Changing the adverse event profile in metastatic spine surgery: An evidence based approach to target wound complications and instrumentation failure

Addisu Mesfin, Daniel Sciubba, Nicolas Dea, Anick Nater, Justin Bird, Nasir A. Quraishi, Charles G. Fisher, John Shin, Michael G. Fehlings, Naresh Kumar, Michelle Clarke

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

STUDY DESIGN.: Systematic review OBJECTIVE.: To identify risk factors and preventive methods for wound complications and instrumentation failure following metastatic spine surgery. SUMMARY OF BACKGROUND DATA.: We focused on two post-operative complications of metastatic spine tumor surgery: wound complications and instrumentation failure and preventive measures. METHODS.: We performed a systematic review of the literature from 1980 to 2015. The articles were analyzed for the presence of documented infection and/or wound complications and instrumentation failure. RESULTS.: Forty articles met our inclusion criteria for wound complications and prevention. There is very low level of evidence that pre-operative radiation, pre-operative neurological deficit, revision procedures and posterior approaches can contribute to wound complications (infections, wound dehiscence). There is very low level of evidence that plastic surgery soft tissue reconstruction, intrawound vancomycin powder and percutaneous pedicle screws may prevent post-operative wound complications. Fourteen articles met our inclusion criteria for instrumentation failure. There is very low level of evidence that constructs greater than six levels, positive sagittal balance, pre-operative radiation and history of chest wall resection can contribute to implant failures. CONCLUSION.: Level of Evidence: 4

Original languageEnglish (US)
JournalSpine
DOIs
StateAccepted/In press - Aug 8 2016

Fingerprint

Spine
Wounds and Injuries
Wound Infection
Radiation
Thoracic Wall
Plastic Surgery
Vancomycin
Powders
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)
  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Changing the adverse event profile in metastatic spine surgery : An evidence based approach to target wound complications and instrumentation failure. / Mesfin, Addisu; Sciubba, Daniel; Dea, Nicolas; Nater, Anick; Bird, Justin; Quraishi, Nasir A.; Fisher, Charles G.; Shin, John; Fehlings, Michael G.; Kumar, Naresh; Clarke, Michelle.

In: Spine, 08.08.2016.

Research output: Contribution to journalArticle

Mesfin, A, Sciubba, D, Dea, N, Nater, A, Bird, J, Quraishi, NA, Fisher, CG, Shin, J, Fehlings, MG, Kumar, N & Clarke, M 2016, 'Changing the adverse event profile in metastatic spine surgery: An evidence based approach to target wound complications and instrumentation failure', Spine. https://doi.org/10.1097/BRS.0000000000001817
Mesfin, Addisu ; Sciubba, Daniel ; Dea, Nicolas ; Nater, Anick ; Bird, Justin ; Quraishi, Nasir A. ; Fisher, Charles G. ; Shin, John ; Fehlings, Michael G. ; Kumar, Naresh ; Clarke, Michelle. / Changing the adverse event profile in metastatic spine surgery : An evidence based approach to target wound complications and instrumentation failure. In: Spine. 2016.
@article{995199cc781a44c2914d2fe153c3d730,
title = "Changing the adverse event profile in metastatic spine surgery: An evidence based approach to target wound complications and instrumentation failure",
abstract = "STUDY DESIGN.: Systematic review OBJECTIVE.: To identify risk factors and preventive methods for wound complications and instrumentation failure following metastatic spine surgery. SUMMARY OF BACKGROUND DATA.: We focused on two post-operative complications of metastatic spine tumor surgery: wound complications and instrumentation failure and preventive measures. METHODS.: We performed a systematic review of the literature from 1980 to 2015. The articles were analyzed for the presence of documented infection and/or wound complications and instrumentation failure. RESULTS.: Forty articles met our inclusion criteria for wound complications and prevention. There is very low level of evidence that pre-operative radiation, pre-operative neurological deficit, revision procedures and posterior approaches can contribute to wound complications (infections, wound dehiscence). There is very low level of evidence that plastic surgery soft tissue reconstruction, intrawound vancomycin powder and percutaneous pedicle screws may prevent post-operative wound complications. Fourteen articles met our inclusion criteria for instrumentation failure. There is very low level of evidence that constructs greater than six levels, positive sagittal balance, pre-operative radiation and history of chest wall resection can contribute to implant failures. CONCLUSION.: Level of Evidence: 4",
author = "Addisu Mesfin and Daniel Sciubba and Nicolas Dea and Anick Nater and Justin Bird and Quraishi, {Nasir A.} and Fisher, {Charles G.} and John Shin and Fehlings, {Michael G.} and Naresh Kumar and Michelle Clarke",
year = "2016",
month = "8",
day = "8",
doi = "10.1097/BRS.0000000000001817",
language = "English (US)",
journal = "Spine",
issn = "0362-2436",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Changing the adverse event profile in metastatic spine surgery

