The relationship between surgical site drains and reoperation for wound-related complications following posterior cervical spine surgery: a multicenter retrospective study

Journal of Neurosurgery. Spine
Daniel B HerrickRon I Riesenburger

Abstract

OBJECTIVEUse of surgical site drains following posterior cervical spine surgery is variable, and its impact on outcomes remains controversial. Studies of drain use in the lumbar spine have suggested that drains are not associated with reduction of reoperations for wound infection or hematoma. There is a paucity of studies examining this relationship in the cervical spine, where hematomas and infections can have severe consequences. This study aims to examine the relationship between surgical site drains and reoperation for wound-related complications following posterior cervical spine surgery.METHODSThis study is a multicenter retrospective review of 1799 consecutive patients who underwent posterior cervical decompression with instrumentation at 4 tertiary care centers between 2004 and 2016. Demographic and perioperative data were analyzed for associations with drain placement and return to the operating room.RESULTSOf 1799 patients, 1180 (65.6%) had a drain placed. Multivariate logistic regression analysis identified history of diabetes (OR 1.37, p = 0.03) and total number of levels operated (OR 1.32, p < 0.001) as independent predictors of drain placement. Rates of reoperation for any surgical site complication were not diffe...Continue Reading

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Citations

Jan 15, 2020·Global Spine Journal·Christopher MikhailSamuel K Cho
Jul 24, 2020·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·Sathish MuthuGirinivasan Chellamuthu
Jun 19, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Amparo SáenzBeatriz Mantese
Jul 31, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Henri-Arthur LeroyKlaus-Luc Mourier

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Methods Mentioned

BETA
biopsy

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Electrocore
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