ArticleJournal of spine surgery (Hong Kong)2018
Incidence and risk factors of wound complications in long segment instrumented thoracolumbar spinal fusions: a retrospective study.
Article in Journal of spine surgery (Hong Kong), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 27 citations in OpenAlex.
- Association between Perioperative Blood Glucose Levels and Wound Complications in Diabetic Patients Undergoing Adult Spinal Deformity Surgery: A Retrospective Cohort Study.Spine surgery and related research · 2026Article
- Association between smoking and surgical site infection after spinal fusion surgery: a systematic review and meta-analysis.Irish journal of medical science · 2026Article
- Clinical and Surgical Risk Factors for Wound Healing Disorders Following Non-Instrumented Lumbar Spine Surgery Using Penalized Regression Analysis.Journal of clinical medicine · 2026Article
- A fast classification system for adult spinal deformity with sagittal imbalance based on spinal sagittal parameters.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
- Occipital Vascularized Bone Graft for Reconstruction of a C3-C7 Defect.Plastic and reconstructive surgery. Global open · 2024Article
- Retrospective analysis of medium-term outcomes following anterior lumbar interbody fusion surgery performed in a tertiary spinal surgical centre.Annals of the Royal College of Surgeons of England · 2024Article
- Risk factors for incisional complications after lumbar internal fixation via posterior midline approach: A case-control study of 455 consecutive cases.International wound journal · 2023Article
- Article
- Obesity and Spine Surgery: A Qualitative Review About Outcomes and Complications. Is It Time for New Perspectives on Future Researches?Global spine journal · 2022Article
- Is the Use of Intraoperative 3D Navigation for Thoracolumbar Spine Surgery a Risk Factor for Post-Operative Infection?Journal of clinical medicine · 2022Article
- Strategies of management of deep spinal infection: from irrigation and debridement to vacuum-assisted closure treatment.Annals of translational medicine · 2020Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis is a retrospective analysis of prospectively collected data. Our objective was to determine the incidence and assess the risk factors associated with surgical site wound complications in long segment (7+ vertebrae) instrumented thoracolumbar fusions. Surgical site complications lead to patient morbidity, increased financial burden, and further medical intervention. Risk factors for wound complications in spinal surgery include patient factors such as obesity and diabetes, and surgical factors such as operative time and procedure type. Fusion with instrumentation is one of the strongest associated risk factors in the literature.
methodsA comprehensive search of the National Surgical Quality Improvement Program (NSQIP) from 2005 to 2014 was performed, selecting cases based on Current Procedural Terminology (CPT) codes. Cases were then stratified based on the presence of one of the following wound complications: superficial surgical site infection, deep surgical site infection, organ space infection, and wound dehiscence. Univariate and bivariate analyses were performed to determine risk factors.
resultsA total of 2,548 cases were identified, and the most common diagnoses were scoliosis (29%), spondylosis (17%) and spinal stenosis (14%). Overall, 4.24% of cases had at least one wound complication. Identified risk factors include obesity, preoperative transfusion, preoperative wound infection, and operative time. Associated outcomes include stroke with neurological deficit, perioperative transfusion, deep vein thrombosis (DVT), sepsis, septic shock, readmission, reoperation, and longer length of hospital stay. Many of these variables are independently associated with a wound complication.
conclusionsOur analysis of the NSQIP demonstrated risk factors and complications associated with wound infections in the setting of long segment fusions (7+ levels). These findings may aid surgeons in determining a patient's risk of developing a wound complication, with the goal of lessening the associated morbidity and economic burden.
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