@article{b8de3c523a474ebbb4905580413ad804,
title = "Surgical site infection in adolescent idiopathic scoliosis surgery",
abstract = "Objective: To define the current rate of postoperative surgical site infections (SSIs) in a large prospective series of surgical adolescent idiopathic scoliosis (AIS) cases. Methods: A multicenter, prospective database of patients who underwent surgical correction of AIS was reviewed. Early SSIs were defined as occurring within 90 days after the index operation, as per the Center for Disease Control's definitions. Treatment and outcome information on all confirmed SSIs was compiled. Variables associated with the occurrence of an SSI were evaluated. Results: Of the 1,757 patients analyzed, 28 developed an SSI within the first 90 days postoperatively (1.6%). Patient weight was associated with SSI (p <.001). There was a trend in correlation with the number of levels fused (p =.07) and blood loss as a percentage of blood volume (p =.07) and the incidence of SSI. There was no correlation with any other variables. There was variation in the rate of SSI among the 9 centers, ranging from 0.6% to 4.4% (p =.27). Of the 28 infections, 26 resolved with surgery and/or antibiotics and did not need implant removal. Only 2 patients had late pain. In addition to the 28 confirmed SSIs, there were an additional 68 other wound issues (4.2%) that did not meet the Center for Disease Control criteria for an SSI. Conclusions: Early SSIs after AIS surgery occurred at a rate of 1.6%. The federal mandate to eliminate SSI and the proposed lack of reimbursement for its treatment may change clinical practice, and these data provide average SSI rates across multiple centers for future comparison. Investigations into variations in practice between centers might yield areas for potential improvement in SSI for AIS patients. Fortunately, 92% of patients were able to retain their implants and were free of pain at final follow-up.",
keywords = "Adolescent idiopathic scoliosis, current rates, surgical site infections",
author = "Marks, {Michelle C.} and Newton, {Peter O.} and Bastrom, {Tracey P.} and Betz, {Randal R.} and Sponseller, {Paul D.} and Baron Lonner and Shah, {Suken A.} and Amer Samdani and Maty Petcharaporn and Harry Shufflebarger and John Asghar",
note = "Funding Information: This study was supported by a research grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation , to support the research efforts of the Harms Study Group. Funding Information: Author disclosures: MCM (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation ; board membership with the Setting Scoliosis Straight Foundation; payment for lectures from DePuy Spine Synthes); PON (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation ; board membership with POSNA, Harms Study Group Foundation, Scoliosis Research Society, Children's Specialist of San Diego; consultancy for DePuy Spine, Stanford University; employment with Children's Specialist of San Diego; expert testimony for NorCal, law firm Carroll, Kelly, Trotter, Franzen, and McKenna, law firm Smith, Haughey, Rice, and Roegge; grants from NIH , OREF , POSNA , SRS , Harms Study Group Foundation , DePuy Synthes Spine , Axial Biotech, Biospace/Med/EOS Imaging ; payment for lectures including service on speakers bureaus from DePuy Spine; patents from DePuy Synthes Spine; royalties from DePuy Synthes Spine, Thieme Publishing; payment for the development of educational presentations from DePuy Synthes Spine; stock/stock options from Nuvasive); TPB (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation ); RRB (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation ; board membership with Chest Wall and Spine Deformity Study Group, Setting Scoliosis Straight Foundation; consultancy with DePuy Spine, Synthes, Orthocon, SpineGuard, Medtronic; grants from DePuy Spine, Synthes ; payment for lectures including service on speakers bureaus for DePuy Spine Synthes; royalties from DePuy Synthes Spine; stock/stock options from SpineGuard, MiMedx, Orthocon, Orthobond); PDS (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation, DePuy Synthes Spine ; royalties from Globus Medical, DePuy Synthes Spine); BL (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation ; board membership with the Setting Scoliosis Straight Foundation and Spine Search; consultancy with DePuy Synthes Spine; payment for lectures including service on speakers bureaus for DePuy Spine Synthes and K2M; royalties from DePuy Synthes Spine; stock/stock options from DePuy Synthes Spine, K2M, Paradigm); SAS (from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation; board membership with grant from the Setting Scoliosis Straight Foundation ; consultancy for DePuy Synthes Spine and Ethicon Endosurgery; grants from DePuy Synthes Spine ; royalties from DePuy Synthes Spine and Arthrex; stock/stock options from Globus Medical); AS (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation , support for travel to meetings for the study or other purposes from DePuy Synthes Spine, consultancy for DePuy Synthes Spine, SpineGuard, Zimmer, and Stryker); MP (none); HS (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation ; board membership with the Setting Scoliosis Straight Foundation consultancy for DePuy Synthes Spine; grants/grants pending from DePuy Synthes Spine and Axial Biotech ; payment for lectures including service on speakers bureaus for DePuy Synthes Spine and Axial Biotech; royalties from DePuy Synthes Spine); JA (grant from DePuy Synthes Spine to the Setting Scoliosis Straight Foundation ). ",
year = "2013",
month = sep,
doi = "10.1016/j.jspd.2013.07.004",
language = "English (US)",
volume = "1",
pages = "352--358",
journal = "Spine deformity",
issn = "2212-134X",
publisher = "Elsevier BV",
number = "5",
}