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45 Results Found

  • Case Report
  • Open Access
5 Citations
3,965 Views
7 Pages

Hardware-Related Skin Erosion in Deep Brain Stimulation for Parkinson’s Disease: How Far Can We Go? An Illustrative Case Report

  • Pietro Zeppa,
  • Marco Fraccalvieri,
  • Chiara Fronda,
  • Enrico Lo Bue,
  • Laura Rizzi,
  • Virginia Caliendo and
  • Michele Maria Lanotte

15 December 2022

Skin erosion is a hardware-related complication commonly described after deep brain stimulation (DBS). Hardware exposure is often associated with the development of infection that can lead to implant removal. However, in selected cases, it is possibl...

  • Article
  • Open Access
3 Citations
2,347 Views
12 Pages

Managing Lead Fractures in Deep Brain Stimulation for Movement Disorders: A Decade-Long Case Series from a National Neurosurgical Centre

  • Chingiz Nurimanov,
  • Iroda Mammadinova,
  • Karashash Menlibayeva,
  • Seitzhan Aidarov,
  • Nurtay Nurakay,
  • Assylbek Kaliyev,
  • Yerbol Makhambetov and
  • Serik K. Akshulakov

10 December 2024

Background: Deep brain stimulation (DBS) is an effective treatment for movement disorders, but its long-term efficacy may be undermined by hardware complications such as lead fractures. These complications increase healthcare costs and necessitate su...

  • Article
  • Open Access
296 Views
16 Pages

28 December 2025

Background/Objectives: Symptomatic hardware removal remains the most frequent cause of reoperation after tibial tubercle osteotomy (TTO), with removal rates reported as high as 49%. Headless compression screws have been proposed as a low-profile alte...

  • Technical Note
  • Open Access
1 Citations
1,013 Views
11 Pages

Anterior and Posterior Syndesmotic Augmentation Using Nonabsorbable Suture Tape for Acute Syndesmotic Instability: A Technical Note

  • Si-Wook Lee,
  • Sung-Joon Yoon,
  • Ki-Jin Jung,
  • Eui-Dong Yeo,
  • Sung-Hun Won,
  • Chang-Hwa Hong,
  • Soon-Do Wang,
  • Yong-Chan Cho,
  • Jae-Young Ji and
  • Woo-Jong Kim
  • + 2 authors

24 March 2025

Background: Syndesmotic instability presents a significant challenge in orthopedic surgery, with no universally accepted treatment approach. Traditional methods, such as trans-syndesmotic screw fixation, remain widely used but are associated with com...

  • Review
  • Open Access
30 Citations
9,925 Views
18 Pages

Extracorporeal membrane oxygenation (ECMO) is an emerging treatment modality associated with a high frequency of antibiotic use. However, several covariables emerge during ECMO implementation, potentially jeopardizing the success of antimicrobial the...

  • Review
  • Open Access
8 Citations
5,965 Views
14 Pages

Bone Health Optimization in Adult Spinal Deformity Patients: A Narrative Review

  • Yousef A. Al-Najjar,
  • Danyal A. Quraishi,
  • Neerav Kumar and
  • Ibrahim Hussain

19 August 2024

Osteoporosis and low bone mineral density (BMD) pose significant challenges in adult spinal deformity surgery, increasing the risks of complications such as vertebral compression fractures, hardware failure, proximal junctional kyphosis/failure, and...

  • Review
  • Open Access
7 Citations
4,679 Views
27 Pages

Update on Shoulder Arthroplasties with Emphasis on Imaging

  • Jennifer S. Weaver,
  • Imran M. Omar,
  • Nicholson S. Chadwick,
  • Joanna L. Shechtel,
  • Jamie M. Elifritz,
  • Christopher L. Shultz and
  • Mihra S. Taljanovic

18 April 2023

Shoulder pain and dysfunction may significantly impact quality of life. If conservative measures fail, advanced disease is frequently treated with shoulder arthroplasty, which is currently the third most common joint replacement surgery following the...

