{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T09:07:43Z","timestamp":1778317663890,"version":"3.51.4"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T00:00:00Z","timestamp":1639353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Determinar a confiabilidade e reprodutibilidade intra- e interavaliadores da classifica\u00e7\u00e3o dos tipos de lordose lombar de Roussouly.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Foram utilizadas 104 radiografias panor\u00e2micas da coluna vertebral em incid\u00eancia de perfil, de banco de dados, de indiv\u00edduos do sexo masculino com idade entre 18 e 40 anos. Utilizando o software Surgimap (Nemaris Inc., Nova York, NY, EUA), seis examinadores com diferentes n\u00edveis de experi\u00eancia aferiram os \u00e2ngulos espinop\u00e9lvicos e classificaram o tipo de lordose de acordo com a classifica\u00e7\u00e3o de Roussouly. Ap\u00f3s um intervalo de 1 m\u00eas, as mensura\u00e7\u00f5es foram realizadas novamente, sendo calculadas as concord\u00e2ncias intra- e interavaliadores atrav\u00e9s do teste Kappa de Fleiss.<\/jats:p><jats:p>\n          Resultados\u2003O estudo demonstrou evid\u00eancias positivas em rela\u00e7\u00e3o \u00e0 reprodutibilidade da classifica\u00e7\u00e3o de Roussouly, com teste Kappa de Fleiss para concord\u00e2ncia intra-avaliador entre razo\u00e1vel \u00e0 quase perfeita (0,307\u20130,827), e interavaliador entre moderada (0,43) e razo\u00e1vel (0,369). Os examinadores mais experientes apresentaram maior concord\u00e2ncia interavaliador, variando entre substancial (0,619) e moderada (0,439).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A classifica\u00e7\u00e3o de Roussouly, demonstrou boa confiabilidade e reprodutibilidade, tendo em vista que a concord\u00e2ncia intra- e interavaliadores foi considerada no m\u00ednimo razo\u00e1vel, podendo atingir os n\u00edveis de substanciais \u00e0 quase perfeitos em algumas situa\u00e7\u00f5es. Os avaliadores com maior n\u00edvel de experi\u00eancia apresentaram maior concord\u00e2ncia intra- e interavaliadores.<\/jats:p>","DOI":"10.1055\/s-0041-1729581","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:22:59Z","timestamp":1639441379000},"page":"321-326","source":"Crossref","is-referenced-by-count":4,"title":["Avalia\u00e7\u00e3o da confiabilidade e reprodutibilidade da classifica\u00e7\u00e3o de Roussouly para os tipos de lordose lombar"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7986-8368","authenticated-orcid":false,"given":"Camila Oda","family":"Yamazato","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, 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