The Effects of Revision Spine Surgery on Outcomes

Risk factors for wound complications include previous sponking, irradiation, use of instrumentation, and revision surgery. Delayed soft tissue reconstruction has a two-fold higher wound complication rate compared to immediate reconstruction. In patients with multiple spinal metastases on their initial presentation and a high index of suspicion for a primary source, for example an elevated PSA pointing to prostate cancer, staging and diagnostic studies can be ordered together since they are necessary to establish a diagnosis and to initiate treatment.