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Modified Clavien-Dindo-sink classification system for adolescent idiopathic scoliosis.
Guissé, Ndéye F; Stone, Joseph D; Keil, Lukas G; Bastrom, Tracey P; Erickson, Mark A; Yaszay, Burt; Cahill, Patrick J; Parent, Stefan; Gabos, Peter G; Newton, Peter O; Glotzbecker, Michael P; Kelly, Michael P; Pahys, Joshua M; Fletcher, Nicholas D.
Afiliación
  • Guissé NF; Department of Orthopaedics, Washington University, St. Louis, MO, USA.
  • Stone JD; Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, USA.
  • Keil LG; Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, USA.
  • Bastrom TP; Department of Orthopaedic Surgery, Children' Healthcare of Atlanta, 1400 Tullie Road, Atlanta, GA, 30329, USA.
  • Erickson MA; Department of Orthopaedic Surgery, University of Colorado, Boulder, CO, USA.
  • Yaszay B; Department of Orthopaedic Surgery, University of California, San Diego, CA, USA.
  • Cahill PJ; Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.
  • Parent S; Department of Orthopaedic Surgery, University of Montreal, Montreal, Canada.
  • Gabos PG; Department of Orthopaedic Surgery, Afred I. DuPont Institute, Wilmington, DE, USA.
  • Newton PO; Department of Orthopedics Surgery, UC San Diego School of Medicine, San Diego, CA, USA.
  • Glotzbecker MP; Department of Orthopaedic Surgery, University Hospitals Rainbow Babies Hospital, Cleveland, OH, USA.
  • Kelly MP; Department of Orthopaedic Surgery, Washington University, St. Louis, MO, USA.
  • Pahys JM; Department of Orthopaedic Surgery, Shriners Hospital for Children, Philadelphia, PA, USA.
  • Fletcher ND; Department of Orthopaedic Surgery, Children' Healthcare of Atlanta, 1400 Tullie Road, Atlanta, GA, 30329, USA. nicholas.d.fletcher@emory.edu.
Spine Deform ; 10(1): 87-95, 2022 01.
Article en En | MEDLINE | ID: mdl-34351605
PURPOSE: The Clavien-Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. METHODS: A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of "prolonged initial hospital stay" as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. RESULTS: The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8-1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). CONCLUSION: The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a "major" versus "minor" complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. LEVEL OF EVIDENCE: IV case series.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escoliosis / Fusión Vertebral / Cirujanos / Cifosis Tipo de estudio: Clinical_trials / Etiology_studies Límite: Adolescent / Humans Idioma: En Revista: Spine Deform Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escoliosis / Fusión Vertebral / Cirujanos / Cifosis Tipo de estudio: Clinical_trials / Etiology_studies Límite: Adolescent / Humans Idioma: En Revista: Spine Deform Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido