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External Multicenter Study of Reliability and Reproducibility for Lower Cervical Spine Injuries Classification Systems—Part 2: An Analysis of the Subaxial Cervical Spine Injury Classification and Cervical Spine Injury Severity Score Scale
Study Design: A multicenter observational survey. Objective: To quantify and compare inter- and intraobserver reliability of the subaxial cervical spine injury classification (SLIC) and the cervical spine injury severity score (CSISS) in a multicentric survey of neurosurgeons with different experien...
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Published in: | Global spine journal 2021-01, Vol.11 (1), p.99-107 |
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creator | Grin, Andrey Krylov, Vladimir Lvov, Ivan Talypov, Aleksandr Dzukaev, Dmitriy Kordonskiy, Anton Smirnov, Vladimir Karanadze, Vasily Abdukhalikov, Boburmirzo Khushnazarov, Ulugbek Airapetyan, Artem Dmitriev, Aleksandr Kaykov, Aleksandr Peyker, Alexander Semchenko, Vitaliy Aksenov, Andrey Borzenkov, Anton Gulyy, Vladimir Torchinov, Soslan Bagaev, Sergey Toporskiy, Anton Kalandari, Alik Kasatkin, Denis Sytnik, Aleksey Lebedev, Valeriy Epifanov, Dmitry Hovrin, Dmitriy Feniksov, Victor Choriev, Daniyar |
description | Study Design:
A multicenter observational survey.
Objective:
To quantify and compare inter- and intraobserver reliability of the subaxial cervical spine injury classification (SLIC) and the cervical spine injury severity score (CSISS) in a multicentric survey of neurosurgeons with different experience levels.
Methods:
Data concerning 64 consecutive patients who had undergone cervical spine surgery between 2013 and 2017 was evaluated, and we surveyed 37 neurosurgeons from 7 different clinics. All raters were divided into 3 groups depending on their level of experience. Two assessment procedures were performed.
Results:
For the SLIC, we observed excellent agreement regarding management among experienced surgeons, whereas agreement among less experienced neurosurgeons was moderate and almost twice as unlikely. The sensitivity of SLIC relating to treatment tactics reached as high as 92.2%. For the CSISS, agreement regarding management ranged from medium to substantial, depending on a neurosurgeon’s experience. For less experienced neurosurgeons, the level of agreement concerning surgical management was the same as for the SLIC in not exceeding a moderate level. However, this scale had insufficient sensitivity (slightly exceeding 50%). The reproducibility of both scales was excellent among all raters regardless of their experience level.
Conclusions:
Our study demonstrated better management reliability, sensitivity, and reproducibility for the SLIC, which provided moderate interrater agreement with moderate to excellent intraclass correlation coefficient indicators for all raters. The CSISS demonstrated high reproducibility; however, large variability in answers prevented raters from reaching a moderate level of agreement. Magnetic resonance imaging integration may increase sensitivity of CSISS in relation to fracture management. |
