Should infected wounds undergo primary closure or a two-stage closure?

Authors: Carles Pigrau, Gregory Schroeder

RECOMMENDATION: The current recommended practice for spine wounds remains primary closure in the majority of postoperative infections. However, there may be circumstances when primary closure of the wound may not be possible or preferred. This may include patients with grossly contaminated traumatic wounds, patients with persistent wound drainage when attempts to address drainage have failed or patients with severe soft tissue loss when primary closure is not possible.

LEVEL OF EVIDENCE: Consensus

DELEGATE VOTE: Agree: 93%, Disagree: 0%, Abstain: 7% (Super Majority, Strong Consensus)

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