Nuchal thickness and increased risk of surgical site infection in posterior cervical operations

Porche, Ken; Lockney, Dennis T.; Gooldy, Timothy C.; Kubilis, Paul; Murad, Gregory J. A.

doi:10.1016/j.clineuro.2021.106653

Cited by 2 publications

(2 citation statements)

References 39 publications

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“…16,29 Currently, more and more studies have found that the distribution of subcutaneous fat at the site of surgery not the high BMI affects the risk of SSI following lumbar spine fusion, and the subcutaneous FT is known as an independent risk factor for infection. 27,[30][31][32][33] This association has also been previously shown to increase the risk of SSI after spine surgery procedures. Obese patients are at a greater risk of SSI because of the increased the subcutaneous FT at the surgical site.…”

Section: Discussionmentioning

confidence: 71%

“…High BMI is a recognized, independent risk factor in SSI following spine surgery 16,29 . Currently, more and more studies have found that the distribution of subcutaneous fat at the site of surgery not the high BMI affects the risk of SSI following lumbar spine fusion, and the subcutaneous FT is known as an independent risk factor for infection 27,30–33 . This association has also been previously shown to increase the risk of SSI after spine surgery procedures.…”

Section: Discussionmentioning

confidence: 92%

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Incidence and risk factors of surgical site infection following cervical laminoplasty: A retrospective clinical study

Wang,

Chang,

Suo

et al. 2023

International Wound Journal

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There are many debates regarding the risk factors of surgical site infection (SSI) following posterior cervical surgery in previous studies. And, till now there is no such a study to examine cervical laminoplasty surgery. From January 2011 through October 2021, a total of 405 patients who were treated with unilateral open‐door laminoplasty surgeries were enrolled in this study. We divided the patients into the SSI group and the non‐SSI group and compared their patient‐specific and procedure‐specific factors. Univariate and multiple logistic regression analysis were performed to determine the risk factors. Of the 405 patients, 20 patients had SSI. The rate of SSI found to be 4.93%. There were significant differences between groups in the thicker subcutaneous fat thickness (FT) (p < 0.001), the higher ratio of subcutaneous FT to muscle thickness (MT) (p < 0.001), the higher preoperative Japanese Orthopaedic Association (JOA) Scores (p < 0.003), the decreased preoperative serum albumin (p < 0.001), the more postoperative drainage (p < 0.05) and the longer time of draining (p < 0.001). Logistic regression analysis of these differences showed that the higher ratio of subcutaneous FT/MT, the higher preoperative JOA scores, the decreased preoperative serum albumin and the longer time of draining were significantly related to SSI (p < 0.05). The higher ratio of subcutaneous FT/MT, the higher preoperative JOA scores, the decreased preoperative serum albumin and the longer time of draining are identified as the independent risk factors of SSI in cervical laminoplasty. Identification of these risk factors could be useful in reducing the SSI incidence and patients counselling.

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