ArticleSpine deformity2026
Multicenter evaluation of wound closure techniques and postoperative complications following pediatric nonidiopathic scoliosis surgery.
Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare surgical site infection (SSI), reoperation, and readmission proportions following posterior spinal fusion (PSF) with pelvic instrumentation for pediatric nonidiopathic scoliosis between plastic multilayered closure (PMC) and standard orthopaedic closure (SOC).
methodsThis study retrospectively reviewed patients ≤18 years with nonidiopathic scoliosis undergoing primary PSF with pelvic instrumentation at two institutions from 2018-2023. Exclusions were prior spinal fusion, staged procedures, and scoliosis associated with spina bifida, neoplasia, or congenital spondyloptosis. Outcome measures included SSI per CDC criteria, 90-day reoperation, and 30-day readmission. Patient risk was estimated with the NSQIP Pediatric Surgical Risk Calculator. Firth-penalized logistic regression modeled the association between closure technique and SSI.
resultsOf 195 patients, 121 underwent SOC and 74 PMC. BMI was similar (p = 0.14), but SOC patients had higher mean surgical risk scores for any complication (p = 0.02) and SSI (p = 0.01). PMC had longer procedures, hospital stays, and greater drain use (all p < 0.001). SSI was lower with PMC (3% vs. 12%; absolute difference 9%, p = 0.03), whereas reoperation (5% vs. 13%, p = 0.08) and readmission (7% vs. 15%, p = 0.09) did not differ significantly. In multivariable analysis, PMC was associated with lower SSI odds (OR 0.12, 95% CI: 0.02-0.64, p = 0.01), and higher surgical risk scores were associated with increased SSI odds (OR 1.18, 95% CI: 1.04-1.33, p = 0.01).
conclusionPMC was associated with an absolute 9% lower SSI proportion. This association remained significant after adjustment for patient- and procedure-specific factors. Reoperation and readmission proportions were similar, but PMC involved longer surgical time, hospital stay, and greater drain use. Given these trade-offs, PMC may be most appropriate for high-risk patients or those with limited soft-tissue coverage. Prospective studies should refine patient selection and assess its broader impact. LEVEL OF EVIDENCE: Level III-Therapeutic.
Indexed as
Identifiers
41239151What OpenQuestion holds
Registered trials
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.