ReviewSpine deformity2022
Modified Clavien-Dindo-sink classification system for adolescent idiopathic scoliosis.
Review in Spine deformity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Efficacy of the spring distraction system for different etiologies of early onset scoliosis: evaluating an evolving treatment concept.Spine deformity · 2026Article
- A comparison of patients with adolescent idiopathic scoliosis and Lenke C-type lumbar curves treated with selective thoracic fusion vs non-selective fusion: a 10-year follow-up study.Spine deformity · 2026Observational
- Impact of preoperative halo-gravity traction on radiographic and surgical outcomes following posterior spinal fusion in osteogenesis imperfecta: a comparative study.Spine deformity · 2026Article
- Neuromuscular blocking agent use in adolescent idiopathic scoliosis surgery: a safety assessment.Spine deformity · 2026Article
- Scoliosis correction in spinal muscular atrophy : the influence of genetic severity, functional level, and disease-modifying agents on postoperative outcomes.Bone & joint open · 2026Article
- Complications in vertebral body tethering: what are the short term effects on patient reported outcomes?Spine deformity · 2025Article
- Impact of Dual Antibiotic Prophylaxis on 90-Day Surgical Site Infection Rates Following Posterior Spinal Fusion for Juvenile Scoliosis: A Single-Center Study of 296 Cases.Medicina (Kaunas, Lithuania) · 2025Review
- Timing of surgery for spinal deformity patients during the COVID‑19 pandemic: experience from a prospective cohort at Peking Union Medical College Hospital.Archives of orthopaedic and trauma surgery · 2024Article
- The Clavien-Dindo Classification for Body-Contouring Surgery Complications: Evaluation of 602 Cases.Life (Basel, Switzerland) · 2024Article
- Comparison of Totally Laparoscopic Total Gastrectomy and Laparoscopy-Assisted Total Gastrectomy on Short-Term Outcomes, Inflammatory Response Markers, and Glucose and Lipid Metabolism in Gastric Cancer Patients.Cancer management and research · 2024Article
- Post-operative steroids in patients with patients with severe cerebral palsy undergoing posterior spinal fusion.Spine deformity · 2023Article
- Natural Ending or Surgical Complication: Is It the Time to Reconsider the Clavien-Dindo Classification System?Maedica · 2022Article
- No difference in postoperative complication rates or cardiopulmonary function for early versus late scoliosis correction in Duchenne muscular dystrophy.Spine deformity · 2022Article
- 1- vs. 2-year follow-up after posterior spinal fusion for AIS: what additional information is gained?Spine deformity · 2022Article
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe 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.
methodsA 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.
resultsThe 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).
conclusionThe 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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