  • Review
  • Open Access
1,009 Views
13 Pages

Complications and Ethical Challenges in Neurosurgery for Psychiatric Disorders

  • Cristina V. Torres Díaz,
  • Joaquín Luis Ayerbe Gracia,
  • Mónica Lara Almunia,
  • Gonzalo Olivares Granados,
  • Marta Navas García,
  • Paloma Pulido Rivas,
  • Marta Del Alamo De Pedro,
  • Rafael García De Sola and
  • Álvaro Moleón-Ruiz

2 December 2025

Functional neurosurgery has emerged as a potential therapeutic option for patients with severe, treatment-resistant psychiatric disorders such as obsessive–compulsive disorder (OCD) and major depressive disorder (MDD). Among the most studied in...

  • Systematic Review
  • Open Access
136 Views
19 Pages

Complications of Free Flap Reconstruction in Maxillary and Mandibular Defects: A Systematic Review and Meta-Analysis

  • Fabio Maglitto,
  • Stefania Troise,
  • Federica Calabria,
  • Serena Trotta,
  • Giovanni Salzano,
  • Luigi Angelo Vaira,
  • Vincenzo Abbate,
  • Paola Bonavolontà and
  • Giovanni Dell’Aversana Orabona

19 January 2026

Background: Microvascular osseous free flaps play a central role in head and neck reconstruction; surgeons often rely on fragmented and inconsistently reported data when counselling patients and planning reconstructive strategies. This systematic rev...

  • Review
  • Open Access
1,140 Views
17 Pages

Diagnostic and Therapeutic Particularities of Sepsis in Hemodialysis Patients

  • Maria-Daniela Tanasescu,
  • Andrei-Mihnea Rosu,
  • Alexandru Minca,
  • Andreea-Liana Rosu,
  • Maria-Mihaela Grigorie,
  • Delia Timofte and
  • Dorin Ionescu

22 September 2025

Background: Sepsis is a leading cause of morbidity and mortality among patients receiving maintenance hemodialysis (HD), reflecting a unique combination of immunologic dysfunction, comorbidities, and healthcare-related exposures. Despite advances in...

  • Article
  • Open Access
1,504 Views
12 Pages

28 May 2025

Background/Objectives: Distal radius fractures (DRFs) are among the most common fractures in the elderly, with increasing incidence due to population aging. Recent evidence questions the benefits of operative treatment, particularly in elderly patien...

  • Article
  • Open Access
1 Citations
1,577 Views
14 Pages

Intramedullary Nails vs. Locking Plates for Displaced Proximal Humerus Fractures in Patients over 60: A Comparative Clinical Study

  • Marco Simone Vaccalluzzo,
  • Marco Sapienza,
  • Sergio Valenti,
  • Benedetta Di Tomasi,
  • Ludovico Lucenti,
  • Vito Pavone and
  • Gianluca Testa

27 June 2025

Background: Displaced proximal humerus fractures (PHFs) in adults represent a common orthopedic challenge, especially in elderly patients with compromised bone quality. Intramedullary nails (IM) and locking plates (LP) are the most widely used fixati...

  • Systematic Review
  • Open Access
91 Views
12 Pages

Towards a Unified Terminology for Implant-Influenced Fractures: Implications for Musculoskeletal and Muscle–Implant Interaction Research

  • Giacomo Papotto,
  • Ignazio Prestianni,
  • Enrica Rosalia Cuffaro,
  • Alessio Ferrara,
  • Marco Ganci,
  • Calogero Cicio,
  • Alessandro Pietropaolo,
  • Marco Montemagno,
  • Saverio Comitini and
  • Rocco Ortuso
  • + 1 author

15 January 2026

Background: The global increase in orthopedic implant use—both for trauma fixation and arthroplasty—has profoundly transformed musculoskeletal surgery. As a consequence, fractures occurring in the presence of implants have become more fre...