T2 - An evidence based approach to target wound complications and instrumentation failure

AU - Mesfin, Addisu

AU - Sciubba, Daniel

AU - Dea, Nicolas

AU - Nater, Anick

AU - Bird, Justin

AU - Quraishi, Nasir A.

AU - Fisher, Charles G.

AU - Shin, John

AU - Fehlings, Michael G.

AU - Kumar, Naresh

AU - Clarke, Michelle

PY - 2016/8/8

Y1 - 2016/8/8

N2 - STUDY DESIGN.: Systematic review OBJECTIVE.: To identify risk factors and preventive methods for wound complications and instrumentation failure following metastatic spine surgery. SUMMARY OF BACKGROUND DATA.: We focused on two post-operative complications of metastatic spine tumor surgery: wound complications and instrumentation failure and preventive measures. METHODS.: We performed a systematic review of the literature from 1980 to 2015. The articles were analyzed for the presence of documented infection and/or wound complications and instrumentation failure. RESULTS.: Forty articles met our inclusion criteria for wound complications and prevention. There is very low level of evidence that pre-operative radiation, pre-operative neurological deficit, revision procedures and posterior approaches can contribute to wound complications (infections, wound dehiscence). There is very low level of evidence that plastic surgery soft tissue reconstruction, intrawound vancomycin powder and percutaneous pedicle screws may prevent post-operative wound complications. Fourteen articles met our inclusion criteria for instrumentation failure. There is very low level of evidence that constructs greater than six levels, positive sagittal balance, pre-operative radiation and history of chest wall resection can contribute to implant failures. CONCLUSION.: Level of Evidence: 4

AB - STUDY DESIGN.: Systematic review OBJECTIVE.: To identify risk factors and preventive methods for wound complications and instrumentation failure following metastatic spine surgery. SUMMARY OF BACKGROUND DATA.: We focused on two post-operative complications of metastatic spine tumor surgery: wound complications and instrumentation failure and preventive measures. METHODS.: We performed a systematic review of the literature from 1980 to 2015. The articles were analyzed for the presence of documented infection and/or wound complications and instrumentation failure. RESULTS.: Forty articles met our inclusion criteria for wound complications and prevention. There is very low level of evidence that pre-operative radiation, pre-operative neurological deficit, revision procedures and posterior approaches can contribute to wound complications (infections, wound dehiscence). There is very low level of evidence that plastic surgery soft tissue reconstruction, intrawound vancomycin powder and percutaneous pedicle screws may prevent post-operative wound complications. Fourteen articles met our inclusion criteria for instrumentation failure. There is very low level of evidence that constructs greater than six levels, positive sagittal balance, pre-operative radiation and history of chest wall resection can contribute to implant failures. CONCLUSION.: Level of Evidence: 4

UR - http://www.scopus.com/inward/record.url?scp=84981274719&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84981274719&partnerID=8YFLogxK

U2 - 10.1097/BRS.0000000000001817

DO - 10.1097/BRS.0000000000001817

M3 - Article

C2 - 27509194

AN - SCOPUS:84981274719

JO - Spine

JF - Spine

SN - 0362-2436

ER -