PRS AAPS Oral Proofs 2016
E. Hope Weissler, BA, Felipe Molina-Burbano, BA, Michael J. Ingargiola, MD, Nachi Gupta, MD, PhD, Christian Piña, MS, Peter J. Taub, MD
From the Icahn School of Medicine at Mount Sinai, New York, N.Y.
PURPOSE: The role of plastic surgery in wound closure after complications from previous spinal surgery is well established. This study evaluates wound complications after plastic surgeon closure of the index spinal case.
METHODS: Spinal surgeries performed by a single spinal surgeon and closed by a single plastic surgeon at a large academic hospital were reviewed. Outcomes were compared with published National Surgical Quality Improvement Program outcomes.
RESULTS: Five hundred twenty spinal surgeries were reviewed, of which 310 (60%) were lumbar and 210 (40%) cervical. One hundred twenty-six patients (24%) had prior spinal operations. The average patient age was 55 years, and the average body mass index was 30 kg/m2. Forty-one percent of patients had body mass index above 30 kg/m2. One hundred ninety-one patients had hypertension, 78 had diabetes mellitus, 42 had coronary artery disease, and 10 had COPD. Postsurgery, there were 2 superficial wound infections, 2 deep wound infections, and 1 wound dehiscence requiring reoperation. There were 12 reoperations within 30 days and 7 readmissions during the same period.
CONCLUSIONS: Although plastic surgeon involvement in spinal surgery is often after the development of complications, plastic surgeon closure of the index spinal case lead to decreased wound complication, readmission, and reoperation rates when compared with outcomes published from National Surgical Quality Improvement Program in similar populations. Given the cost consciousness of today’s healthcare climate, these improved complication, readmission, and reoperation rates may translate into higher value care and should be examined further.