TITLE:
Analysis of Risk Factors for Incisional Infection after Spinal Tumor Resection
AUTHORS:
Xiaoqiong Zheng, Hongying Zhang, Xinyi Liang
KEYWORDS:
Incisional Infection, Risk Factors, Spinal Tumor Surgery
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.15 No.4,
September
23,
2025
ABSTRACT: Objective: To identify risk factors for postoperative incision infection in patients with spinal tumors, thereby providing a reference for reducing the incidence of postoperative wound infection. Methods: This study retrospectively analyzed 195 patients who underwent posterior open spinal tumor resection at our hospital from January 2024 to January 2025. Patients were divided into an observation group (20 cases with wound infection) and a control group (175 cases without wound infection) according to the presence of wound infection. The influence of eighteen variables on wound infection was comparatively assessed, including gender, age, BMI, history of diabetes, history of hypertension, smoking history, history of radiotherapy at the surgical site, preoperative hypoalbuminemia, disease duration, operative time, intraoperative blood loss, use of internal fixation, same-segment repeat surgery, surgical site, wound size, number of tumor resection segments, duration of wound drainage tube placement, and presence of postoperative cerebrospinal fluid leak. Conclusion: History of radiotherapy at the surgical site, preoperative hypoalbuminemia, and duration of wound drainage tube placement were identified as independent risk factors for the occurrence of wound infection (P 0.05). Comprehensive preoperative assessment of patients is essential, and risk factors should be carefully considered in surgical planning. Timely removal of the drainage tube after surgery is recommended to reduce the risk of wound infection.