Negative pressure wound therapy in spinal fusion patients.

Title

Negative pressure wound therapy in spinal fusion patients.

Creator

Akhter AS; McGahan BG; Close L; Dornbos D; Toop N; Thomas NR; Christ E; Dahdaleh NS; Grossbach AJ

Publisher

International Wound Journal

Date

2020
2020-11-25

Description

Post-operative wound complications are some of the most common acute complications following spine surgery. These surgical site infections (SSI) contribute to increased healthcare related costs. Negative pressure wound therapy (NPWT) has long been used for treatment of soft tissue injury or defects. NPWT may reduce the incident of SSI following spinal fusion procedures; however, its potential applications need further clarification. Thus, we conducted a retrospective analysis of two cohorts to compare NPWT to traditional sterile dressings following spinal fusions in regards to post-operative outcomes. Following institutional review board approval, 42 patients who had a NPWT were matched by type of surgery to 42 patients who had traditional dressings. A retrospective chart-review was completed. Outcome measures, particularly SSI and need for reoperation, were analyzed using one-way ANOVA for both univariate and multivariate analysis. When controlled for sex and body-mass index, the use of a NPWT was independently correlated with decreased SSI (P = .035). Superficial dehiscence, seroma, need for additional outpatient care, and need for operative revision were all found to occur at higher rates in the traditional dressing cohort. Closed incisional negative pressure wound therapy provides a cost-effective method of decreasing surgical site infection for posterior elective spine surgeries.

Subject

fusion; spine; outcomes; negative pressure wound therapy; surgical site infection

Identifier

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

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ISSN

1742-481X 1742-4801

NEOMED College

NEOMED College of Medicine Student

NEOMED Department

NEOMED Student Publications

Update Year & Number

December 2020 List

Citation

Akhter AS; McGahan BG; Close L; Dornbos D; Toop N; Thomas NR; Christ E; Dahdaleh NS; Grossbach AJ, “Negative pressure wound therapy in spinal fusion patients.,” NEOMED Bibliography Database, accessed May 22, 2022, https://neomed.omeka.net/items/show/11467.

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