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The Journal of Bone and Joint Surgery 81:743-4 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Charles T. Price, M.D., Lawrence G. Lenke, M.D., Keith H. Bridwell, M.D., Randal R. Betz, M.D., David H. Clements, M.D., Jürgen Harms, M.D., Thomas G. Lowe, M.D., Harry L. Shufflebarger, M.D., R. Jay Cummings, M.D., Eric A. Loveless, M.D., John M. Mazur, M.D., Joseph Campbell, M.D. and Stephen Samelson, M.D.

To The Editor:

The articles "Intraobserver and Interobserver Reliability of the Classification of Thoracic Adolescent Idiopathic Scoliosis" (80-A: 1097–1106, Aug. 1998), by Lenke et al., and "Interobserver Reliability and Intraobserver Reproducibility of the System of King et al. for the Classification of Adolescent Idiopathic Scoliosis" (80-A: 1107–1111, Aug. 1998), by Cummings et al., questioned the value of the system of King et al. for the classification of idiopathic thoracic scoliosis.

Studies that are designed to test the validity of an evaluation tool often overlook the need to educate the reviewers with regard to the classification system being studied. This education should be included in the protocol for such studies. Otherwise, the study will test the common clinical experience but may not test the validity of the assessment tool.

It may be wrong to assume that surgeons who treat scoliosis actually understand the nuances of the classification system of King et . . . [Full Text of this Article]


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