ArticleFrontiers in surgery2026
Risk factors for surgical site infection following posterior internal fixation of thoracolumbar fractures.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Surgical site infection (SSI) following posterior internal fixation of thoracolumbar fractures constitutes a severe complication that adversely impacts patient recovery. Despite its clinical significance, there remains a paucity of research investigating the risk factors associated with SSI. Therefore, this study aimed to explore these risk factors and propose potential therapeutic strategies. Methods: A retrospective analysis was conducted on 157 patients who underwent posterior internal fixation for thoracolumbar fractures at the Department of Orthopedics, Affiliated Hospital of Yan'an University, between February 2017 and October 2021. Patients were stratified into an infection group ( Results: Univariate analysis revealed significant differences between groups in intraoperative blood loss (≥400 mL), preoperative ALB (<30 g/L), preoperative RBC, postoperative HB, postoperative RBC, surgical incision length, and number of internal fixation segments between groups (all Conclusion: Preoperative hypoalbuminemia (<30 g/L) and intraoperative blood loss (≥400 mL) are associated with an elevated risk of SSI following posterior internal fixation of thoracolumbar fractures. Implementing effective perioperative management strategies is crucial to mitigate the incidence of SSI.
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