[Risk factors for surgical site infection following posterior lumbar intervertebral fusion].
Nan Fang Yi Ke Da Xue Xue Bao. 2018 Jul 30;38(eight):969-974
Authors: Sang C, Ren H, Meng Z, Jiang J
OBJECTIVE: To research the danger components of surgical web site an infection (SSI) following posterior lumbar intervertebral fusion.
METHODS: This retrospective case-control examine was carried out in 2904 sufferers present process posterior lumbar intervertebral fusion from 2011 to 2016. Forty-three sufferers with SSI inside 30 days after the operation served because the case group, and 334 randomly chosen sufferers with out an infection served because the management group. Age, gender, diabetes, physique mass index (BMI), albumin degree, multilevel procedures, subcutaneous fats thickness, surgical procedure length and the proportion of lumbar multifidus muscle fats infiltration have been analyzed, and univariate and multivariate logistic regression analyses have been carried out to determine the danger components of SSI.
RESULTS: Multivariate logical regression evaluation recognized a feminine gender, subcutaneous fats thickness, multilevel surgical procedure, and lumbar multifidus muscle fats infiltration as vital threat components for SSI (P < zero.05). BMI was not correlated with fats infiltration within the lumbar multifidus muscle (P > zero.05).
CONCLUSIONS: A feminine gender, multilevel surgical procedure, subcutaneous fats thickness and fats infiltration within the multifidus muscle are associated to SSI following posterior lumbar intervertebral fusion. Fats infiltration within the multifidus muscle was a spine-specific threat issue for SSI unbiased of BMI.
PMID: 30187865 [PubMed – in process]