Interexaminer reliability and accuracy of posterior superior iliac spine and iliac crest palpation for spinal level estimations

被引:43
作者
Kim, Hye Won [1 ]
Ko, Young Jin [1 ]
Rhee, Won Ihl [1 ]
Lee, Jung Soo [1 ]
Lim, Ji Eun [1 ]
Lee, Sang Jee [1 ]
Im, Sun [1 ]
Lee, Jong In [1 ]
机构
[1] Catholic Univ Korea, Coll Med, Dept Rehabil Med, Seoul 137701, South Korea
关键词
spine; reproducibility of results; palpation;
D O I
10.1016/j.jmpt.2007.04.005
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: The purpose of this study was to compare the posterior superior iliac spine (PSIS) and the iliac crest as accurate anatomical landmarks for identifying spinal level. Methods: This study was conducted in 2 stages. First, 4 examiners examined 60 patients and blindly identified iliac crest and PSIS levels, and the interexaminer reliability of PSIS and iliac crest palpation were then analyzed. Second, 4 examiners attached a radio opaque marker at presumed PSIS and iliac crest levels in 72 patients, and posteroanterior lumbar radiographs were then taken. Four examiners then confirmed PSIS and iliac crest levels after radiographically identifying the marker levels and checked the spinal level at which the spinous process or interspace was crossed by drawing a horizontal line drawn between radio opaque markers. Results: The interexaminer reliability of palpation was significantly greater for PSIS level than for the iliac crest (P <.05). Spinal levels of estimated PSISs identified by palpation ranged from the L5-S1 interspace to the S2 spinous process, and the spinal levels of estimated iliac crest ranged from the L2-3 interspace to the L5 spinous process. Conclusions: Although PSIS palpation showed statistically higher interexaminer reliability than iliac crest level, clinicians should be cautious when applying this method as a measurement tool because estimated spinal level by palpation can be influenced inadvertently by examiner skill and anatomical variations.
引用
收藏
页码:386 / 389
页数:4
相关论文
共 9 条
[1]
Atlíhan D, 2004, CLIN ORTHOP RELAT R, P141
[2]
Ability of anaesthetists to identify a marked lumbar interspace [J].
Broadbent, CR ;
Maxwell, WB ;
Ferrie, R ;
Wilson, DJ ;
Gawne-Cain, M ;
Russell, R .
ANAESTHESIA, 2000, 55 (11) :1122-1126
[3]
An evaluation of ultrasound imaging for identification of lumbar intervertebral level [J].
Furness, G ;
Reilly, MP ;
Kuchi, S .
ANAESTHESIA, 2002, 57 (03) :277-280
[4]
A TECHNIQUE FOR NEEDLE LOCALIZATION IN PARASPINAL MUSCLES WITH CADAVERIC CONFIRMATION [J].
HAIG, AJ ;
MOFFROID, M ;
HENRY, S ;
HAUGH, L ;
POPE, M .
MUSCLE & NERVE, 1991, 14 (06) :521-526
[5]
The tenth rib line as a new landmark of the lumbar vertebral level during spinal block [J].
Jung, CW ;
Bahk, JH ;
Lee, JH ;
Lim, YJ .
ANAESTHESIA, 2004, 59 (04) :359-363
[6]
Inter-examiner and intra-examiner agreement for assessing sacroiliac anatomical landmarks using palpation and observation: pilot study [J].
O'Haire, C ;
Gibbons, P .
MANUAL THERAPY, 2000, 5 (01) :13-20
[7]
The reproducibility of the iliac crest as a marker of lumbar spine level [J].
Render, CA .
ANAESTHESIA, 1996, 51 (11) :1070-1071
[8]
ROHEN JW, 2002, COLOR ATLAS ANATOMY, P423
[9]
Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic fixation [J].
Schildhauer, TA ;
McCulloch, P ;
Chapman, JR ;
Mann, FA ;
Gokaslan, ZL .
JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2002, 15 (03) :199-205