Risk Factors for Pseudarthrosis After Surgical Site Infection of the Spine

DOUGLAS A. HOLLERN; BARRETT I. WOODS; NEIL V. SHAH; GREGORY D. SCHROEDER; CHRISTOPHER K. KEPLER; MARK F. KURD; I. DAVID KAYE; PAUL W. MILLHOUSE; BASSEL G. DIEBO; CARL B. PAULINO; ALAN S. HILIBRAND; ALEXANDER R. VACCARO; KRIS E. RADCLIFF

doi:10.14444/6068

Research ArticleComplications

Risk Factors for Pseudarthrosis After Surgical Site Infection of the Spine

DOUGLAS A. HOLLERN, BARRETT I. WOODS, NEIL V. SHAH, GREGORY D. SCHROEDER, CHRISTOPHER K. KEPLER, MARK F. KURD, I. DAVID KAYE, PAUL W. MILLHOUSE, BASSEL G. DIEBO, CARL B. PAULINO, ALAN S. HILIBRAND, ALEXANDER R. VACCARO and KRIS E. RADCLIFF

International Journal of Spine Surgery December 2019, 13 (6) 507-514; DOI: https://doi.org/10.14444/6068

DOUGLAS A. HOLLERN

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

3Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York

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BARRETT I. WOODS

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

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NEIL V. SHAH

3Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York

MD, MS

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GREGORY D. SCHROEDER

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

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CHRISTOPHER K. KEPLER

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

MD, MBA

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MARK F. KURD

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

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I. DAVID KAYE

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

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PAUL W. MILLHOUSE

3Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York

MD, MBA

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BASSEL G. DIEBO

3Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York

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CARL B. PAULINO

3Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York

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ALAN S. HILIBRAND

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

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ALEXANDER R. VACCARO

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

MD, PHD, MBA

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KRIS E. RADCLIFF

1Rothman Institute, Philadelphia, Pennsylvania

2Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

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Figure 1
Variable importance plot of the number of levels fused, showing a statistically significant association with the development of pseudarthrosis. The grey shadow spans the 95% confidence interval region.
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Figure 2
Variable importance plot of body mass index (BMI), showing a statistically significant association with the development of pseudarthrosis. The gray shadow spans the 95% confidence interval region.
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Figure 3
Number of levels fused associated with removal of hardware. The gray shadow spans the 95% confidence interval region.

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International Journal of Spine Surgery

Vol. 13, Issue 6

1 Dec 2019

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Risk Factors for Pseudarthrosis After Surgical Site Infection of the Spine

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Risk Factors for Pseudarthrosis After Surgical Site Infection of the Spine

International Journal of Spine Surgery Dec 2019, 13 (6) 507-514; DOI: 10.14444/6068

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Keywords

symptomatic pseudarthrosis
Risk factors
spinal fusion

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