Offset layered closure reduces deep wound infection in early-onset scoliosis surgery.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 27196268.
- Also identified by DOI 10.1097/BPB.0000000000000340.
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Abstract
Deep wound infection is a common complication in early-onset scoliosis (EOS) surgery. Soft tissue technique has received less attention as a means to reduce infection. A retrospective review of 1170 EOS surgeries (single surgeon, institution) investigated the impact of offset layered closure (OLC) and soft tissue awareness. The introduction of OLC reduced deep infection from 3.0% in 99 surgeries to 0.37% in 1071. Logistic regression confirmed that OLC led to significantly lower odds of infection (P=0.007). This deep infection rate (0.37%) is more typical of elective surgery, providing a more optimistic view of infection in EOS surgery than generally reported.
Medical subject headings
- Scoliosis
- Spinal Fusion
- Surgical Wound Infection