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Your search keyword '"Grzywna, Alexandra"' showing total 23 results
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23. Offset layered closure reduces deep wound infection in early-onset scoliosis surgery.

Author

Grzywna AM, Miller PE, Glotzbecker MP, and Emans JB

Subjects
Adolescent, Child, Child, Preschool, Female, Humans, Infant, Male, Regression Analysis, Retrospective Studies, Scoliosis complications, Treatment Outcome, Wound Healing, Scoliosis surgery, Spinal Fusion adverse effects, Surgical Wound Infection etiology
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.

Published
2016
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