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Research ArticleComplications

The Temporality of Deep Surgical Site Infection Rates Following Spinal Laminectomy and Fusion

Jason B. Kreinces, Mackenzie A. Roof, Scott Friedlander, Shengnan Huang, Joseph A. Bosco and Charla Fischer
International Journal of Spine Surgery September 2022, 8358; DOI: https://doi.org/10.14444/8358
Jason B. Kreinces
1 Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA
BS
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Mackenzie A. Roof
1 Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA
MD
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Scott Friedlander
1 Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA
MPH
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Shengnan Huang
1 Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA
MS
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Joseph A. Bosco III
1 Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA
MD
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Charla Fischer
1 Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA
MD
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Article Figures & Data

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    Table 1

    Poisson regression for the effect of season on dSSI rates over time (laminectomy and spinal fusion/revision fusion).

    PeriodPatients (n = 22,568)No. of dSSI (n = 225)dSSI Rate (%)Rate Ratio (95% CI)a P Value
    Overall22,5682250.990.91 (0.87, 0.95) <0.01
    Season
     Summer (reference variable)5868661.12-----
     Fall5081400.790.67 (0.45, 0.99)0.05
     Winter5552550.990.87 (0.61, 1.25)>0.05
     Spring6067641.050.94 (0.61, 1.25)>0.05
    • Abbreviation: dSSI, deep surgical site infection.

    • Note: Boldface indicates statistically significant findings.

    • ↵a Rate ratio obtained from Poisson regression.

    • View popup
    Table 2

    Poisson regression for the effect of season on dSSI rates over time (laminectomy).

    Time PeriodPatients (n = 7931)No. of dSSI (n = 38)dSSI Rate (%)Rate Ratio (95% CI)a P Value
    Overall7931380.481.02 (0.90, 1.15)>0.05
    Season
     Summer (reference variable)2088150.72-----
     Fall172580.460.65 (0.28, 1.54)>0.05
     Winter195280.410.57 (0.24, 1.35)>0.05
     Spring216670.320.45 (0.18, 1.10)>0.05
    • Abbreviation: dSSI, deep surgical site infection.

    • ↵a Rate ratio obtained from Poisson regression.

    • View popup
    Table 3

    Poisson regression for the effect of season on dSSI rates over time (spinal fusion/revision fusion).

    PeriodPatients (n = 14,637)No. of dSSI (n = 180)dSSI Rate (%)Rate Ratio (95% CI)a P Value
    Overall14,6371801.230.89 (0.84, 0.94) <0.01
    Season
     Summer (reference variable)3780501.32------
     Fall3356290.860.62 (0.39, 0.98) <0.05
     Winter3600471.310.98 (0.66, 1.46)>0.05
     Spring3901541.381.05 (0.71, 1.54)>0.05
    • Abbreviation: dSSI, deep surgical site infection.

    • Note: Boldface indicates statistically significant findings.

    • ↵a Rate ratio obtained from Poisson regression.

    • View popup
    Table 4

    Poisson regression for the effect of month on dSSI rates over time (laminectomy and fusion/revision fusion).

    PeriodPatients (n = 22,568)No. of dSSI (n = 225)dSSI Rate (%)Rate Ratio (95% CI)a P Value
    Overall22,5682250.990.90 (0.86, 0.94) <0.01
    Month
     July (reference variable)1882211.12------
     January2039221.081.09 (0.60, 1.98)>0.05
     February1895170.890.91 (0.48, 1.73)>0.05
     March2107170.810.79 (0.42, 1.51)>0.05
     April1944221.131.35 (0.74, 2.45)>0.05
     May2016251.241.11 (0.62, 1.99)>0.05
     June2052231.121.05 (0.58, 1.90)>0.05
     August1897221.161.13 (0.62, 2.06)>0.05
     September1642160.971.04 (0.54, 1.99)>0.05
     October1764130.740.62 (0.31, 1.24)>0.05
     November1675110.660.82 (0.40, 1.70)>0.05
     December1618160.990.92 (0.48, 1.76)>0.05
    • Abbreviation: dSSI, deep surgical site infection.

    • Note: Boldface indicates statistically significant findings.

    • ↵a Rate ratio obtained from Poisson regression.

    • View popup
    Table 5

    Poisson regression for the effect of month on dSSI rates over time (laminectomy).

    PeriodPatients (n = 7931)No. of dSSI (n = 128)dSSI Rate (%)Rate Ratio (95% CI)a P Value
    Overall79311281.641.02 (0.90, 1.15)>0.05
    Month
     July (reference variable)76670.91------
     January59010.170.15 (0.02, 1.26)>0.05
     February67430.450.46 (0.12, 1.76)>0.05
     March78410.130.15 (0.02, 1.21)>0.05
     April67820.290.39 (0.08, 1.90)>0.05
     May70440.570.63 (0.18, 2.15)>0.05
     June73440.540.53 (0.16, 1.82)>0.05
     August67240.590.68 (0.20, 2.31)>0.05
     September55040.730.78 (0.23, 2.65)>0.05
     October62510.160.17 (0.02, 1.38)>0.05
     November55030.550.83 (0.21, 3.20)>0.05
     December60440.660.71 (0.21, 2.45)>0.05
    • Abbreviation: dSSI, deep surgical site infection.

    • ↵a Rate ratio obtained from Poisson regression.

    • View popup
    Table 6

    Poisson regression for the effect of month on dSSI rates over time (spinal fusion).

    PeriodPatients (n = 15,376)No. of dSSI (n = 176)dSSI Rate (%)Rate Ratio (95% CI)a P Value
    Overall15,3761761.140.88 (0.84, 0.93) <0.01
    Month
     July (reference variable)1200141.17------
     January1150221.911.49 (0.76, 2.94)>0.05
     February1264141.111.13 (0.54, 2.38)>0.05
     March1323151.131.16 (0.56, 2.41)>0.05
     April1266201.561.86 (0.94, 3.68) 0.04
     May1312191.401.35 (0.68, 2.70)>0.05
     June1355191.361.34 (0.67, 2.66)>0.05
     August1225171.391.48 (0.73, 3.01)>0.05
     September1092121.101.17 (0.54, 2.53)>0.05
     October1139110.970.91 (0.41, 2.00)>0.05
     November112560.530.76 (0.29, 1.98)>0.05
     December1014121.181.05 (0.49, 2.28)>0.05
    • Abbreviation: dSSI, deep surgical site infection.

    • Note: Boldface indicates statistically significant findings.

    • ↵a Rate ratio obtained from Poisson regression.

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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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The Temporality of Deep Surgical Site Infection Rates Following Spinal Laminectomy and Fusion
Jason B. Kreinces, Mackenzie A. Roof, Scott Friedlander, Shengnan Huang, Joseph A. Bosco, Charla Fischer
International Journal of Spine Surgery Sep 2022, 8358; DOI: 10.14444/8358

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The Temporality of Deep Surgical Site Infection Rates Following Spinal Laminectomy and Fusion
Jason B. Kreinces, Mackenzie A. Roof, Scott Friedlander, Shengnan Huang, Joseph A. Bosco, Charla Fischer
International Journal of Spine Surgery Sep 2022, 8358; DOI: 10.14444/8358
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Keywords

  • surgical site infections
  • laminectomy
  • spinal fusion
  • seasonal variability
  • monthly variability
  • yearly variability

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