{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:00:08Z","timestamp":1792098008967,"version":"4.4.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec>\n            <jats:title>Study Design:<\/jats:title>\n            <jats:p>A prospective study of a new technique.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>The aims of this study were to report a manual technique for measuring vertebral curves on digital spine radiographs, and to assess the agreement of this technique with that of digital software for measuring vertebral curves.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Summary of Background Data:<\/jats:title>\n            <jats:p>Modern picture archiving and communication systems (PACS) typically include software for evaluating radiographic measurements. However, in the outpatient spine setting, patients may present with radiographs stored on a physical disc, which may not include software for measuring vertebral curves. Certain smartphone applications may be used to determine curve magnitude; however, the need exists for an accurate manual technique to measure vertebral curves on digital radiographs in the absence of available analytic software or smartphone technology.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>We prospectively reviewed anteroposterior and lateral spine radiographs of 24 spinal deformity patients. Two independent observers measured Cobb angles for: (1) the major coronal curve; (2) the thoracic kyphosis (T2\u2013T12); and (3) the lumbar lordosis (T12\u2013S1). Measurements were made: (1) digitally using our institution\u2019s PACS; and (2) by a manual technique, which involves placement of an adhesive Post-It note directly on the computer screen, transcribing the angle onto the Post-It note with a pencil, and measuring the angle with a handheld goniometer. Intraclass correlation coefficients (ICCs) were calculated to determine the agreement between the 2 methods.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>For both observers, the agreement between the digital PACS and manual Post-It techniques was graded as excellent for both coronal and sagittal plane curves (all ICCs&gt;0.9). Interobserver reliability between the 2 observers was also graded as excellent for both the PACS and Post-It techniques (all ICCs&gt;0.9).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The Post-It technique for measuring Cobb angles demonstrated excellent agreement with the PACS system in our series of spinal deformity patients. Curves on digital radiographs can be accurately measured using a convenient manual technique.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bsd.0000000000000070","type":"journal-article","created":{"date-parts":[[2013,12,11]],"date-time":"2013-12-11T13:29:25Z","timestamp":1386768565000},"page":"E148-E151","source":"Crossref","is-referenced-by-count":2,"title":["Assessment of Vertebral Curves Using the Manual Post-It Technique"],"prefix":"10.1097","volume":"30","author":[{"given":"Brian P.","family":"Gladnick","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J.","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad R.","family":"Ishmael","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin T.","family":"Bjerke-Kroll","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew E.","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery"},{"name":"Weill Cornell Medical College, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230831","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/BF03168389","article-title":"Computers in imaging and health care: now and in the future","volume":"13","author":"Arenson","year":"2000","journal-title":"J Digit Imaging"},{"key":"R2-20230831","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/01.blo.0000126870.74832.d7","article-title":"Living with digital imaging","volume":"421","author":"Wade","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"R3-20230831","doi-asserted-by":"crossref","first-page":"628","DOI":"10.2214\/AJR.11.6890","article-title":"Reducing the rate of repeat imaging: import of outside images to PACS","volume":"198","author":"Lu","year":"2012","journal-title":"Am J Roentgenol"},{"key":"R4-20230831","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/MOP.0b013e328320a929","article-title":"Update on the management of idiopathic scoliosis","volume":"21","author":"Kim","year":"2009","journal-title":"Curr Opin Pediatr"},{"key":"R5-20230831","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1007\/s00586-011-2059-0","article-title":"Use of the iPhone for Cobb angle measurement in scoliosis","volume":"21","author":"Shaw","year":"2012","journal-title":"Eur Spine 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measurements in adolescent idiopathic scoliosis","volume":"31","author":"Kuklo","year":"2006","journal-title":"Spine (Phila Pa 1976)"},{"key":"R11-20230831","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1097\/BRS.0b013e318166aa8d","article-title":"Comparison of observer variation in conventional and three digital radiographic methods used in the evaluation of patients with adolescent idiopathic scoliosis","volume":"33","author":"Mok","year":"2008","journal-title":"Spine (Phila Pa 1976)"}],"container-title":["Clinical Spine Surgery: A Spine Publication"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/01933606-201704000-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T18:34:20Z","timestamp":1693506860000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01933606-201704000-00010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/bsd.0000000000000070","relation":{},"ISSN":["2380-0186"],"issn-type":[{"value":"2380-0186","type":"print"}],"subject":[],"published":{"date-parts":[[2017,4]]}}}