Comparison of the French and CARDS classifications for lumbar degenerative spondylolisthesis: reliability and validity

Autor: Jun-Zhe Ding, Xiangyu Li, Xiangyao Sun, Shibao Lu, Ma-Chao Guo, Chao Kong
Rok vydání: 2018
Předmět:
Male
lcsh:Diseases of the musculoskeletal system
Sports medicine
Radiography
medicine.medical_treatment
Severity of Illness Index
Disability Evaluation
0302 clinical medicine
Musculoskeletal Pain
Back pain
Orthopedics and Sports Medicine
Postoperative Period
Pain Measurement
Aged
80 and over
030222 orthopedics
Rehabilitation
Lumbar Vertebrae
Clinical outcome
Middle Aged
Reliability
Oswestry Disability Index
Treatment Outcome
Preoperative Period
Female
CARDS classification
medicine.symptom
Research Article
French classification
Adult
medicine.medical_specialty
Visual analogue scale
03 medical and health sciences
Lumbar
Rheumatology
medicine
Humans
Aged
030203 arthritis & rheumatology
Lumbar degenerative spondylolisthesis
Leg
business.industry
Reproducibility of Results
Spinal Fusion
Orthopedic surgery
Physical therapy
lcsh:RC925-935
Spondylolisthesis
business
Low Back Pain
Follow-Up Studies
Zdroj: BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-7 (2019)
ISSN: 1471-2474
Popis: Background The aim of this study was to compare the reliability and validity of the CARDS and French classification systems for lumbar DS. Methods Between May 2013 and December 2016, 158 consecutive patients diagnosed with single-level lumbar DS were included in this study, and all underwent lumbar fusion. All patients underwent long-cassette standing anterioposterior and lateral radiographs of the spine preoperatively and postoperatively. The images were graded according to the CARDS and French classification systems by two orthopedic spinal surgeons and two orthopedic spinal fellows, independently. Clinical outcome measures used were the visual analog scale, Oswestry Disability Index, and the 36-Item Short Form Health Survey. Clinical data were collected before surgery and 1 year after surgery. Results A total of 146 patients were finally included in this study and followed up for at least 1 year. When grading using the CARDS system, the κ values for inter- and intraobserver reliability were 0.837 and 0.869, respectively, representing perfect agreement. The interobserver κ value for the French classification was 0.693 and the intraobserver κ value was 0.743, both representing substantial agreement. CARDS Type D patients have higher preoperative back pain scores and better improvement after surgery compared with non-Type D patients. Mean back and leg pain was worse in French Type 5 patients, while the most significant improvement was also seen in Type 5 patients after surgery. Conclusions Both CARDS and French classification systems have acceptable reliability and validity. The CARDS system is easier to utilize and has better reliability. Level of evidence IV
Databáze: OpenAIRE
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