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).

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). Results: Of 117 patients undergoing posterior cervical fusion, 89 (76%) were closed with interrupted suture and 28 (24%) with barbed suture. A variety of statistical tests were used to compare the two suture groups. In addition, numerical rating scale (NRS) neck pain (NP), NRS arm pain (AP), Neck Disability Index (NDI), and operative time were collected. The primary outcome of interest was wound complications, including surgical site infection (SSI), dehiscence, or hematoma. All patients 18 years old and above undergoing elective posterior cervical fusion were included. Methods: A retrospective review of demographics, past medical history, and operative and postoperative variables collected from a prospective registry between July 1, 2016, and Jwas undertaken. 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. 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.

Introduction: Posterior cervical spine approaches have been associated with increased rates of wound complications compared to anterior approaches. Department of Neurological Surgery, Vanderbilt University Medical Centerĭepartment of Orthopaedic Surgery, Vanderbilt University Medical Centerĭepartment of Neurological Surgery, Vanderbilt University Medical Center Department of Orthopaedic Surgery, Vanderbilt University Medical Center Center for Musculoskeletal Research, Vanderbilt University Medical Centerĭepartment of Neurological Surgery, Vanderbilt University Medical Center Department of Orthopaedic Surgery, Vanderbilt University Medical Center

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