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orthopediatrics.com

OrthoPediatrics partners with the pediatric orthopedic community to help advance patient care. Explore the clinical education resources we provide to surgeons.

ijssurgery.com

BackgroundPerioperative complications after lumbar spine surgery, including surgical site infections and superficial wound problems drive up costs, prolong hospital stay, and worsen outcomes, yet existing studies of their risk factors are often limited by small sample sizes and weak clinical validation. Although several patient-related risk factors have been identified, many existing studies are limited by small sample sizes or insufficient clinical validation of postoperative wound complications.ObjectiveTo identify independent patient- and procedure-related risk factors for major wound complications requiring operative revision after lumbar spine surgery.Study DesignRetrospective observational cohort study.MethodsPatients undergoing lumbar decompression or instrumented fusion between 2017 and 2023 were retrospectively analyzed. Data on demographics, comorbidities (Charlson Comorbidity Index), American Society of Anesthesiologists classification, preoperative laboratory values, operative duration, blood loss, type of surgery, and intraoperative events were extracted. Group comparisons were performed using appropriate statistical tests. Variables with P < 0.05 were included in a multivariate logistic regression model. Missing data were handled by multiple imputation by chained equations. Odds ratios with 95% confidence intervals were calculated.ResultsA total of 4067 patients were included, of whom 121 (3.0%) developed major wound complications requiring revision surgery. Infection was confirmed in 75.2% of cases, with a mean time to revision of 24.6 ± 13.3 days. Independent predictors included higher body mass index (OR 1.07 per kg/m², 95% CI 1.04–1.11, P < 0.001), elevated C-reactive protein (OR 1.01 per mg/L, 95% CI 1.00–1.03, P = 0.007), diabetes (OR 1.94, 95% CI 1.27–2.98, P = 0.002), congestive heart failure (OR 4.56, 95% CI 1.42–14.63, P = 0.011), prior lumbar surgery (OR 1.96, 95% CI 1.31–2.94, P < 0.001), dural tear (OR 1.87, 95% CI 1.17–2.98, P = 0.009), a

posnacademy.org

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pty.vanderbilt.edu

During each SAVY session, instructors share a brief summary of the activities, learning highlights, and course objectives covered that day.

morthoj.org

this is the malaysian orthopaedic journal, july 2024, volume 18, issue no. 2. the malaysian orthopaedic journal is a peer-reviewed journal that is published twice a year in both print and electronic online version.

ngsp.org

the purpose of the ngsp is to standardize hemoglobin a1c test results to those of the diabetes control and complications trial (dcct) and united kingdom prospective diabetes study (ukpds) which established the direct relationships between hba1c levels and outcome risks in patients with diabetes.