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Dear Editor,
We have read the article by Sohrab Salimi et al. [1] entitled “Local vancomycin therapy to reduce surgical site infection in adult spine surgery: a randomized prospective study” with great interest and congratulate the authors for this thought-provoking topic; however, there are a few queries that need to be addressed:
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1.
It is nowhere mentioned about the surgeons who performed these surgeries. This becomes important as it is a well-known fact that the incidence of surgical site infection differs from surgeon to surgeon [2].
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2.
Did any of the cases with surgical site infection have dural tears intraoperatively? Multiple previous studies have shown dural tear cases to have higher incidence of infection [3, 4].
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3.
When was the negative suction drain opened postoperatively?
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4.
How many levels were instrumented in the patients who had surgical site infection? [5]
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5.
How could traumatic spine patients take a bath before the day of surgery?
References
Salimi S, Khayat Kashani HR, Azhari S, Sadeghi S, Sheikhghomy S, Paryan P et al (2022) Local vancomycin therapy to reduce surgical site infection in adult spine surgery: a randomized prospective study. Eur Spine J 31(2):454–460
Ogihara S, Yamazaki T, Shiibashi M, Chikuda H, Maruyama T, Miyoshi K, Inanami H, Oshima Y, Azuma S, Kawamura N, Yamakawa K (2021) Risk factors for deep surgical site infection after posterior cervical spine surgery in adults: a multicentre observational cohort study. Sci Rep 11(1):1–9
Takenaka S, Makino T, Sakai Y, Kashii M, Iwasaki M, Yoshikawa H et al (2019) Dural tear is associated with an increased rate of other perioperative complications in primary lumbar spine surgery for degenerative diseases. Medicine 98(1):e13970
Aspalter S, Senker W, Radl C, Aichholzer M, Aufschnaiter-Hießböck K, Leitner C et al (2021) Accidental dural tears in minimally invasive spinal surgery for degenerative lumbar spine disease. Front Surg. https://doi.org/10.3389/fsurg.2021.708243
Yao R, Zhou H, Choma TJ, Kwon BK, Street J (2018) Surgical site infection in spine surgery: who is at risk? Global Spine J 8(4_suppl):5S-30S
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Kataria, M., Kumar, V. & Dhatt, S.S. Letter to the Editor concerning “Local vancomycin therapy to reduce surgical site infection in adult spine surgery: a randomized prospective study” by Salimi S, et al. (Eur Spine J [2022];31:454–460). Eur Spine J 32, 1089 (2023). https://doi.org/10.1007/s00586-022-07522-2
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DOI: https://doi.org/10.1007/s00586-022-07522-2