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Wound healing without drains in posterior spinal fusion in idiopathic scoliosis
Abdulmonem Alsiddiky1, Kaleem Ahmed Nisar, Fahad Alhuzaimi
1Department of Orthopaedics, Research Chair of Spinal Deformities, College of Medicine, King Saud University, Riyadh, Saudi Arabia. alsiddiky@hotmail.com
Objective:
To determine the frequency of wound infection and neurological injuries in patients with idiopathic scoliosis who underwent posterior spinal fusion without use of drains.
Study Design:
Case series.
Place And Duration Of Study:
Department of Orthopaedics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia, from February 2007 to June 2010.
Methodology:
Patients who underwent similar technique of posterior spinal fusion instrumentation for the correction of scoliosis without use of drain were included. Wound Demographics, wound healing, complications and duration of hospital stay were considered and described as frequency and mean values.
Results:
The average age at the time of surgery was 12.80 ± 1.30 years, duration of surgery was 3.80 ± 0.86 hours, hospital stay was 3.84 ± 0.78 days and patients were followed-up over the last 30 months. There was no incidence of any neurological complication and deep infection. However, only 2 (4.16%) cases with superficial skin infection were treated with dressing and antibiotics with full recovery.
Conclusion:
The wound healing is adequate without using drain for patients with idiopathic scoliosis who underwent posterior spinal fusion and instrumentation when good wash, watertight closure technique and appropriate antibiotics coverage is provided.
