ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018
The impact of deep surgical site infection on surgical outcomes after posterior adult spinal deformity surgery: a matched control study.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of surgical-site infection on health utility values: a meta-analysis.The British journal of surgery · 2023Pooled it
- Impact of the COVID-19 pandemic and surgical procedure on surgical site infection in adult spinal deformity surgery - a longitudinal trends study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Effectiveness of prophylactic single-dose IV antibiotic versus postoperative multi-dose oral antibiotic regimen for preventing surgical site infections: A prospective comparative study.Turkish journal of surgery · 2026Article
- A Cost-Utility Analysis of Surgical Site Infection Prevention: Broadening the Scope.Applied health economics and health policy · 2026Article
- Development and validation of a nomogram prediction model for surgical site infection after instrumentation for degenerative lumbar spinal diseases.Perioperative medicine (London, England) · 2025Article
- Perioperative Medical Complications in Adult Spine Deformity Surgery: Classification and Prevention Strategies.Global spine journal · 2025Article
- Risk factors for surgical site infection after patellar fracture surgery in the elderly.Journal of orthopaedic surgery and research · 2024Article
- Mental and Physical Health-Related Quality of Life Following Military Polytrauma.Military medicine · 2024Article
- Article
- Surgical Site Infection After Polymethyl Methacrylate Pedicle Screw Augmentation in Osteoporotic Spinal Vertebrae: A Series of 537 Cases.International journal of spine surgery · 2023Article
- Revision surgery following long lumbopelvic constructs for adult spinal deformity: prospective experience from two dedicated databases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Management of deep surgical site infections of the spine: a Canadian nationwide survey.Journal of spine surgery (Hong Kong) · 2022Article
- Clinical relevance of occult infections in spinal pseudarthrosis revision.North American Spine Society journal · 2022Article
- Assessing the Effects of Prior History of Vertebral Osteomyelitis on Peri-Operative Factors and Post-Operative Recovery in Adult Spinal Deformity Patients.Journal of clinical medicine · 2022Article
- Does local vancomycin powder impregnated with autogenous bone graft and bone substitute decrease the risk of deep surgical site infection in degenerative lumbar spine fusion surgery?-An ambispective study.BMC musculoskeletal disorders · 2022Article
- Conditions for Achieving Postoperative Pelvic Incidence-Lumbar Lordosis < 10° in Circumferential Minimally Invasive Surgery for Adult Spinal DeformityJournal of clinical medicine · 2022Article
- Management and outcome of spinal implant-associated surgical site infections in patients with posterior instrumentation: analysis of 176 cases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Deep Surgical-Site Infection Following Thoracolumbar Instrumented Spinal Surgery: The Experience of 25 Years.International journal of spine surgery · 2021Article
- Article
- Therapeutic effect of ethylenediaminetetraacetic acid irrigation solution against wound infection with drug-resistant bacteria in a rat model: an animal study.Bone & joint research · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe impact of deep surgical site infection (SSI) on surgical outcomes after adult spinal deformity (ASD) surgery is still unclear. We aimed to study the morbidity of SSI in ASD and its impact on deformity correction and functional outcome.
methodsProspective multicenter matched-cohort study including consecutively enrolled ASD patients. Patients developing SSI were matched to similar controls in terms of age, gender, ASA, primary or revision, extent of fusion, and use of tri-columnar osteotomies. Preoperative parameters, surgical variables, and complications were recorded. Deformity parameters and Health Related Quality of Life (HRQoL) scores were obtained preoperatively and at 6, 12, and 24 months. Independent t test and Fischer's exact test were used for comparisons.
results444 surgical ASD patients with more than 2 years of follow-up were identified. 20 sustained an acute SSI and 60 controls were accordingly matched. No differences were observed between groups in preoperative radiological and HRQoL variables confirming comparable groups. SSI patients had longer hospital stay and more mechanical complications including proximal junctional kyphosis. Infection was associated with more unrelated complications and revisions. Deformity correction was maintained equally at the different time intervals. One death was related to SSI. SSI patients had worse overall HRQoL status at 1 year and were less likely to experience improvement. However, no significant differences were recorded thereafter.
conclusionSSI significantly affects the first postoperative year after posterior ASD surgery. It is associated with more complications, unrelated revisions, and worst quality of life. However it's negative impact seems to be diluted by the second postoperative year as differences in HRQoL scores between the two groups decrease. These slides can be retrieved under Electronic Supplementary material.
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