Offset layered closure reduces deep wound infection in early-onset scoliosis surgery. Issue 4 (July 2016)

• Record Type: Journal Article
• Authors: Grzywna, Alexandra M.; Miller, Patricia E.; Glotzbecker, Michael P.; Emans, John B.
• Is Part Of: Journal of pediatric orthopedics. Volume 25:Issue 4(2016)
• Publication Date: 2016-07
• Subjects: early-onset scoliosis -- growing rods -- growth-friendly -- layered closure -- orthopedic surgery -- postoperative complications -- surgical site infection -- surgical wound infection -- vertical expandable prosthetic titanium rib -- wound closure technique; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000340
• Languages: English
• ISSNs: 1060-152X

Abstract

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.