{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:30:17Z","timestamp":1761903017199,"version":"build-2065373602"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Is there a higher risk of surgical site infection (SSI) after posterior lumbar spine surgeries closed with staples versus running subcuticular closures with absorbable suture (RSAS)?<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n After institutional review board approval, we retrospectively identified open posterior lumbar spine surgical closures utilizing skin staples (staples group: 123 cases) or RSAS (RSAS group: 382 cases) performed by three surgeons who used both methods (2018\u20132020).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The rate of deep SSI in the RSAS group was 1.8% versus 5.7% for the staples group. There were no significant differences in demographics, comorbidities, extent of surgery, and length of hospital stay between the two groups. Although there was a greater percentage of previous surgery at the same site in the RSAS group, their rate of SSI was still lower than that for the staples group.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Skin closure with skin staples appeared to have a greater risk for deep SSI (5.7%) versus RSAS (1.8%) for patients undergoing open posterior lumbar surgeries.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_988_2025","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:25:45Z","timestamp":1761902745000},"page":"457","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Running subcuticular skin closure with absorbable suture may have a lower deep surgical site infection rate compared to skin staples in open posterior lumbar spine surgery"],"prefix":"10.25259","volume":"16","author":[{"given":"Saechin","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John G.","family":"Massoud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Hanna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serafina F.","family":"Zotter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Schillinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles J.","family":"Culata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason J.","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie","family":"Kiers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark P.","family":"Cote","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"10.25259\/SNI_988_2025\/ref-1","first-page":"e63254","article-title":"A comparative study of wound infections following wound closure using staples and absorbable sutures among obese patients undergoing lumbar fusion surgery","volume":"16","author":"Akshay","year":"2024","journal-title":"Cureus"},{"key":"10.25259\/SNI_988_2025\/ref-2","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1007\/s00586-014-3202-5","article-title":"Surgical site infection in spinal surgery: A comparative study between 2-octyl-cyanoacrylate and staples for wound closure","volume":"23","author":"Ando","year":"2014","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_988_2025\/ref-3","doi-asserted-by":"crossref","first-page":"85","DOI":"10.25259\/SNI_135_2025","article-title":"Do drains alter the frequency of postoperative spinal epidural hematomas (SpEH) and surgical site infections (SSI) in predominantly lumbar spine surgery? Short review\/perspective","volume":"16","author":"Epstein","year":"2025","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_988_2025\/ref-4","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.spinee.2020.08.017","article-title":"Economic and clinical outcomes of spinal fusion surgeries with skin closure through skin staples plus waterproof wound dressings versus 2-octyl cyanoacrylate plus polymer mesh tape","volume":"21","author":"Johnston","year":"2021","journal-title":"Spine J"},{"key":"10.25259\/SNI_988_2025\/ref-5","doi-asserted-by":"crossref","first-page":"7675","DOI":"10.3390\/jcm13247675","article-title":"Risk of surgical site infection in posterior spine surgery using different closing techniques: A retrospective study of two neurosurgical centers","volume":"13","author":"Molliqaj","year":"2024","journal-title":"J Clin Med"},{"key":"10.25259\/SNI_988_2025\/ref-6","doi-asserted-by":"crossref","first-page":"2111","DOI":"10.1007\/s00586-020-06540-2","article-title":"Risk-benefit analysis of wound drain usage in spine surgery: A systematic review and meta-analysis with evidence summary","volume":"29","author":"Muthu","year":"2020","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_988_2025\/ref-7","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1007\/s00701-024-06227-3","article-title":"Wound healing after intracutaneous vs. staple-assisted skin closure in lumbar, non-instrumented spine surgery: A multicenter prospective randomized trial","volume":"166","author":"Romagna","year":"2024","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_988_2025\/ref-8","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1089\/sur.2019.212","article-title":"Nylon skin sutures carry a lower risk of post-operative infection than metal staples in open posterior spine surgery: A retrospective case-control study of 270 patients","volume":"21","author":"Shani","year":"2020","journal-title":"Surg Infect (Larchmt)"},{"key":"10.25259\/SNI_988_2025\/ref-9","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s11999-015-4209-x","article-title":"The Chitranjan Ranawat award: Running subcuticular closure enables the most robust perfusion after TKA: A randomized clinical trial","volume":"474","author":"Wyles","year":"2016","journal-title":"Clin Orthop Relat Res"},{"key":"10.25259\/SNI_988_2025\/ref-10","doi-asserted-by":"crossref","first-page":"e28836","DOI":"10.1097\/MD.0000000000028836","article-title":"Risk factors for surgical site infection following spinal surgery: A meta-analysis","volume":"101","author":"Zhang","year":"2022","journal-title":"Medicine (Baltimore)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/running-subcuticular-skin-closure-with-absorbable-suture-may-have-a-lower-deep-surgical-site-infection-rate-compared-to-skin-staples-in-open-posterior-lumbar-spine-surgery\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/running-subcuticular-skin-closure-with-absorbable-suture-may-have-a-lower-deep-surgical-site-infection-rate-compared-to-skin-staples-in-open-posterior-lumbar-spine-surgery\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:26:10Z","timestamp":1761902770000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/running-subcuticular-skin-closure-with-absorbable-suture-may-have-a-lower-deep-surgical-site-infection-rate-compared-to-skin-staples-in-open-posterior-lumbar-spine-surgery\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":10,"alternative-id":["10.25259\/SNI_988_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_988_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"type":"electronic","value":"2152-7806"},{"type":"print","value":"2229-5097"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"article-number":"457"}}