Evidence map›Paper›PMID 39138754›Full record

Trial reportActa neurochirurgica2024

Wound healing after intracutaneous vs. staple-assisted skin closure in lumbar, non-instrumented spine surgery: a multicenter prospective randomized trial.

Alexander Romagna, Jens Lehmberg, Michael Meier, Michael Stelzer, Arwin Rezai, Jürgen Volker Anton, Albert Eckert, Christoph J Griessenauer, Maximilian-Niklas Bonk, Bjoern Sommer and 4 more

Abstract readRandomized Controlled TrialMulticenter StudyComparative Study
PubMed Publisher
In one paragraph

Trial report in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Alexander RomagnaDepartment of Neurosurgery, München Klinik Bogenhausen, Englschalkinger Str. 77, 81925, Munich, Germany. alexander.romagna@muenchen-klinik.de.
Jens LehmbergDepartment of Neurosurgery, München Klinik Bogenhausen, Englschalkinger Str. 77, 81925, Munich, Germany.
Michael MeierDepartment of Neurosurgery, München Klinik Bogenhausen, Englschalkinger Str. 77, 81925, Munich, Germany.
Michael StelzerDepartment of Neurosurgery, München Klinik Bogenhausen, Englschalkinger Str. 77, 81925, Munich, Germany.
Arwin RezaiDepartment of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
Jürgen Volker AntonDepartment of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
Albert EckertDepartment of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
Christoph J GriessenauerDepartment of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
Maximilian-Niklas BonkDepartment of Neurosurgery, University Hospital Augsburg, Augsburg, Germany.
Bjoern SommerDepartment of Neurosurgery, University Hospital Augsburg, Augsburg, Germany.
Ehab ShibanDepartment of Neurosurgery, University Hospital Augsburg, Augsburg, Germany.
Christian BlumeDepartment of Neurosurgery, RWTH Aachen University, Aachen, Germany.
Martin GeroldingerTeam Biostatistics and Big Medical Data, IDA Lab Salzburg, Paracelsus Medical University, Salzburg, Austria.
Christoph SchwartzDepartment of Neurosurgery, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSuperficial surgical site infection (SSSI) is a prominent problem in spine surgery. Intracutaneous sutures and staple-assisted closure are two widely used surgical techniques for skin closure. Yet, their comparative impact on wound healing and infection rates is underexplored. Our goal was to address this gap and compare wound healing between these two techniques.

methodsThis study was a multicenter international prospective randomized trial. Patient data were prospectively collected at three large academic centers, patients who underwent non-instrumented lumbar primary spine surgery were included. Patients were intraoperatively randomized to either intracutaneous suture or staple-assisted closure cohorts. The primary endpoint was SSSI within 30 days after surgery according to the wound infection Centers for Disease Control and Prevention (CDC) classification system.

resultsOf 207 patients, 110 were randomized to intracutaneous sutures and 97 to staple-assisted closure. Both groups were homogenous with respect to epidemiological as well as surgical parameters. Two patients (one of each group) suffered from an A1 wound infection at the 30-day follow up. Median skin closure time was faster in the staple-assisted closure group (198 s vs. 13 s, p < 0,001).

conclusionThis study showed an overall low superficial surgical site infection rate in both patient cohorts in primary non instrumented spine surgery.

Indexed as

Lumbar VertebraeSurgical Wound InfectionWound HealingAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesSurgical StaplingSuturesSuture TechniquesWound Closure TechniquesIntracutaneous sutureLumbar spine surgeryStaplesSuperficial surgical site infectionWound healing

Identifiers

PMID39138754

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.