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A Novel Knotless Barbed Suture Technique for Traumatic Thoracolumbar Fracture in Posterior Surgery

A Novel Knotless Barbed Suture Technique for Traumatic Thoracolumbar Fracture in Posterior Surgery

World Neurosurgery: -

Surgical wound closure directly influence the spinal surgical efficiency and several postoperative complications. Traditional suture technique is time-consuming, and associated with higher rates of complications, bidirectional absorbable barbed suture seem to compensate for some of the limitations of traditional suture, however, rarely reported in using on spinal surgery, we design a novel suture technique and in using on thoracolumbar spinal surgery. The data of 189 patients with traumatic thoracolumbar fractures were analyzed between bidirectional barbed suture closure and traditional interrupted suture closure. Data of operative time, wound closure time, length of incision, intra-operative blood loss, complications of wound dehiscence and postoperative hematoma, cost and neurologic status were collected. No significant differences were observed about baseline demographics of included patients. Compared to traditional suturing group, the barbed sutures decreased the mean operative time (P=0.037), suture time (P<0.01), mean suturing time (P<0.01) significantly, still no statistically significant differences were found in blood loss (P=0.724), neurologic functional scores (preoperative: P=0.901; 3 months after surgery: P=0.208; final follow-up assessments: P=0.163), and no statistically significant differences in rates of postoperative infection, hematoma and wound dehiscence. Our study suggested that the novel knotless barbed suture had comparable strength to the traditional suture, with advantage of less suturing time. It is an efficient, safe technique and alternative choice for thoracolumbar fracture patients after posterior surgery.

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Accession: 048021993

Download citation: RISBibTeXText

PMID: 29597020

DOI: 10.1016/j.wneu.2018.03.138

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