Wound Closure After Posterior Multi-level Lumbar Spine Surgery: An Anatomical Cadaver Study and Technical Note.

Authors

Emre Yilmaz, Swedish Medical Center, Swedish Neuroscience InstituteFollow
Tamir Tawfik, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA.Follow
Thomas M O'Lynnger, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USAFollow
Joe Iwanaga
Ronen Blecher, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USAFollow
Amir Abdul-Jabbar, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USAFollow
R Shane Tubbs
Cameron K Schmidt
Rod J Oskouian, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USAFollow
Jens R Chapman, Swedish Neuroscience InstituteFollow

Document Type

Article

Publication Date

11-14-2018

Publication Title

Cureus

Keywords

fascia; lumbar; spine surgery; subcutaneous; technique; wound closure

Abstract

Meticulous attention to wound closure in posterior lumbar spine surgery is an important principle in reducing surgical site infections. We detail standardized wound closure used for posterior lumbar spine surgery at a tertiary care referral center and illustrate this as a step-by-step cadaveric dissection. The lumbar spine of a cadaveric specimen (male, 73 years at death) was used for dissection. Standardizing wound closure in posterior lumbar spine surgery may help limit wound complications and infection. Some key points of our technique, as demonstrated on a cadaveric specimen, include separating fascial compartments, avoiding suture abscesses, and creating a tension-free wound.

Clinical Institute

Neurosciences (Brain & Spine)

Department

Neurosciences

Department

Surgery

Department

Pathology & Laboratory Medicine

Recommended Citation

Yilmaz, Emre; Tawfik, Tamir; O'Lynnger, Thomas M; Iwanaga, Joe; Blecher, Ronen; Abdul-Jabbar, Amir; Tubbs, R Shane; Schmidt, Cameron K; Oskouian, Rod J; and Chapman, Jens R, "Wound Closure After Posterior Multi-level Lumbar Spine Surgery: An Anatomical Cadaver Study and Technical Note." (2018). Articles, Abstracts, and Reports. 1088.
https://digitalcommons.providence.org/publications/1088