Thoracic Lumbar Spine Fracture TLICS Score With AO Classification Comparative Study On The Reliability And Repeatability

Objective: To investigate thoracic lumbar spine fractures TLICS typing and widelyrecognized AO classification comparative analysis of the study, and interobservertwenty-two contrast comparison repeatability study compared before and after thecredibility of the research and observer for the chest lumbar spine fractures select agenotyping guide clinical. Methods: imaging data from our hospital in January2011-2012in January orthopedic treatment in our hospital adult thoracolumbar spine fractures.The research staff divided into2groups: Group1: select of5Orthopaedic interns (A, B, C,D, E) are numbered accept the thoracolumbar spine fractures related knowledge andtyping system training in clinical work AO and TLICS typing thoracolumbar spinefractures were classified, and repeated training until qualified to participate in the study.Group2: the three orthopedic experienced radiologists participated in the study, weremarked: A, B, C. Above each physician thoracolumbar spine fracture imaging alone readthe piece, use the AO classification TLICS points type typing assessment and judgment,and record the results. Two weeks after the order disrupted, respectively, again by thesephysicians repeat the same program typing (Each physician read not leave any marks,physicians are not allowed to read the piece in a different room, during the discussion,each physician has AO typing system and TLICS typing the original literature anddiagram for reference.) to collect the results of the two film-reading, respectively for theanalysis of interobserver reliability and intraobserver reproducibility. Consistency testcalculated kappa value, a comparative study of two typing. Results: TLICS typing:internship credibility was73.4%, kappa value of0.701, repeatability of76.5%, kappavalue of0.735; experienced radiologists is credibility to80.4%, kappa value of0.779,reusable of82.6%, kappa value of0.804. AO classification: Intern credibility was63.9%, kappa value of0.593, repeatability was71.3%, kappa=0.676; experienced radiologistscredibility was79.9%, kappa value of0.771, and repeatability is83.3%, kappa value of0.812. Conclusions: TLICS typing credibility moderately higher AO typing the credibilityof moderate consistency. The repeatability of the two sub-sub-type of TLICS higher...