Current Strategies for Reconstruction of Soft Tissue Defects of the Spine.
Publication/Presentation Date
2-1-2020
Abstract
Spinal surgery has been revolutionized by advances in instrumentation, bone graft substitutes, and perioperative care. Extensive dissection, creation of large areas of dead space, and the use of instrumentation in compromised patients, however, predisposes to high rates of wound complications. Postoperative wound complications in patients undergoing complex spinal surgery can have devastating sequelae, including hardware exposure, meningitis, and unplanned reoperation. Recognition of high-risk patients and prediction of wound closure difficulties, combined with preemptive reconstructive surgical strategies may prevent complications. The purpose of this review is to discuss the principles of spine wound management and provide a synopsis of the soft tissue reconstructive strategies utilized in spinal surgery. We review the senior author's preferred reconstructive algorithm for the management of these complex wounds, in addition to outcomes data relating to the timing of reconstructive surgery.
Volume
33
Issue
1
First Page
9
Last Page
19
ISSN
2380-0194
Published In/Presented At
Dolan, R. T., Butler, J. S., Vaccaro, A. R., White, A. P., & Giele, H. P. (2020). Current Strategies for Reconstruction of Soft Tissue Defects of the Spine. Clinical spine surgery, 33(1), 9–19. https://doi.org/10.1097/BSD.0000000000000936
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
31913180
Department(s)
Administration and Leadership
Document Type
Article