Authors: Steven Schmitt , Christopher Kepler
RECOMMENDATION: Yes. Evidence suggests that vancomycin powder applied to the wound during spinal surgery reduces the risk of infection. However, the majority of studies lack a control arm and it is not known if vancomycin powder is better than antiseptic agents. There is insufficient evidence for or against the potential harm associated with this practice.
LEVEL OF EVIDENCE: Moderate
DELEGATE VOTE: Agree: 79%, Disagree: 14%, Abstain: 7% (Super Majority, Strong Consensus)S.124