Spinal Cord Injury Clinical Trial
Official title:
A Prospective Randomized Clinical Trial Comparing Incisional Negative Pressure Wound Therapy to Conventional Sterile Dressing in Patients Undergoing Thoracolumbar Posterior Spine Surgery
The purpose of this study is to determine if the use of the Prevena™ System decreases the rate of subcutaneous seroma, superficial wound dehiscence and infection.
Certain risk factors have been identified in patients that may lead to poor wound healing or
infection. Many things have been tried to decrease this risk (more antibiotics, different
types of stitches, etc) but very few have been shown to be of any significant benefit.
The use of a special vacuum dressing called the Prevena™ System, which has received approval
from Health Canada for the management of closed surgical incisions, has been shown to be of
some benefit in hip surgery where wounds are identified as being "at risk." Vacuum dressings
have been used with great success in patients with open wounds and have resulted in fewer
infections and wound related complications. It is thought that if vacuum dressings can be
used in the treatment of existing wounds, then maybe they can be used preventatively before
there is a problem with the wound.
Standard wound care after spine surgery involves a dressing that seals the wound for 72 hours
after surgery and is then changed on a daily basis until the surgical sutures or staples are
ready to be removed. This has been routine for many years.
The purpose of this study is to see if using a vacuum dressing (Prevena™ System) will
decrease the number of infections and/or clinic and hospital visits for wound related issues
compared to using a standard dressing on wounds in patients with risk factors for early wound
infection.
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