ArticleSurgical neurology international2025
Running subcuticular skin closure with absorbable suture may have a lower deep surgical site infection rate compared to skin staples in open posterior lumbar spine surgery.
Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Is there a higher risk of surgical site infection (SSI) after posterior lumbar spine surgeries closed with staples versus running subcuticular closures with absorbable suture (RSAS)? Methods: After institutional review board approval, we retrospectively identified open posterior lumbar spine surgical closures utilizing skin staples (staples group: 123 cases) or RSAS (RSAS group: 382 cases) performed by three surgeons who used both methods (2018-2020). Results: The rate of deep SSI in the RSAS group was 1.8% versus 5.7% for the staples group. There were no significant differences in demographics, comorbidities, extent of surgery, and length of hospital stay between the two groups. Although there was a greater percentage of previous surgery at the same site in the RSAS group, their rate of SSI was still lower than that for the staples group. Conclusion: Skin closure with skin staples appeared to have a greater risk for deep SSI (5.7%) versus RSAS (1.8%) for patients undergoing open posterior lumbar surgeries.
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