Abstract
Objective: To evaluate the reproducibility of the concordance between skeletal maturity index stages of hand-wrist radiograph (Fishman) and cervical vertebral maturity index stages of lateral cephalogram (Hassel and Farman). Materials and methods: A radiographic hand-wrist bone analysis and cephalometric cervical-vertebral analysis of 48 patients (24 males and 24 females; 7–18 years of age) were examined. The hand-wrist bone analysis was evaluated by the Fishman index, whereas the cervical vertebral analysis was assessed by the Hassel and Farman (CVMI) method. These measurements were then compared with the hand-wrist bone analysis, and the results were statistically analyzed by the Cohen concordance index. Results: The Cohen index obtained (mean ± SD) was 0.70 ± 0.02, which is in the good range of agreement. The results also show a correlation of CVMI I with Fishman stages 1-2, CVMI II with Fishman stages 3-4, CVM III with Fishman stages 4-5, CVMI IV with Fishman stages 6- 7,CVMI V with Fishman stages 9-10 and CVMI VI with Fishman stage 11.
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