ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Unraveling risk factors for multiple debridements in postoperative spinal infections: insights from a retrospective cohort study.
Article in 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, 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
5 authors.
Funding
Abstract
purposeThis study aimed to identify independent risk factors for requiring multiple debridements in patients with postoperative spinal infections and to assess their clinical implications for management.
methodsWe conducted a retrospective cohort study of 135 patients who developed postoperative spinal infections at a single institution between 2014 and 2024. Data on demographic variables, comorbidities, surgical factors, infection characteristics, and laboratory markers were collected. Predictors for multiple debridements were identified using univariate and multivariable logistic regression, followed by nomogram construction. Kaplan-Meier survival analysis was employed to evaluate the relationship between the timing of debridement and clinical outcomes.
results37 patients (27.4%) required multiple debridements. Independent predictors included incision fat thickness (OR = 1.29; 95% CI:1.16–1.44, p < 0.001), MRSA positivity (OR = 3.48; 95% CI:1.01–12.02, p = 0.048), and postoperative albumin (OR = 0.86; 95% CI:0.75–0.98, p = 0.035). The nomogram integrating these parameters achieved high discrimination (AUC = 0.886; 81.5% accuracy). Patients requiring multiple debridements had prolonged hospitalization (52.75 vs. 20.27 days, p < 0.001), higher fixation failure (48.6% vs. 6.1%, p < 0.001), and reduced infection resolution (8.1% vs. 100%, p < 0.001). Debridement timing (≤ 3/7 days) showed no association with outcomes (p = 0.096).
conclusionIncision fat thickness and MRSA positivity were independent risk factors for multiple debridements in postoperative spinal infections, while higher postoperative albumin conferred protection. The nomogram provides a practical framework for clinicians to identify high-risk patients. This identification could potentially guide more vigilant monitoring and aggressive preventative strategies.
Indexed as
Identifiers
41442039What 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.