doi_str_mv | 10.1177/2192568219896546 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7734275</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2192568219896546</sage_id><sourcerecordid>2439623223</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-e5a654ad979f0de2cc0f9dff251c6c3833ec4794e73570213bca67beec3ed99d3</originalsourceid><addsrcrecordid>eNp1kk1u1DAUgC1ERatp96yQJTZsAomd2DELpGpUoNKgIgLryHFeWo888WA7Q7PjEJyQE_QIdTTTAUbFiuS_731-sR9Cz7P0dZZx_oZkghSsjF0pWJGzJ-hkWkoKJtKn-3FJjtGZ98s0NkY4zcgzdExJyYuS8hN0d3EbwPXS4E-DCVpBH6e4CkM7YtvhL2C0bLTRYcSyb-N87Ww7KL1b66zDC_sjhszBbbSKnmqte8CX_XJwGjyeG-m97uJW0LbH1egDrPzvn78-SxcweYvP-_hJM3rtpxPDDeBqaOStjq7HpOOhcsrrcbCCDbgpzUpZF7URgFN01Enj4WzXz9C39xdf5x-TxdWHy_n5IlE5IyGBQsY7la3goktbIEqlnWi7jhSZYoqWlILKuciB04KnJKONkow3AIpCK0RLZ-jd1rsemhW008U6aeq10yvpxtpKXf-70-ub-tpuas5pTngRBa92Ame_D-BDvdJegTGyBzv4muRUMEIJoRF9eYAu7TA96kQxkQvBIz1D6ZZSznrvoNsnk6X1VFH1YUXFkBd__8Q-4KF-IpBsAS-v4c-p_xXeAzuF2ts</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2469499724</pqid></control><display><type>article</type><title>External Multicenter Study of Reliability and Reproducibility for Lower Cervical Spine Injuries Classification Systems—Part 2: An Analysis of the Subaxial Cervical Spine Injury Classification and Cervical Spine Injury Severity Score Scale</title><source>Open Access: PubMed Central</source><source>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</source><source>Sage Journals GOLD Open Access 2024</source><creator>Grin, Andrey ; Krylov, Vladimir ; Lvov, Ivan ; Talypov, Aleksandr ; Dzukaev, Dmitriy ; Kordonskiy, Anton ; Smirnov, Vladimir ; Karanadze, Vasily ; Abdukhalikov, Boburmirzo ; Khushnazarov, Ulugbek ; Airapetyan, Artem ; Dmitriev, Aleksandr ; Kaykov, Aleksandr ; Peyker, Alexander ; Semchenko, Vitaliy ; Aksenov, Andrey ; Borzenkov, Anton ; Gulyy, Vladimir ; Torchinov, Soslan ; Bagaev, Sergey ; Toporskiy, Anton ; Kalandari, Alik ; Kasatkin, Denis ; Sytnik, Aleksey ; Lebedev, Valeriy ; Epifanov, Dmitry ; Hovrin, Dmitriy ; Feniksov, Victor ; Choriev, Daniyar</creator><creatorcontrib>Grin, Andrey ; Krylov, Vladimir ; Lvov, Ivan ; Talypov, Aleksandr ; Dzukaev, Dmitriy ; Kordonskiy, Anton ; Smirnov, Vladimir ; Karanadze, Vasily ; Abdukhalikov, Boburmirzo ; Khushnazarov, Ulugbek ; Airapetyan, Artem ; Dmitriev, Aleksandr ; Kaykov, Aleksandr ; Peyker, Alexander ; Semchenko, Vitaliy ; Aksenov, Andrey ; Borzenkov, Anton ; Gulyy, Vladimir ; Torchinov, Soslan ; Bagaev, Sergey ; Toporskiy, Anton ; Kalandari, Alik ; Kasatkin, Denis ; Sytnik, Aleksey ; Lebedev, Valeriy ; Epifanov, Dmitry ; Hovrin, Dmitriy ; Feniksov, Victor ; Choriev, Daniyar</creatorcontrib><description>Study Design:
A multicenter observational survey.
Objective:
To quantify and compare inter- and intraobserver reliability of the subaxial cervical spine injury classification (SLIC) and the cervical spine injury severity score (CSISS) in a multicentric survey of neurosurgeons with different experience levels.
Methods:
Data concerning 64 consecutive patients who had undergone cervical spine surgery between 2013 and 2017 was evaluated, and we surveyed 37 neurosurgeons from 7 different clinics. All raters were divided into 3 groups depending on their level of experience. Two assessment procedures were performed.
Results:
For the SLIC, we observed excellent agreement regarding management among experienced surgeons, whereas agreement among less experienced neurosurgeons was moderate and almost twice as unlikely. The sensitivity of SLIC relating to treatment tactics reached as high as 92.2%. For the CSISS, agreement regarding management ranged from medium to substantial, depending on a neurosurgeon’s experience. For less experienced neurosurgeons, the level of agreement concerning surgical management was the same as for the SLIC in not exceeding a moderate level. However, this scale had insufficient sensitivity (slightly exceeding 50%). The reproducibility of both scales was excellent among all raters regardless of their experience level.
