Prophylactic Paraspinous Flap Closure in Spine Surgery Patients at High Risk of Wound Complication: Single-Institutional Experience with 257 Patients Across Diverse Indications
Prophylactic flap closure was associated with wound complication rates consistent with the literature in cohorts with substantial comorbidity burden. Outcomes were predominantly influenced by procedural factors rather than baseline patient characteristics. The findings support the feasibility of prophylactic flap closure in high-risk patients across the spectrum of spinal indications. Controlled studies are necessary to evaluate effectiveness.
Authors
- Nikhil Sobti
- Carl Porto
- Patricia L. Zadnik Sullivan
- Tianyi Niu (ORCID: https://orcid.org/0000-0003-4159-5365)
- Csaba Eke (ORCID: https://orcid.org/0000-0002-0031-4304)
- Rahul A. Sastry (ORCID: https://orcid.org/0000-0001-5129-2179)
- Owen P. Leary (ORCID: https://orcid.org/0000-0002-6282-828X)
- Albert E. Telfeian (ORCID: https://orcid.org/0000-0002-5069-7112)
- Jared Fridley (ORCID: https://orcid.org/0000-0002-6336-5950)
- Adetokunbo A. Oyelese (ORCID: https://orcid.org/0000-0001-8625-6098)
- Felicia Sun
- Mary Lou (ORCID: https://orcid.org/0009-0006-9179-1099)
- Ziya L. Gokaslan (ORCID: https://orcid.org/0000-0003-3187-5697)
- Mohnish Nadella
- Patrick Barhouse (ORCID: https://orcid.org/0000-0002-8487-4447)
- Paul Y. Liu
- Akash Nadella
- Weston C de Lomba
- Alexander A. Chernysh (ORCID: https://orcid.org/0009-0007-0292-1494)
- Justin Lim
- Sophia Ahn
- Albert S. Woo
- Christian Schroeder ScM
Institutions
- Brown University (US)
- Rhode Island Hospital (US)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-11-25
- DOI
- https://doi.org/10.1016/j.wneu.2025.124663
- Primary Topic
- Surgical site infection prevention
- Type
- article
- Field-Weighted Citation Impact
- 0.00