Fratura toracolombar explosão: análise radiográfica diferencial entre A e B de Margerl Thoracolumbar burst fracture: radiographic evaluation on differences between Magerl's A and B
OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três ex...
Ausführliche Beschreibung
Autor*in: |
Carlos Alberto Almeida de Assunção Filho [verfasserIn] Rafael Parizzi Veloso [verfasserIn] Robert Meves [verfasserIn] João Paulo Bergamaschi [verfasserIn] Maria Fernanda Silber Caffaro [verfasserIn] Osmar Avanzi [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch ; Portugiesisch |
Erschienen: |
2012 |
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Übergeordnetes Werk: |
In: Acta Ortopédica Brasileira - Sociedade Brasileira de Ortopedia e Traumatologia, 2004, 20(2012), 4, Seite 235-239 |
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Übergeordnetes Werk: |
volume:20 ; year:2012 ; number:4 ; pages:235-239 |
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Link aufrufen |
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DOI / URN: |
10.1590/S1413-78522012000400010 |
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Katalog-ID: |
DOAJ006666337 |
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520 | |a OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. | ||
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10.1590/S1413-78522012000400010 doi (DE-627)DOAJ006666337 (DE-599)DOAJc6a8a84f1e3a4ca2bff5097f6dee7e57 DE-627 ger DE-627 rakwb eng por RD701-811 Carlos Alberto Almeida de Assunção Filho verfasserin aut Fratura toracolombar explosão: análise radiográfica diferencial entre A e B de Margerl Thoracolumbar burst fracture: radiographic evaluation on differences between Magerl's A and B 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. Fraturas de coluna vertebral Vértebras lombares Vértebras torácicas Spinal fractures Lumbar vertebrae Thoracic vertebrae Medicine R Orthopedic surgery Rafael Parizzi Veloso verfasserin aut Robert Meves verfasserin aut João Paulo Bergamaschi verfasserin aut Maria Fernanda Silber Caffaro verfasserin aut Osmar Avanzi verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 20(2012), 4, Seite 235-239 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:20 year:2012 number:4 pages:235-239 https://doi.org/10.1590/S1413-78522012000400010 kostenfrei https://doaj.org/article/c6a8a84f1e3a4ca2bff5097f6dee7e57 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522012000400010 kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei https://doaj.org/toc/1809-4406 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2012 4 235-239 |
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10.1590/S1413-78522012000400010 doi (DE-627)DOAJ006666337 (DE-599)DOAJc6a8a84f1e3a4ca2bff5097f6dee7e57 DE-627 ger DE-627 rakwb eng por RD701-811 Carlos Alberto Almeida de Assunção Filho verfasserin aut Fratura toracolombar explosão: análise radiográfica diferencial entre A e B de Margerl Thoracolumbar burst fracture: radiographic evaluation on differences between Magerl's A and B 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. Fraturas de coluna vertebral Vértebras lombares Vértebras torácicas Spinal fractures Lumbar vertebrae Thoracic vertebrae Medicine R Orthopedic surgery Rafael Parizzi Veloso verfasserin aut Robert Meves verfasserin aut João Paulo Bergamaschi verfasserin aut Maria Fernanda Silber Caffaro verfasserin aut Osmar Avanzi verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 20(2012), 4, Seite 235-239 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:20 year:2012 number:4 pages:235-239 https://doi.org/10.1590/S1413-78522012000400010 kostenfrei https://doaj.org/article/c6a8a84f1e3a4ca2bff5097f6dee7e57 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522012000400010 kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei https://doaj.org/toc/1809-4406 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2012 4 235-239 |
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10.1590/S1413-78522012000400010 doi (DE-627)DOAJ006666337 (DE-599)DOAJc6a8a84f1e3a4ca2bff5097f6dee7e57 DE-627 ger DE-627 rakwb eng por RD701-811 Carlos Alberto Almeida de Assunção Filho verfasserin aut Fratura toracolombar explosão: análise radiográfica diferencial entre A e B de Margerl Thoracolumbar burst fracture: radiographic evaluation on differences between Magerl's A and B 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. Fraturas de coluna vertebral Vértebras lombares Vértebras torácicas Spinal fractures Lumbar vertebrae Thoracic vertebrae Medicine R Orthopedic surgery Rafael Parizzi Veloso verfasserin aut Robert Meves verfasserin aut João Paulo Bergamaschi verfasserin aut Maria Fernanda Silber Caffaro verfasserin aut Osmar Avanzi verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 20(2012), 4, Seite 235-239 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:20 year:2012 number:4 pages:235-239 https://doi.org/10.1590/S1413-78522012000400010 kostenfrei https://doaj.org/article/c6a8a84f1e3a4ca2bff5097f6dee7e57 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522012000400010 kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei https://doaj.org/toc/1809-4406 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2012 4 235-239 |
