19 Harley St, London, W1G 9QJ, UK

Use and outcomes of wound drain in spinal fusion for adolescent idiopathic scoliosis

STUDY DESIGN: A multicenter retrospective analysis. OBJECTIVE: To evaluate outcomes of closed-suction wound drainage after posterior spinal fusion with instrumentation for adolescent idiopathic scoliosis and to identify surgeon patterns of drain use in this cohort. SUMMARY OF BACKGROUND DATA: There is little evidence on the use of drains in spinal surgery, particularly for repair of adolescent idiopathic scoliosis. Studies on hip and knee arthroplasty suggest no advantage to draining. There are few published reports on surgeon technique and rationale for drain use in spinal surgery. METHODS: Patients were divided into drain and no drain cohorts and followed for 2 years. Primary outcome was complication rate. A separate survey was conducted from surgeons in the Spinal Deformity Study Group to evaluate drain practice patterns. RESULTS: There were 324 drained and 176 undrained patients. Complication rate did not differ between the drain and no drain cohorts in any of the 4 categories (wound infection, neural injury, other infection, and other complication) at any time (all P > 0.1). More drained patients received postoperative transfusions compared with those without a drain (43% vs. 22%, P < 0.001). Of the 50 surgeons in the group, 36 used drains. Half of these did so out of habit. Surgeons tended to place deep drains with bulb suction, without drain manipulation. Half removed drains on the basis of output, whereas half removed them after 1 to 3 days. CONCLUSION: More patients tended to receive wound drains than not receive wound drains. Drains did not impact complication rate and drained patients received more blood product. There are no universal criteria for draining and practice patterns vary widely Keywords : Adolescent,adverse effects,analysis,Arthroplasty,blood,California,Combined Modality Therapy,Drainage,etiology,Female,Hip,Humans,Infection,injuries,instrumentation,Knee,Male,methods,Outcome Assessment (Health Care),Patients,Postoperative Complications,Retrospective Studies,Scoliosis,Spinal Fusion,statistics & numerical data,Suction,surgery,Surgical Wound Infection,Time,Universities,Wound Infection,, Outcomes,Wound,Drain, neck pain computer chair

Date of Publication : 2012 May 15

Authors : Diab M;Smucny M;Dormans JP;Erickson MA;Ibrahim K;Lenke LG;Sucato DJ;Sanders JO;

Organisation : Department of Orthopaedic Surgery, University of California, San Francisco Medical Center, San Francisco, CA 94143, USA. diab@orthosurg.ucsf.edu

Journal of Publication : Spine (Phila Pa 1976 )

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22037527

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Use and Outcomes of Wound Drain in Spinal Fusion for Adolescent Idiopathic Scoliosis | Meralgia paresthetica uk

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810