  • Article
  • Open Access
26 Citations
2,086 Views
12 Pages

Resorbable Versus Titanium Rigid Fixation for Pediatric Mandibular Fractures: A Systematic Review, Institutional Experience and Comparative Analysis

  • Matthew E. Pontell,
  • Eva B. Niklinska,
  • Stephane A. Braun,
  • Nolan Jaeger,
  • Kevin J. Kelly and
  • Michael S. Golinko

Study Design: Pediatric mandible fractures mandate special consideration because of unerupted teeth, mixed dentition, facial growth and the inability to tolerate maxillomandibular fixation. No consensus exists as to whether resorbable or titanium pla...

  • Systematic Review
  • Open Access
4 Citations
2,607 Views
19 Pages

11 April 2023

Background: Posterior cervical decompression and fusion (PCF) is a common procedure for treating patients with multilevel degenerative cervical spine disease. The selection of lower instrumented vertebra (LIV) relative to the cervicothoracic junction...

  • Article
  • Open Access
24 Citations
5,211 Views
18 Pages

Voltages and currents in a memristor crossbar can be significantly affected due to nonideal effects such as parasitic source, line, and neuron resistance. These nonideal effects related to the parasitic resistance can cause the degradation of the neu...

  • Article
  • Open Access
399 Views
12 Pages

Microneedle-Array-Electrode-Based ECG with PPG Sensor for Cuffless Blood Pressure Estimation

  • Zeeshan Haider,
  • Daesoo Kim,
  • Soyoung Yang,
  • Sungmin Lee,
  • Hyunmoon Park and
  • Sungbo Cho

19 December 2025

Continuous blood pressure (BP) measurement is essential for real-time hypertension management and the prevention of related complications. To address this need, a cuffless BP estimation technique utilizing biosignals from wearable devices has gained...

  • Article
  • Open Access
20 Citations
2,797 Views
14 Pages

Coexisting Infinite Orbits in an Area-Preserving Lozi Map

  • Houzhen Li,
  • Kexin Li,
  • Mo Chen and
  • Bocheng Bao

3 October 2020

Extreme multistability with coexisting infinite orbits has been reported in many continuous memristor-based dynamical circuits and systems, but rarely in discrete dynamical systems. This paper reports the finding of initial values-related coexisting...

  • Article
  • Open Access
2 Citations
1,936 Views
8 Pages

Role of Dithiothreitol in Detection of Orthopaedic Implant-Associated Infections

  • Matthaios Bakalakos,
  • Christos Vlachos,
  • Margarita-Michaela Ampadiotaki,
  • Antonios Stylianakis,
  • Nikolaos Sipsas,
  • Spiros Pneumaticos and
  • John Vlamis

22 March 2024

Orthopaedic implant-associated infections (OIAIs) represent a notable complication of contemporary surgical procedures, exerting a considerable impact on patient outcomes and escalating healthcare expenditures. Prompt diagnosis holds paramount import...

  • Article
  • Open Access
395 Views
9 Pages

Exploring Socioeconomic Disparities in Mandibular Trauma: A Retrospective Cohort Analysis of Patient Profiles and Treatment Outcomes

  • Dylan Kahler,
  • Rebecca Gardella,
  • Sai Reddy,
  • Huaqing Zhao,
  • Mykal Gerald and
  • Christine Jones

Study Design: Retrospective Chart Review. Objective: Mandible fracture is a life-altering event, and its complications can have devastating consequences for patients. Patients are therefore well-served if providers can identify their risk factors and...

  • Article
  • Open Access
8 Citations
3,852 Views
19 Pages

An Integrated Design Approach for LCL-Type Inverter to Improve Its Adaptation in Weak Grid

  • Chen Zheng,
  • Yajuan Liu,
  • Shuming Liu,
  • Qionglin Li,
  • Shuangyin Dai,
  • Yuzheng Tang,
  • Bo Zhang and
  • Mingxuan Mao

9 July 2019

To improve the robustness of grid-connected inverter against grid impedance in a weak grid an integrated design method of LCL-filter parameters and controller parameters is proposed. In the method the inherent relation of LCL-filter parameters and co...

  • Review
  • Open Access
11 Citations
7,835 Views
13 Pages

The goal of this systematic review was to examine existing evidence on the effectiveness of early, progressive weight bearing on patients after traumatic lower extremity fractures and relate these findings to device/implant choice. A search of the li...

