Nuchal thickness and increased risk of surgical site infection in posterior cervical operations

Surgical site infections (SSI) are a common post-operative complication, which increase cost, length of stay, and morbidity. Many risk factors have been, identified including body mass index (BMI). The purpose of this study was to evaluate, whether nuchal thickness rather than BMI increases risk for...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2021-06, Vol.205, p.106653-106653, Article 106653
Main Authors: Porche, Ken, Lockney, Dennis T., Gooldy, Timothy, Kubilis, Paul, Murad, Gregory
Format: Article
Language:English
Subjects:
Anesthesia
Antibiotics
Back surgery
Body mass index
Bone surgery
Cervical spine
Delayed wound exposure
Diabetes
Diabetes mellitus
Infections
Morbidity
Mortality
Multivariate analysis
Neurology
Obesity
Patients
Posterior cervical
Postoperative complications
Risk factors
Smoking
Spine (cervical)
Surgical site infection
Surgical site infections
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Summary:Surgical site infections (SSI) are a common post-operative complication, which increase cost, length of stay, and morbidity. Many risk factors have been, identified including body mass index (BMI). The purpose of this study was to evaluate, whether nuchal thickness rather than BMI increases risk for post-operative SSI in, posterior approach cervical spine operations. A retrospective review of 180 patients who underwent posterior cervical spine, surgery at the University of Florida was performed. Nuchal thickness was measured, from the ventral most point of the spinous process of C5 to the skin on mid-sagittal preoperative, imaging. Diabetes status, BMI, smoking status, duration of anesthesia, prior, operations, and subcutaneous layer thickness was also collected. Infections were, identified according to the Centers for Disease Control (CDC) definitions for SSI. Univariate and multivariate analyses were performed by a biostatistician. Twenty patients (11%) had SSI. Smoking status, nuchal thickness of greater, than 55 mm or less than 29.8 mm, and subcutaneous fat thickness were all associated, with SSI. Age (OR 0.99, p = 0.45), diabetes (OR 0.50, p = 0.37), BMI (OR 1.03, p = 0.35), and use of intraoperative antibiotic powder (OR 0.62, p = 0.35) were not associated with, infection. On multivariate analysis (adjusted for smoking status), nuchal thickness, (p 
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2021.106653