fascia; lumbar; spine surgery; subcutaneous; technique; wound closure
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.
Neurosciences (Brain & Spine)
Pathology & Laboratory Medicine
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.