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10.1590/S1413-78522012000400010 doi (DE-627)DOAJ006666337 (DE-599)DOAJc6a8a84f1e3a4ca2bff5097f6dee7e57 DE-627 ger DE-627 rakwb eng por RD701-811 Carlos Alberto Almeida de Assunção Filho verfasserin aut Fratura toracolombar explosão: análise radiográfica diferencial entre A e B de Margerl Thoracolumbar burst fracture: radiographic evaluation on differences between Magerl's A and B 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. Fraturas de coluna vertebral Vértebras lombares Vértebras torácicas Spinal fractures Lumbar vertebrae Thoracic vertebrae Medicine R Orthopedic surgery Rafael Parizzi Veloso verfasserin aut Robert Meves verfasserin aut João Paulo Bergamaschi verfasserin aut Maria Fernanda Silber Caffaro verfasserin aut Osmar Avanzi verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 20(2012), 4, Seite 235-239 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:20 year:2012 number:4 pages:235-239 https://doi.org/10.1590/S1413-78522012000400010 kostenfrei https://doaj.org/article/c6a8a84f1e3a4ca2bff5097f6dee7e57 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522012000400010 kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei https://doaj.org/toc/1809-4406 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2012 4 235-239 |
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10.1590/S1413-78522012000400010 doi (DE-627)DOAJ006666337 (DE-599)DOAJc6a8a84f1e3a4ca2bff5097f6dee7e57 DE-627 ger DE-627 rakwb eng por RD701-811 Carlos Alberto Almeida de Assunção Filho verfasserin aut Fratura toracolombar explosão: análise radiográfica diferencial entre A e B de Margerl Thoracolumbar burst fracture: radiographic evaluation on differences between Magerl's A and B 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. Fraturas de coluna vertebral Vértebras lombares Vértebras torácicas Spinal fractures Lumbar vertebrae Thoracic vertebrae Medicine R Orthopedic surgery Rafael Parizzi Veloso verfasserin aut Robert Meves verfasserin aut João Paulo Bergamaschi verfasserin aut Maria Fernanda Silber Caffaro verfasserin aut Osmar Avanzi verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 20(2012), 4, Seite 235-239 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:20 year:2012 number:4 pages:235-239 https://doi.org/10.1590/S1413-78522012000400010 kostenfrei https://doaj.org/article/c6a8a84f1e3a4ca2bff5097f6dee7e57 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522012000400010 kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei https://doaj.org/toc/1809-4406 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2012 4 235-239 |
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In Acta Ortopédica Brasileira 20(2012), 4, Seite 235-239 volume:20 year:2012 number:4 pages:235-239 |
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Carlos Alberto Almeida de Assunção Filho @@aut@@ Rafael Parizzi Veloso @@aut@@ Robert Meves @@aut@@ João Paulo Bergamaschi @@aut@@ Maria Fernanda Silber Caffaro @@aut@@ Osmar Avanzi @@aut@@ |
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RD701-811 Fratura toracolombar explosão: análise radiográfica diferencial entre A e B de Margerl Thoracolumbar burst fracture: radiographic evaluation on differences between Magerl's A and B Fraturas de coluna vertebral Vértebras lombares Vértebras torácicas Spinal fractures Lumbar vertebrae Thoracic vertebrae |
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fratura toracolombar explosão: análise radiográfica diferencial entre a e b de margerl thoracolumbar burst fracture: radiographic evaluation on differences between magerl's a and b |
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Fratura toracolombar explosão: análise radiográfica diferencial entre A e B de Margerl Thoracolumbar burst fracture: radiographic evaluation on differences between Magerl's A and B |
abstract |
OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. |
abstractGer |
OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. |
abstract_unstemmed |
OBJETIVOS: Verificar nos pacientes com fratura toracolombar explosão de Denis a incidência de fratura tipo A e B de Margerl segundo examinadores independentes. MÉTODOS: De acordo com a abertura radiográfica dos processos espinhosos do arco vertebral posterior na radiografia ântero-posterior, três examinadores independentes dividiram os pacientes internados de 2000 a 2009 com fratura toracolombar explosão (Denis) em fraturas tipo A3 e B1.2 de Margerl. A avaliação estatística foi descritiva e pelo método de Kappa. RESULTADOS: Dos 72 pacientes, a fratura foi classificada B em 11 pacientes de acordo com o primeiro examinador 1; 10 pelo segundo e 17 pelo terceiro. A concordância entre os examinadores da presença de comprometimento posterior nestas fraturas (B1.2) foi satisfatória (boa,κ=0,7). CONCLUSÃO: 14 a 24% de pacientes com fratura toracolombar explosão (Denis) apresentam comprometimento posterior (B1.2) de acordo com critérios radiográficos. Nível de evidencia III, Estudo Diagnostico, Investigação de Teste diagnostico<br<Objectives: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners. Method: According to the posterior spinous process split on the anteroposterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differenciate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method. Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good,κ=0,7) between the examiners. Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test. |
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