{"id":"3585b236-4f55-42d8-9c99-65874710c3bf","slug":"when-does-a-spinal-surgeon-need-a-plastic-surgeon","title":"When does a spinal surgeon need a plastic surgeon?","authors":["Nancy E. Epstein"],"abstract":"Background: Spine surgeons often inquire about the necessity of involving plastic surgeons for closing primary and secondary adult instrumented spinal fusions (ISFs). Concerns arise regarding the potential for increased infection rates due to the prolonged use of multiple drains when complex muscle flaps are rotated by plastic surgeons. This study aims to evaluate the circumstances under which spine surgeons may require plastic surgical assistance. Methods: A questionnaire was distributed to the spine surgeons on the Editorial Board of Surgical Neurology International (SNI) Spine Supplement, querying their practices regarding the use of plastic surgery for closing primary and secondary ISF wounds. The responses from 19 surgeons, including both neurosurgeons and orthopedic surgeons from various institutions, were analyzed alongside a review of relevant literature. Results: The survey results indicated that none of the responding surgeons routinely utilized plastic surgeons for closing adult primary or secondary ISF wounds. Only 2 out of 19 surgeons reported using plastic surgery for primary closures in specific cases, while 12 rarely and 7 never involved plastic surgeons for secondary closures. Indications for plastic surgical involvement were primarily related to infections, radiation history, and complex wound scenarios. Conclusion: The findings suggest that the routine involvement of plastic surgeons in closing adult primary or secondary ISF wounds is uncommon among spine surgeons. However, in select secondary cases involving complications such as infection or prior radiation, the expertise of plastic surgeons may be beneficial. Keywords: spinal surgery, plastic surgery, instrumented spinal fusion, wound closure, infection, muscle flaps, neurosurgery, orthopedic surgery","thumbnailUrl":null,"publishDate":"2013-05-06T00:00:00.000Z","doi":"10.4103/2152-7806.111431","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/3585b236-4f55-42d8-9c99-65874710c3bf/pdf"}