PMID- 36561159
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221224
IS  - 2432-261X (Electronic)
IS  - 2432-261X (Linking)
VI  - 6
IP  - 6
DP  - 2022 Nov 27
TI  - Barbed Suture versus Interrupted Suture in Posterior Cervical Spine Surgery: Are 
      They Equivalent?
PG  - 645-653
LID - 10.22603/ssrr.2022-0076 [doi]
AB  - INTRODUCTION: Posterior cervical spine approaches have been associated with 
      increased rates of wound complications compared to anterior approaches. While 
      barbed suture wound closure for lumbar spine surgery has been shown to be safe 
      and efficacious, there is no literature regarding its use in posterior cervical 
      spine surgery. In a cohort of patients undergoing elective posterior cervical 
      spine surgery, we sought to compare postoperative complication rates between 
      barbed and traditional interrupted suture closure. METHODS: A retrospective 
      review of demographics, past medical history, and operative and postoperative 
      variables collected from a prospective registry between July 1, 2016, and June 
      30, 2020 was undertaken. All patients 18 years old and above undergoing elective 
      posterior cervical fusion were included. The primary outcome of interest was 
      wound complications, including surgical site infection (SSI), dehiscence, or 
      hematoma. In addition, numerical rating scale (NRS) neck pain (NP), NRS arm pain 
      (AP), Neck Disability Index (NDI), and operative time were collected. A variety 
      of statistical tests were used to compare the two suture groups. RESULTS: Of 117 
      patients undergoing posterior cervical fusion, 89 (76%) were closed with 
      interrupted suture and 28 (24%) with barbed suture. The interrupted cohort were 
      more likely to have >1 comorbidity (p<0.001), diabetes mellitus (p=0.013), and 
      coronary artery disease (p=0.002). No difference in postoperative wound 
      complications between interrupted/barbed sutures was observed after univariate 
      (OR 1.07, 95% CI: 0.27-4.25, p=0.927) and multivariable logistic regression 
      analysis (OR 0.77, 95% CI: 0.15-4.00, p=0.756). Univariate logistic regression 
      revealed no differences in achieving minimal clinically important difference 
      (MCID) NRS-NP (OR 0.73, 95% CI: 0.28-1.88, p=0.508) or NRS-AP (OR 0.68, 95% CI: 
      0.25-1.90, p=0.464) at 3 months between suture groups. The interrupted suture 
      group was less likely to achieve MCID NDI at 3 months (OR 0.29, 95% CI: 
      0.11-0.80, p=0.016). CONCLUSIONS: Barbed suture closure in posterior cervical 
      spine surgery does not lead to higher rates of postoperative wound 
      complications/SSI compared to traditional interrupted fascial closure.
CI  - Copyright (c) 2022 The Japanese Society for Spine Surgery and Related Research.
FAU - Tang, Alan R
AU  - Tang AR
AD  - Department of Neurological Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
FAU - Steinle, Anthony M
AU  - Steinle AM
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
FAU - Chanbour, Hani
AU  - Chanbour H
AD  - Department of Neurological Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
FAU - Emeka-Ibe, Godwin
AU  - Emeka-Ibe G
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
FAU - Stephens, Byron F
AU  - Stephens BF
AD  - Department of Neurological Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
AD  - Center for Musculoskeletal Research, Vanderbilt University Medical Center, 
      Nashville, United States.
FAU - Zuckerman, Scott L
AU  - Zuckerman SL
AD  - Department of Neurological Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
FAU - Abtahi, Amir M
AU  - Abtahi AM
AD  - Department of Neurological Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, United States.
AD  - Center for Musculoskeletal Research, Vanderbilt University Medical Center, 
      Nashville, United States.
LA  - eng
PT  - Journal Article
DEP - 20220628
PL  - Japan
TA  - Spine Surg Relat Res
JT  - Spine surgery and related research
JID - 101718059
PMC - PMC9747217
OTO - NOTNLM
OT  - barbed suture
OT  - interrupted suture
OT  - patient-reported outcomes
OT  - postoperative complications
OT  - wound closure
COIS- Conflicts of Interest: Dr. Stephens reports educational consulting for Medical 
      Device Business Services and a grant from Stryker Spine [R1160501]. None were 
      declared by the remaining authors.
EDAT- 2022/12/24 06:00
MHDA- 2022/12/24 06:01
PMCR- 2022/06/28
CRDT- 2022/12/23 02:18
PHST- 2022/03/30 00:00 [received]
PHST- 2022/05/06 00:00 [accepted]
PHST- 2022/12/23 02:18 [entrez]
PHST- 2022/12/24 06:00 [pubmed]
PHST- 2022/12/24 06:01 [medline]
PHST- 2022/06/28 00:00 [pmc-release]
AID - 10.22603/ssrr.2022-0076 [doi]
PST - epublish
SO  - Spine Surg Relat Res. 2022 Jun 28;6(6):645-653. doi: 10.22603/ssrr.2022-0076. 
      eCollection 2022 Nov 27.