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Surgeon Preference Regarding Wound Dressing Management in Lumbar Fusion Surgery: An AO Spine Global Cross-Sectional Study – Lumbar Fusion

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The article published in Neurospine in 2024 aimed to evaluate the global practice pattern of wound dressing use after lumbar fusion for degenerative conditions. A survey was conducted among AO Spine members to investigate the type of postoperative dressing used, timing of dressing removal, and type of subsequent dressing applied. The results showed that most surgeons initially used dry or plastic occlusive dressings, with the dressing typically being changed within the first 3 postoperative days. Regional differences in dressing management were observed, suggesting that practice may be based on personal experience rather than evidence. This study provides valuable insights into the current practices of spine surgeons in managing wound dressings after lumbar fusion surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established treatment facility in London

Published article

: Most spine surgeons utilized a dry or plastic occlusive dressing initially applied after surgery. The first dressing was more frequently changed during the first 3 postoperative days and replaced with the same type of dressing. While dressing policies tended not to vary according to the type of surgery, regional differences suggest that actual practice may be based on personal experience rather than available evidence.

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Neurospine. 2024 Mar;21(1):204-211. doi: 10.14245/ns.2347168.584. Epub 2024 Mar 31. ABSTRACT OBJECTIVE: To evaluate the global practice pattern of wound dressing use after lumbar fusion for degenerative conditions. METHODS: A survey issued by AO Spine Knowledge Forums Deformity and Degenerative was sent out to AO Spine members. The type of postoperative dressing employed, timing of initial,

Neurospine. 2024 Mar;21(1):204-211. doi: 10.14245/ns.2347168.584. Epub 2024 Mar 31.

ABSTRACT

OBJECTIVE: To evaluate the global practice pattern of wound dressing use after lumbar fusion for degenerative conditions.

METHODS: A survey issued by AO Spine Knowledge Forums Deformity and Degenerative was sent out to AO Spine members. The type of postoperative dressing employed, timing of initial dressing removal, and type of subsequent dressing applied were investigated. Differences in the type of surgery and regional distribution of surgeons’ preferences were analyzed.

RESULTS: Right following surgery, 60.6% utilized a dry dressing, 23.2% a plastic occlusive dressing, 5.7% glue, 6% a combination of glue and polyester mesh, 2.6% a wound vacuum, and 1.2% other dressings. The initial dressing was removed on postoperative day 1 (11.6%), 2 (39.2%), 3 (20.3%), 4 (1.7%), 5 (4.3%), 6 (0.4%), 7 or later (12.5%), or depending on drain removal (9.9%). Following initial dressing removal, 75.9% applied a dry dressing, 17.7% a plastic occlusive dressing, and 1.3% glue, while 12.1% used no dressing. The use of no additional coverage after initial dressing removal was significantly associated with a later dressing change (p < 0.001). Significant differences emerged after comparing dressing management among different AO Spine regions (p < 0.001).

: Most spine surgeons utilized a dry or plastic occlusive dressing initially applied after surgery. The first dressing was more frequently changed during the first 3 postoperative days and replaced with the same type of dressing. While dressing policies tended not to vary according to the type of surgery, regional differences suggest that actual practice may be based on personal experience rather than available evidence.

PMID:38569644 | DOI:10.14245/ns.2347168.584

The London Spine Unit : most established treatment facility in London

Read the original publication:

Surgeon Preference Regarding Wound Dressing Management in Lumbar Fusion Surgery: An AO Spine Global Cross-Sectional Study

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Neurospine. 2024 Mar;21(1):204-211. doi: 10.14245/ns.2347168.584. Epub 2024 Mar 31. ABSTRACT OBJECTIVE: To evaluate the global practice pattern of wound dressing use after lumbar fusion for degenerative conditions. METHODS: A survey issued by AO Spine Knowledge Forums Deformity and Degenerative was sent out to AO Spine members. The type of postoperative dressing employed, timing of initial

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