ArticleGlobal spine journal2018
Is There an Optimal Wound Closure Technique for Major Posterior Spine Surgery? A Systematic Review.
Article in Global spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Wound closure techniques for spinoplastic surgery: a review of the literature.Neurosurgical review · 2024Pooled it
- Wound healing after intracutaneous vs. staple-assisted skin closure in lumbar, non-instrumented spine surgery: a multicenter prospective randomized trial.Acta neurochirurgica · 2024Trial
- Beyond the Knot: A Pragmatic Comparison of Monocryl and Prolene for Neurosurgical Wound Closure.Cureus · 2026Article
- Article
- Perioperative Medical Complications in Adult Spine Deformity Surgery: Classification and Prevention Strategies.Global spine journal · 2025Article
- Risk of Surgical Site Infection in Posterior Spine Surgery Using Different Closing Techniques: A Retrospective Study of Two Neurosurgical Centers.Journal of clinical medicine · 2024Article
- Commercial suture passer improves efficiency and ease of use versus conventional needle in minimally invasive thoracolumbar fascia closure: a cadaveric analysis.North American Spine Society journal · 2024Article
- Prospective analysis of STRATAFIX™ symmetric PDS plus suture for fascial closure in spinal surgery: a pilot study.Neurosurgical review · 2024Article
- Article
- Barbed versus conventional suture in elective posterior spine surgery.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 · 2024Article
- A comparison between different suture techniques in lumbar spine surgery.International wound journal · 2023Article
- Natural language processing for the automated detection of intra-operative elements in lumbar spine surgery.Frontiers in surgery · 2023Article
- Clinical and economic outcomes after sternotomy for cardiac surgery with skin closure through 2-octyl cyanoacrylate plus polymer mesh tape versus absorbable sutures plus waterproof wound dressings: a retrospective cohort study.Journal of cardiothoracic surgery · 2022Observational
- Variability in wound closure technique in midline posterior lumbar fusion surgery. International survey and standardized closure technique proposal.Surgical neurology international · 2022Article
- Copper-Eluting Fibers for Enhanced Tissue Sealing and Repair.ACS applied materials & interfaces · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic review.
objectivesIn patients undergoing posterior spinal fusion: (1) What are the types and risks of wound complications in major (≥3 levels) surgery, and does the risk vary by number of levels fused? (2) What types of fascial closure result in the fewest wound complications? (3) What subcutaneous closure technique is more effective in preventing wound complications for obese patients (body mass index >30 kg/m
methodsElectronic databases and reference lists of key articles were searched from January 1, 2000 to December 4, 2017 to identify studies meeting inclusion criteria.
resultsSix lower quality retrospective studies (evidence level III) met the inclusion criteria. The risk of wound complications in patients with ≥3 level posterior spine fusion ranges from 1.5% to 3.7% depending on the definition of wound complications. Skin closure with sutures resulted in fewer wound infections compared with staples (0.0% vs 8.0%,
conclusionsWe were unable to determine if infection risk changed with increasing number of levels fused. There is a lack of evidence for optimal wound closure technique in posterior spine surgery. Several questions still remain unanswered, such as the optimal fascial closure technique or the optimal subcutaneous closure technique in obese patients.
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Registered trials
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