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Published in: Journal of Orthopaedics and Traumatology 1/2009

Open Access 01-03-2009 | Original Article

Cervical degenerative index: a new quantitative radiographic scoring system for cervical spondylosis with interobserver and intraobserver reliability testing

Authors: Elisha Ofiram, Timothy A. Garvey, James D. Schwender, Francis Denis, Joseph H. Perra, Ensor E. Transfeldt, Robert B. Winter, Jill M. Wroblewski

Published in: Journal of Orthopaedics and Traumatology | Issue 1/2009

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Abstract

Background

The lack of a widely available scoring system for cervical degenerative spondylosis encouraged the authors to establish and validate a systematic quantitative radiographic index.

Materials and methods

This study included intraobserver and interobserver reliability testing among three reviewers with different years of experience. Each observer independently scored four cervical radiographs of 48 patients at separate intervals, and statistical analysis of the grading was performed.

Results

There was high intraobserver and interobserver reliability between the two experienced observers. There was fair reliability between the less experienced observer and the more experienced observers.

Conclusions

The cervical degenerative index appears to be a reliable and reproducible radiographic assessment of cervical spondylosis. The index will have direct applicability for longitudinal study of cervical spondylosis and may be clinically relevant as well.
Literature
1.
go back to reference Kellgren JH, Ball J (1963) Atlas of standard radiographics, vol II. Blackwell Scientific, Oxford Kellgren JH, Ball J (1963) Atlas of standard radiographics, vol II. Blackwell Scientific, Oxford
3.
go back to reference Cote P, Cassidy JD, Yong-Hing K, Sibley J, Loewy J (1997) Apophysial joint degeneration, disc degeneration, and sagittal curve of the cervical spine. Can they be measured reliably on radiographs? Spine 22(8):859–864PubMedCrossRef Cote P, Cassidy JD, Yong-Hing K, Sibley J, Loewy J (1997) Apophysial joint degeneration, disc degeneration, and sagittal curve of the cervical spine. Can they be measured reliably on radiographs? Spine 22(8):859–864PubMedCrossRef
4.
go back to reference Gore DR, Sepic SB, Gardner GM (1986) Roentgenographic findings of the cervical spine in asymptomatic people. Spine 11(6):521–524PubMedCrossRef Gore DR, Sepic SB, Gardner GM (1986) Roentgenographic findings of the cervical spine in asymptomatic people. Spine 11(6):521–524PubMedCrossRef
5.
go back to reference Ofiram E, Garvey TA, Schwender JD, Wroblewski JM, Winter RB (2009) Cervical degenerative changes in idiopathic scoliosis patients who underwent long fusion to the sacrum as adults: incidence, severity, and evolution. J Orthopaed Traumatol 10(1). doi: 10.1007/s10195-008-0044-0 Ofiram E, Garvey TA, Schwender JD, Wroblewski JM, Winter RB (2009) Cervical degenerative changes in idiopathic scoliosis patients who underwent long fusion to the sacrum as adults: incidence, severity, and evolution. J Orthopaed Traumatol 10(1). doi: 10.​1007/​s10195-008-0044-0
6.
go back to reference Buckwalter JA (1995) Aging and degeneration of the human intervertebral disc. Spine 20(11):1307–1314PubMed Buckwalter JA (1995) Aging and degeneration of the human intervertebral disc. Spine 20(11):1307–1314PubMed
7.
go back to reference Lestini WF, Wiesel SW (1989) The pathogenesis of cervical spondylosis. Clin Orthop Relat Res 239:69–93PubMed Lestini WF, Wiesel SW (1989) The pathogenesis of cervical spondylosis. Clin Orthop Relat Res 239:69–93PubMed
8.
go back to reference Katz ME, Teitelbaum SL, Gilula LA, Resnick D, Katz SJ (1988) Radiologic and pathologic patterns of end-plate-based vertebral sclerosis. Invest Radiol 23(6):447–454PubMedCrossRef Katz ME, Teitelbaum SL, Gilula LA, Resnick D, Katz SJ (1988) Radiologic and pathologic patterns of end-plate-based vertebral sclerosis. Invest Radiol 23(6):447–454PubMedCrossRef
9.
go back to reference Lee SW, Mathie AG, Jackson JE, Hughes SP (2001) Investigation of vertebral “end plate sclerosis”. Skeletal Radiol 30(8):454–459PubMedCrossRef Lee SW, Mathie AG, Jackson JE, Hughes SP (2001) Investigation of vertebral “end plate sclerosis”. Skeletal Radiol 30(8):454–459PubMedCrossRef
10.
go back to reference Fujiwara A, Lim TH, An HS et al (2000) The effect of disc degeneration and facet joint osteoarthritis on the segmental flexibility of the lumbar spine. Spine 25(23):3036–3044PubMedCrossRef Fujiwara A, Lim TH, An HS et al (2000) The effect of disc degeneration and facet joint osteoarthritis on the segmental flexibility of the lumbar spine. Spine 25(23):3036–3044PubMedCrossRef
11.
go back to reference Gore DR (2001) Roentgenographic findings in the cervical spine in asymptomatic persons: a 10-year follow-up. Spine 26(22):2463–2466PubMedCrossRef Gore DR (2001) Roentgenographic findings in the cervical spine in asymptomatic persons: a 10-year follow-up. Spine 26(22):2463–2466PubMedCrossRef
12.
go back to reference Rahim KA, Stambough JL (1992) Radiographic evaluation of the degenerative cervical spine. Orthop Clin North Am 23(3):395–403PubMed Rahim KA, Stambough JL (1992) Radiographic evaluation of the degenerative cervical spine. Orthop Clin North Am 23(3):395–403PubMed
13.
go back to reference Heller CA, Stanley P, Lewis-Jones B, Heller RF (1983) Value of X-ray examinations of the cervical spine. Br Med J (Clin Res Ed) 287(6401):1276–1278CrossRef Heller CA, Stanley P, Lewis-Jones B, Heller RF (1983) Value of X-ray examinations of the cervical spine. Br Med J (Clin Res Ed) 287(6401):1276–1278CrossRef
Metadata
Title
Cervical degenerative index: a new quantitative radiographic scoring system for cervical spondylosis with interobserver and intraobserver reliability testing
Authors
Elisha Ofiram
Timothy A. Garvey
James D. Schwender
Francis Denis
Joseph H. Perra
Ensor E. Transfeldt
Robert B. Winter
Jill M. Wroblewski
Publication date
01-03-2009
Publisher
Springer International Publishing
Published in
Journal of Orthopaedics and Traumatology / Issue 1/2009
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI
https://doi.org/10.1007/s10195-008-0041-3

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