical treatment. Few consider brace
principles and design.
Methods
A new classification system was developed in order to
define specific principles of correction with a brace. The
classification includes clinical as well as radiological crite-
ria. The radiological system differentiates five basic types
called: imbalanced thoracic (or three curves pattern), true
double double (or four curve pattern), balanced thoracic
and false double (non 3 non 4), single lumbar and single
thoracolumbar. The main criteria are the curve pattern
according to SRS terminology, the balance/imbalance at
the transitional point and the L4-5 counter-tilting. To test
the intra-and inter-observer reliability of the classifica-
tion, three observers (1 MD, 1 PT and 1 CPO) have meas-
ured (and one of them, the MD, re-measured) 51 AP
radiographs including all the types.
Results
The intra-observer Kappa value was 0.87 (acceptance >
0.70). The inter-observer Kappa values fluctuated from
0.61 to 0.71 with an average of 0.71 (acceptance > 0.70).
Conclusion
A specific scoliosis classification system that correlates
with brace treatment has been proposed with an accepta-
ble intra- and inter-observer reliability.
from 6th International Conference on Conservative Management of Spinal Deformities
Lyon, France. 21-23 May 2009
Published: 14 December 2009
Scoliosis 2009, 4(Suppl 2):O23 doi:10.1186/1748-7161-4-S2-O23
<supplement> <title> <p>6th International Conference on Conservative Management of Spinal Deformities</p> </title> <editor>Jean Claude de Mauroy, Theodoros Grivas, Patrick Knott and David Tager</editor> <note>A single PDF containing all abstracts in this Supplement is available <a href="http://www.biomedcentral.com/content/files/pdf/1748-7161-4-S2-full.pdf">here</a>.</note> </supplement>
This abstract is available from: http://www.scoliosisjournal.com/content/4/S2/O23
© 2009 Rigo et al; licensee BioMed Central Ltd. 


A specific scoliosis classification correlating with brace treatment: description and reliability

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A specific scoliosis classification correlating with brace treatment: description and reliability

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