  • Review
  • Open Access
17 Citations
5,702 Views
21 Pages

Challenges in Contemporary Spine Surgery: A Comprehensive Review of Surgical, Technological, and Patient-Specific Issues

  • Emmanuel O. Mensah,
  • Joshua I. Chalif,
  • Jessica G. Baker,
  • Eric Chalif,
  • Jason Biundo and
  • Michael W. Groff

14 September 2024

Spine surgery has significantly progressed due to innovations in surgical techniques, technology, and a deeper understanding of spinal pathology. However, numerous challenges persist, complicating successful outcomes. Anatomical intricacies at transi...

  • Review
  • Open Access
7 Citations
10,807 Views
18 Pages

How to Choose a Shunt for Patients with Normal Pressure Hydrocephalus: A Short Guide to Selecting the Best Shunt Assembly

  • Juan Sahuquillo,
  • Katiuska Rosas,
  • Helena Calvo,
  • Aloma Alcina,
  • Dario Gándara,
  • Diego López-Bermeo and
  • Maria-Antonia Poca

15 March 2021

Most patients with hydrocephalus are still managed with the implantation of a cerebrospinal fluid (CSF) shunt in which the CSF flow is regulated by a differential-pressure valve (DPV). Our aim in this review is to discuss some basic concepts in fluid...

  • Review
  • Open Access
3,395 Views
19 Pages

Fracture-Related Infections: Current Status and Perspectives from the International Society of Antimicrobial Chemotherapy

  • Julie Lourtet-Hascoët,
  • Eric Bonnet,
  • Anna Maria Spera,
  • Tiziana Ascione,
  • Monica Chan,
  • Silvano Esposito,
  • Pasquale Pagliano,
  • Antonia Scobie,
  • Serhat Ünal and
  • Kordo Saeed
  • + 1 author

1 November 2025

Fracture-related infections (FRIs) represent a significant complication in orthopedic trauma care, often leading to delayed bone healing, prolonged hospital stays, and increased patient morbidity. Pathogenesis involves microbial contamination during...

  • Article
  • Open Access
823 Views
24 Pages

Bone Optimization for Perioperative Spine Patients: A Multidisciplinary Approach at a Single Academic Center

  • Maria Valentina Suarez-Nieto,
  • Karen Malacon,
  • Andrea Fox,
  • Mary Carmen Lopez Isidro,
  • Harsh Wadhwa,
  • Serena S. Hu and
  • Corinna C. Zygourakis

15 December 2025

Background: Osteoporosis and low bone mineral density are highly prevalent among patients undergoing spinal fusion, contributing to higher rates of hardware failure, revision surgery, and poor postoperative outcomes. Despite clear risks, perioperativ...

  • Article
  • Open Access
1,184 Views
11 Pages

Free vs. Local Tissue Transfer and Reconstruction in Pediatric Head and Neck Cancer Patients: A Comparable Complication Outcome Review

  • Valeria Mejia,
  • Asli Pekcan,
  • Melanie Bakovic,
  • Raina Kushal Patel,
  • Marvee Turk,
  • Idean Roohani,
  • Pasha Shakoori,
  • Mark Urata and
  • Jeffrey A. Hammoudeh

18 August 2025

Background and Objectives: Reconstructive outcomes following head and neck (H&N) cancer resection in pediatric patients remain understudied, particularly regarding the comparative efficacy of free versus local tissue transfer. Materials and Metho...

  • Case Report
  • Open Access
2,118 Views
12 Pages

Treatment of Pediatric Displaced Intraarticular Olecranon Fractures with Resorbable Poly-L-Lactic-Co-Glycolic Acid (PLGA) Pins and Polydioxanone (PDS) Loops

  • Zoltán Tóth,
  • Tamás Kassai,
  • Marcell Varga,
  • Tibor Molnár,
  • Eszter Antal,
  • Anna Gabriella Lamberti,
  • Hermann Nudelman,
  • Aba Lőrincz and
  • Gergő Józsa

28 February 2025

Background: Pediatric olecranon fractures, though rare, can be serious. Treatment varies by type and severity; displaced, intraarticular fractures usually need surgery, where biodegradable implants are emerging as an encouraging option to metal hardw...

