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Related Experiment Video

Updated: Jun 16, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Plastic Surgery Involvement in Index Posterior Spine Surgery Reduces Complication Rates.

Lee M Hakami1, Robert G DeVito, Luke T Juckett

  • 1Department of Plastic Surgery, University of Virginia, Charlottesville, VA.

Annals of Plastic Surgery
|June 15, 2026
PubMed
Summary
This summary is machine-generated.

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Same-day plastic surgery closure for posterior spine surgery patients significantly reduces wound complications, reoperations, and hospital admissions. This approach improves outcomes compared to delayed plastic surgery intervention within a year.

Area of Science:

  • Spine Surgery
  • Plastic Surgery
  • Wound Complications

Background:

  • Plastic surgery is crucial for reconstructing complex back wounds post-posterior spine surgery.
  • This study investigates the timing of plastic surgery involvement and its impact on outcomes.

Purpose of the Study:

  • To examine the temporal relationship between plastic surgery intervention and posterior spine surgery.
  • To assess the effect of timing on postoperative complications.

Main Methods:

  • Utilized a national insurance database (2010-2019) for posterior spine surgery patients.
  • Compared 90-day wound complications, reoperations, ED visits, and admissions for same-day vs. delayed (within 1 year) plastic surgery closure.
  • Employed multivariate logistic regression to identify predictors of plastic surgery consultation.
Keywords:
flapplastic surgeryplastic surgery consultspine complicationspine flapspine reconstructionspine woundtrunk reconstruction

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Main Results:

  • Same-day plastic surgery closure showed significantly lower 90-day wound complications (25.2% vs. 70.8%) compared to within 1 month.
  • ED visits, hospital admissions, and reoperations were also significantly reduced with same-day intervention.
  • Predictors for plastic surgery consultation included spinal fracture, prior revision, extensive spinal fixation (3-6 or ≥13 segments), sacral fracture, male sex, and higher CCI.

Conclusions:

  • Same-day plastic surgery closure in posterior spine surgery patients is associated with improved outcomes.
  • This approach can decrease wound complications, hospital admissions, and reoperation rates.