Conclusions:
Our study demonstrated better management reliability, sensitivity, and reproducibility for the SLIC, which provided moderate interrater agreement with moderate to excellent intraclass correlation coefficient indicators for all raters. The CSISS demonstrated high reproducibility; however, large variability in answers prevented raters from reaching a moderate level of agreement. Magnetic resonance imaging integration may increase sensitivity of CSISS in relation to fracture management.</description><identifier>ISSN: 2192-5682</identifier><identifier>EISSN: 2192-5690</identifier><identifier>DOI: 10.1177/2192568219896546</identifier><identifier>PMID: 32875837</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Back surgery ; Original ; Reproducibility ; Spine ; Trauma</subject><ispartof>Global spine journal, 2021-01, Vol.11 (1), p.99-107</ispartof><rights>The Author(s) 2019</rights><rights>The Author(s) 2019. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2019 2019 AO Spine, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-e5a654ad979f0de2cc0f9dff251c6c3833ec4794e73570213bca67beec3ed99d3</citedby><cites>FETCH-LOGICAL-c462t-e5a654ad979f0de2cc0f9dff251c6c3833ec4794e73570213bca67beec3ed99d3</cites><orcidid>0000-0003-1718-0792</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7734275/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2469499724?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,21966,25753,27853,27924,27925,37012,37013,44590,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32875837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grin, Andrey</creatorcontrib><creatorcontrib>Krylov, Vladimir</creatorcontrib><creatorcontrib>Lvov, Ivan</creatorcontrib><creatorcontrib>Talypov, Aleksandr</creatorcontrib><creatorcontrib>Dzukaev, Dmitriy</creatorcontrib><creatorcontrib>Kordonskiy, Anton</creatorcontrib><creatorcontrib>Smirnov, Vladimir</creatorcontrib><creatorcontrib>Karanadze, Vasily</creatorcontrib><creatorcontrib>Abdukhalikov, Boburmirzo</creatorcontrib><creatorcontrib>Khushnazarov, Ulugbek</creatorcontrib><creatorcontrib>Airapetyan, Artem</creatorcontrib><creatorcontrib>Dmitriev, Aleksandr</creatorcontrib><creatorcontrib>Kaykov, Aleksandr</creatorcontrib><creatorcontrib>Peyker, Alexander</creatorcontrib><creatorcontrib>Semchenko, Vitaliy</creatorcontrib><creatorcontrib>Aksenov, Andrey</creatorcontrib><creatorcontrib>Borzenkov, Anton</creatorcontrib><creatorcontrib>Gulyy, Vladimir</creatorcontrib><creatorcontrib>Torchinov, Soslan</creatorcontrib><creatorcontrib>Bagaev, Sergey</creatorcontrib><creatorcontrib>Toporskiy, Anton</creatorcontrib><creatorcontrib>Kalandari, Alik</creatorcontrib><creatorcontrib>Kasatkin, Denis</creatorcontrib><creatorcontrib>Sytnik, Aleksey</creatorcontrib><creatorcontrib>Lebedev, Valeriy</creatorcontrib><creatorcontrib>Epifanov, Dmitry</creatorcontrib><creatorcontrib>Hovrin, Dmitriy</creatorcontrib><creatorcontrib>Feniksov, Victor</creatorcontrib><creatorcontrib>Choriev, Daniyar</creatorcontrib><title>External Multicenter Study of Reliability and Reproducibility for Lower Cervical Spine Injuries Classification Systems—Part 2: An Analysis of the Subaxial Cervical Spine Injury Classification and Cervical Spine Injury Severity Score Scale</title><title>Global spine journal</title><addtitle>Global Spine J</addtitle><description>Study Design:
A multicenter observational survey.
