Summary
Increased preoperative instrument exposure has been hypothesized to contribute to a greater risk of postoperative surgical site infection (SSI) in spine surgery. As such, a quality practice intervention (QPI) was implemented to reduce the instruments uncovered time (IUT) for VEPTR implantation. Reductions in IUT were significantly associated with decreased incidence of SSIs. In a multivariate logistic regression model controlling for significant confounders, IUTs exceeding 100 minutes were associated with 8.5 times the odds of developing a SSI.
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Author disclosures: Diane Hartman: None. Robert Campbell: None. Nikita Lakomkin: None. John Flynn: Biomet; Wolters Kluwer Health — Lippincott Williams & Wilkins; AAOS; American Board of Orthopedic Surgery, Inc.; Orthopedics Today; Pediatric Orthopaedic Society of North America; Scoliosis Research Society. Michael Nance: None. Thane Blinman: None. Oscar H. Mayer: Bristol-Myers Squib, Santhera Pharma, Catabasis Pharma. Howard Pantich: Philips Respironics. Anthony Capraro: None. Jesse Taylor, Brian Hanna: None. Keith Baldwin: None. Patrick Cahill: AAOS; Journal of Bone and Joint Surgery — American; Pediatric Orthopaedic Society of North America; Scoliosis Research Society; Spine Deformity. Lloydine Jacobs.
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Hartman, D., Campbell, R., Lakomkin, N. et al. Paper #36: Limiting Pre-Incision Instrument Uncovered Time via Quality Practice Intervention Decreases VEPTR Implantation Surgical Site Infections. Spine Deform 4, 463 (2016). https://doi.org/10.1016/j.jspd.2016.09.041
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DOI: https://doi.org/10.1016/j.jspd.2016.09.041