Surgical associated factors — preoperative radiation/postoperative blood transfusion , combined anterior/posterior approach , surgical invasiveness , or levels of instrumentation were associated with increased SSI .
There is mixed evidence of age , duration of surgery , surgical team , intraoperative blood loss , dural tear , and urinary tract infection/urinary catheter in association with SSI .
Conclusion : SSIs are associated with many risk factors that can be patient or surgically related .
Objective : To perform a review of SSI risk factors and more specifically , categorize them into patient and surgical factors .
Surgical site infections following operative management of cervical spondylotic myelopathy: prevalence, predictors of occurence, and influence on peri-operative outcomes
Purpose Studies have examined  infection rates following spine surgery  and their relationship to post-operative complications and increased length of stay . Few studies , however , have investigated predictors of infection , specifically in the setting of operative intervention for cervical spondylotic myelopathy ( CSM ) . This study aims to identify the incidence and factors predictive of infection amongst this cohort . Methods This study performed a retrospective review of the prospect ively collected American College of Surgeons National Surgical Quality Improvement Program ( NSQIP ) data base . Patients included those treated surgically for CSM ( ICD-9 code 721.1 ) from 2010 to 2012 . Patient demographics and surgical data were collected with outcome variables including the occurrence of one of the following surgical site infections ( SSIs ) within 30 days of index operation : superficial SSI , deep incisional SSI , and organ/space SSI . Results 3057 patients were included in this analysis .  Overall infection rate was 1.15 % ( 35/3057 ) , of which 54.3 % ( 19/35 ) were superficial SSIs , 28.6 % ( 10/35 ) were deep incisional SSI , and 20 % ( 7/35 ) were peri-spinal SSI . Logistic regression revealed factors associated with SSI included : higher BMI [ OR 1.162 ( CI 1.269–1.064 ) , p = 0.001 ] and operative time ≥208 min [ OR 4.769 ( CI 20.220–1.125 ) , p = 0.034 ] . Conclusions The overall SSI rate for the examined CSM cohort was 1.15 % . This study identified increased BMI and operative time ≥208 min as predictors of infection in surgical CSM patients . This information should be carefully considered in delivering patient education and future efforts to optimize risk in CSM patients indicated for surgical intervention
Surgical associated factors — preoperative radiation/postoperative blood transfusion , combined anterior/posterior approach , surgical invasiveness , or levels of instrumentation were associated with increased SSI .
There is mixed evidence of age , duration of surgery , surgical team , intraoperative blood loss , dural tear , and urinary tract infection/urinary catheter in association with SSI .
Conclusion : SSIs are associated with many risk factors that can be patient or surgically related .
Objective : To perform a review of SSI risk factors and more specifically , categorize them into patient and surgical factors .