Objective:
To quantify and compare inter- and intraobserver reliability of the subaxial cervical spine injury classification (SLIC) and the cervical spine injury severity score (CSISS) in a multicentric survey of neurosurgeons with different experience levels.
Methods:
Data concerning 64 consecutive patients who had undergone cervical spine surgery between 2013 and 2017 was evaluated, and we surveyed 37 neurosurgeons from 7 different clinics. All raters were divided into 3 groups depending on their level of experience. Two assessment procedures were performed.
Results:
For the SLIC, we observed excellent agreement regarding management among experienced surgeons, whereas agreement among less experienced neurosurgeons was moderate and almost twice as unlikely. The sensitivity of SLIC relating to treatment tactics reached as high as 92.2%. For the CSISS, agreement regarding management ranged from medium to substantial, depending on a neurosurgeon’s experience. For less experienced neurosurgeons, the level of agreement concerning surgical management was the same as for the SLIC in not exceeding a moderate level. However, this scale had insufficient sensitivity (slightly exceeding 50%). The reproducibility of both scales was excellent among all raters regardless of their experience level.
Conclusions:
Our study demonstrated better management reliability, sensitivity, and reproducibility for the SLIC, which provided moderate interrater agreement with moderate to excellent intraclass correlation coefficient indicators for all raters. The CSISS demonstrated high reproducibility; however, large variability in answers prevented raters from reaching a moderate level of agreement. Magnetic resonance imaging integration may increase sensitivity of CSISS in relation to fracture management.</description><subject>Back surgery</subject><subject>Original</subject><subject>Reproducibility</subject><subject>Spine</subject><subject>Trauma</subject><issn>2192-5682</issn><issn>2192-5690</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>PIMPY</sourceid><recordid>eNp1kk1u1DAUgC1ERatp96yQJTZsAomd2DELpGpUoNKgIgLryHFeWo888WA7Q7PjEJyQE_QIdTTTAUbFiuS_731-sR9Cz7P0dZZx_oZkghSsjF0pWJGzJ-hkWkoKJtKn-3FJjtGZ98s0NkY4zcgzdExJyYuS8hN0d3EbwPXS4E-DCVpBH6e4CkM7YtvhL2C0bLTRYcSyb-N87Ww7KL1b66zDC_sjhszBbbSKnmqte8CX_XJwGjyeG-m97uJW0LbH1egDrPzvn78-SxcweYvP-_hJM3rtpxPDDeBqaOStjq7HpOOhcsrrcbCCDbgpzUpZF7URgFN01Enj4WzXz9C39xdf5x-TxdWHy_n5IlE5IyGBQsY7la3goktbIEqlnWi7jhSZYoqWlILKuciB04KnJKONkow3AIpCK0RLZ-jd1rsemhW008U6aeq10yvpxtpKXf-70-ub-tpuas5pTngRBa92Ame_D-BDvdJegTGyBzv4muRUMEIJoRF9eYAu7TA96kQxkQvBIz1D6ZZSznrvoNsnk6X1VFH1YUXFkBd__8Q-4KF-IpBsAS-v4c-p_xXeAzuF2ts</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Grin, Andrey</creator><creator>Krylov, Vladimir</creator><creator>Lvov, Ivan</creator><creator>Talypov, Aleksandr</creator><creator>Dzukaev, Dmitriy</creator><creator>Kordonskiy, Anton</creator><creator>Smirnov, Vladimir</creator><creator>Karanadze, Vasily</creator><creator>Abdukhalikov, Boburmirzo</creator><creator>Khushnazarov, Ulugbek</creator><creator>Airapetyan, Artem</creator><creator>Dmitriev, Aleksandr</creator><creator>Kaykov, Aleksandr</creator><creator>Peyker, Alexander</creator><creator>Semchenko, Vitaliy</creator><creator>Aksenov, Andrey</creator><creator>Borzenkov, Anton</creator><creator>Gulyy, Vladimir</creator><creator>Torchinov, Soslan</creator><creator>Bagaev, Sergey</creator><creator>Toporskiy, Anton</creator><creator>Kalandari, Alik</creator><creator>Kasatkin, Denis</creator><creator>Sytnik, Aleksey</creator><creator>Lebedev, Valeriy</creator><creator>Epifanov, Dmitry</creator><creator>Hovrin, Dmitriy</creator><creator>Feniksov, Victor</creator><creator>Choriev, Daniyar</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1718-0792</orcidid></search><sort><creationdate>20210101</creationdate><title>External