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Research ArticleComplications

Is Sarcopenia a Risk Factor for Postoperative Surgical Site Infection After Posterior Lumbar Spinal Fusion?

Francesca Barile, Alberto Ruffilli, Michele Fiore, Marco Manzetti, Giuseppe Geraci, Giovanni Viroli and Cesare Faldini
International Journal of Spine Surgery August 2022, 16 (4) 735-739; DOI: https://doi.org/10.14444/8302
Francesca Barile
1 First Orthopaedic and Traumatologic Clinic – IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy
MD
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Alberto Ruffilli
1 First Orthopaedic and Traumatologic Clinic – IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy
MD, PhD
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Michele Fiore
1 First Orthopaedic and Traumatologic Clinic – IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy
MD
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Marco Manzetti
1 First Orthopaedic and Traumatologic Clinic – IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy
MD
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Giuseppe Geraci
1 First Orthopaedic and Traumatologic Clinic – IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy
MD
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Giovanni Viroli
1 First Orthopaedic and Traumatologic Clinic – IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy
MD
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Cesare Faldini
1 First Orthopaedic and Traumatologic Clinic – IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy
MD
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    Table

    Baseline characteristic differences for high vs low PLVI groups and for infected vs noninfected groups.

    CharacteristicsTotalLow PLVI
    <0.74
    High PLVI
    ≥0.74
    P ValueNoninfectedInfected P Value
    n 30415415028024
    Age at surgery, y, mean ± SD64 ± 5.964.6 ± 6.063.6 ± 5.90.27363.9 ± 5.866.2 ± 7.00.096
    Gender, M/F149/15547/107104/46<0.001 136/14413/110.599
    Body mass index, mean ± SD26.8 ± 3.525.2 ± 4.328.1 ± 3.50.31325 ± 4.727.2 ± 4.00.202
    Diabetes mellitus, n 2612140.6312240.139
    Smoking history, n 6836320.6706080.058
    Charlson Comorbidity Index, mean ± SD2.5 ± 1.32.8 ± 1.62.3 ± 1.00.2182.4 ± 1.23.6 ± 1.9 0.008
    American Society of Anesthesiology score, mean ± SD2.0 ± 0.62.1 ± 0.62.0 ± 0.60.6632 ± 0.52.4 ± 0.8 0.017
    Length of stay, d, mean ± SD7.3 ± 5.69.9 ± 8.67.9 ± 3.80.6259.7 ± 4.712.7 ± 13.50.075
    Operative time, min, mean ± SD191.4 ± 60.2185 ± 62.5197.4 ± 57.30.232188.9 ± 60.0214 ± 58.70.138
    Infection, n (%)24 (7.9%)12 (7.8%)12 (8%)0.947
    PLVI, mean ± SD0.74 ± 0.20.56 ± 0.10.85 ± 0.1 <0.001 0.75 ± 0.20.73 ± 0.20.686
    PLVI, low/high , n 154/150142/13812/120.947
    • Abbreviation: PLVI, psoas lumbar vertebral index.

    • Boldface indicates statistical significance.

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Is Sarcopenia a Risk Factor for Postoperative Surgical Site Infection After Posterior Lumbar Spinal Fusion?
Francesca Barile, Alberto Ruffilli, Michele Fiore, Marco Manzetti, Giuseppe Geraci, Giovanni Viroli, Cesare Faldini
International Journal of Spine Surgery Aug 2022, 16 (4) 735-739; DOI: 10.14444/8302

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Is Sarcopenia a Risk Factor for Postoperative Surgical Site Infection After Posterior Lumbar Spinal Fusion?
Francesca Barile, Alberto Ruffilli, Michele Fiore, Marco Manzetti, Giuseppe Geraci, Giovanni Viroli, Cesare Faldini
International Journal of Spine Surgery Aug 2022, 16 (4) 735-739; DOI: 10.14444/8302
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Keywords

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