Multicenter Study of Reliability and Reproducibility for Lower Cervical Spine Injuries Classification Systems—Part 2: An Analysis of the Subaxial Cervical Spine Injury Classification and Cervical Spine Injury Severity Score Scale</title><author>Grin, Andrey ; Krylov, Vladimir ; Lvov, Ivan ; Talypov, Aleksandr ; Dzukaev, Dmitriy ; Kordonskiy, Anton ; Smirnov, Vladimir ; Karanadze, Vasily ; Abdukhalikov, Boburmirzo ; Khushnazarov, Ulugbek ; Airapetyan, Artem ; Dmitriev, Aleksandr ; Kaykov, Aleksandr ; Peyker, Alexander ; Semchenko, Vitaliy ; Aksenov, Andrey ; Borzenkov, Anton ; Gulyy, Vladimir ; Torchinov, Soslan ; Bagaev, Sergey ; Toporskiy, Anton ; Kalandari, Alik ; Kasatkin, Denis ; Sytnik, Aleksey ; Lebedev, Valeriy ; Epifanov, Dmitry ; Hovrin, Dmitriy ; Feniksov, Victor ; Choriev, Daniyar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-e5a654ad979f0de2cc0f9dff251c6c3833ec4794e73570213bca67beec3ed99d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Back surgery</topic><topic>Original</topic><topic>Reproducibility</topic><topic>Spine</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grin, Andrey</creatorcontrib><creatorcontrib>Krylov, Vladimir</creatorcontrib><creatorcontrib>Lvov, Ivan</creatorcontrib><creatorcontrib>Talypov, Aleksandr</creatorcontrib><creatorcontrib>Dzukaev, Dmitriy</creatorcontrib><creatorcontrib>Kordonskiy, Anton</creatorcontrib><creatorcontrib>Smirnov, Vladimir</creatorcontrib><creatorcontrib>Karanadze, Vasily</creatorcontrib><creatorcontrib>Abdukhalikov, Boburmirzo</creatorcontrib><creatorcontrib>Khushnazarov, Ulugbek</creatorcontrib><creatorcontrib>Airapetyan, Artem</creatorcontrib><creatorcontrib>Dmitriev, Aleksandr</creatorcontrib><creatorcontrib>Kaykov, Aleksandr</creatorcontrib><creatorcontrib>Peyker, Alexander</creatorcontrib><creatorcontrib>Semchenko, Vitaliy</creatorcontrib><creatorcontrib>Aksenov, Andrey</creatorcontrib><creatorcontrib>Borzenkov, Anton</creatorcontrib><creatorcontrib>Gulyy, Vladimir</creatorcontrib><creatorcontrib>Torchinov, Soslan</creatorcontrib><creatorcontrib>Bagaev, Sergey</creatorcontrib><creatorcontrib>Toporskiy, Anton</creatorcontrib><creatorcontrib>Kalandari, Alik</creatorcontrib><creatorcontrib>Kasatkin, Denis</creatorcontrib><creatorcontrib>Sytnik, Aleksey</creatorcontrib><creatorcontrib>Lebedev, Valeriy</creatorcontrib><creatorcontrib>Epifanov, Dmitry</creatorcontrib><creatorcontrib>Hovrin, Dmitriy</creatorcontrib><creatorcontrib>Feniksov, Victor</creatorcontrib><creatorcontrib>Choriev, Daniyar</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Global spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grin, Andrey</au><au>Krylov, Vladimir</au><au>Lvov, Ivan</au><au>Talypov, Aleksandr</au><au>Dzukaev, Dmitriy</au><au>Kordonskiy, Anton</au><au>Smirnov, Vladimir</au><au>Karanadze, Vasily</au><au>Abdukhalikov, Boburmirzo</au><au>Khushnazarov, Ulugbek</au><au>Airapetyan, Artem</au><au>Dmitriev, Aleksandr</au><au>Kaykov, Aleksandr</au><au>Peyker, Alexander</au><au>Semchenko, Vitaliy</au><au>Aksenov, Andrey</au><au>Borzenkov, Anton</au><au>Gulyy, Vladimir</au><au>Torchinov, Soslan</au><au>Bagaev, Sergey</au><au>Toporskiy, Anton</au><au>Kalandari, Alik</au><au>Kasatkin, Denis</au><au>Sytnik, Aleksey</au><au>Lebedev, Valeriy</au><au>Epifanov, Dmitry</au><au>Hovrin, Dmitriy</au><au>Feniksov, Victor</au><au>Choriev, Daniyar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>External Multicenter Study of Reliability and Reproducibility for Lower Cervical Spine Injuries Classification Systems—Part 2: An Analysis of the Subaxial Cervical Spine Injury Classification and Cervical Spine Injury Severity Score Scale</atitle><jtitle>Global spine journal</jtitle><addtitle>Global Spine J</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>11</volume><issue>1</issue><spage>99</spage><epage>107</epage><pages>99-107</pages><issn>2192-5682</issn><eissn>2192-5690</eissn><abstract>Study Design:
A multicenter observational survey.
Objective:
To quantify and compare inter- and intraobserver reliability of the subaxial cervical spine injury classification (SLIC) and the cervical spine injury severity score (CSISS) in a multicentric survey of neurosurgeons with different experience levels.
Methods:
Data concerning 64 consecutive patients who had undergone cervical spine surgery between 2013 and 2017 was evaluated, and we surveyed 37 neurosurgeons from 7 different clinics. All raters were divided into 3 groups depending on their level of experience. Two assessment procedures were performed.
Results:
For the SLIC, we observed excellent agreement regarding management among experienced surgeons, whereas agreement among less experienced neurosurgeons was moderate and almost twice as unlikely. The sensitivity of SLIC relating to treatment tactics reached as high as 92.2%. For the CSISS, agreement regarding management ranged from medium to substantial, depending on a neurosurgeon’s experience. For less experienced neurosurgeons, the level of agreement concerning surgical management was the same as for the SLIC in not exceeding a moderate level. However, this scale had insufficient sensitivity (slightly exceeding 50%). The reproducibility of both scales was excellent among all raters regardless of their experience level.
Conclusions:
Our study demonstrated better management reliability, sensitivity, and reproducibility for the SLIC, which provided moderate interrater agreement with moderate to excellent intraclass correlation coefficient indicators for all raters. The CSISS demonstrated high reproducibility; however, large variability in answers prevented raters from reaching a moderate level of agreement. Magnetic resonance imaging integration may increase sensitivity of CSISS in relation to fracture management.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32875837</pmid><doi>10.1177/2192568219896546</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1718-0792</orcidid><oa>free_for_read</oa></addata></record> |
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ispartof | Global spine journal, 2021-01, Vol.11 (1), p.99-107 |
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source | Open Access: PubMed Central; Publicly Available Content Database (Proquest) (PQ_SDU_P3); Sage Journals GOLD Open Access 2024 |
subjects | Back surgery Original Reproducibility Spine Trauma |
title | External Multicenter Study of Reliability and Reproducibility for Lower Cervical Spine Injuries Classification Systems—Part 2: An Analysis of the Subaxial Cervical Spine Injury Classification and Cervical Spine Injury Severity Score Scale |
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