  • Review
  • Open Access
10 Citations
7,017 Views
19 Pages

Reasons for Removal of Miniplates Used in Fixation of Maxillofacial Bone Fractures: Systematic Review and Meta-Analysis

  • Mohamed Jaber,
  • Nadin Abouseif,
  • Noor Ibrahim,
  • Mawada Hassan and
  • Alaa Mohamed El-Ameen

31 October 2023

Maxillofacial fractures are a prevalent occurrence, and the widespread use of miniplates to stabilize and secure these fractures during surgery is common. However, the post-surgical fate of these miniplates remains a subject of contention among surge...

  • Article
  • Open Access
5 Citations
3,042 Views
25 Pages

18 May 2023

During an emergency rescue operation, rescuers have to deal with many different health complications like cardiovascular, respiratory, neurological, psychiatric, etc. The identification process of the common health complications in rescue events is n...

  • Review
  • Open Access
17 Citations
4,012 Views
14 Pages

The Loop-Mediated Isothermal Amplification Technique in Periodontal Diagnostics: A Systematic Review

  • Marcin Lenkowski,
  • Kacper Nijakowski,
  • Mariusz Kaczmarek and
  • Anna Surdacka

12 March 2021

The course of periodontal disease is affected by many factors; however, the most significant are the dysbiotic microflora, showing different pathogenicity levels. Rapid colonization in the subgingival environment can radically change the clinical sta...

  • Review
  • Open Access
984 Views
9 Pages

Esophageal Injury in Patients with Ankylosing Spondylitis After Cervical Spine Trauma: Our Case Series and Narrative Review

  • Nenad Koruga,
  • Alen Rončević,
  • Mario Špoljarić,
  • Tomislav Ištvanić,
  • Stjepan Ištvanić,
  • Vedran Farkaš,
  • Klemen Grabljevec,
  • Anđela Grgić,
  • Tatjana Rotim and
  • Anamarija Soldo Koruga
  • + 2 authors

16 October 2025

Introduction: Ankylosing spondylitis (AS) is a chronic inflammatory disorder that causes progressive ossification and fusion of the spine, particularly in the cervical region. This results in a rigid spinal column that is highly susceptible to unstab...

  • Review
  • Open Access
88 Citations
21,744 Views
32 Pages

Exploring Immersive Learning Experiences: A Survey

  • Mohammad Amin Kuhail,
  • Areej ElSayary,
  • Shahbano Farooq and
  • Ahlam Alghamdi

Immersive technologies have been shown to significantly improve learning as they can simplify and simulate complicated concepts in various fields. However, there is a lack of studies that analyze the recent evidence-based immersive learning experienc...

  • Review
  • Open Access
3 Citations
13,619 Views
14 Pages

Distraction Osteogenesis: A Comprehensive Review

  • Babapelumi Adejuyigbe,
  • Mohini Gharpure,
  • Charlotte F. Wahle and
  • Jennifer R. Kallini

21 November 2024

Distraction osteogenesis (DO) is a process which uses the bone’s natural healing tendencies to repair and lengthen pathologic, missing, or malformed bone. The mechanism of DO mimics the pathway that the body uses in any other fracture repair ho...

  • Article
  • Open Access
28 Citations
7,468 Views
32 Pages

Differential Ultra-Wideband Microwave Imaging: Principle Application Challenges

  • Jürgen Sachs,
  • Sebastian Ley,
  • Thomas Just,
  • Somayyeh Chamaani and
  • Marko Helbig

3 July 2018

Wideband microwave imaging is of interest wherever optical opaque scenarios need to be analyzed, as these waves can penetrate biological tissues, many building materials, or industrial materials. One of the challenges of microwave imaging is the comp...

  • Article
  • Open Access
8 Citations
4,767 Views
18 Pages

Extended Release Combination Antibiotic Therapy from a Bone Void Filling Putty for Treatment of Osteomyelitis

  • Raquib Hasan,
  • Kambri Schaner,
  • Meredith Schroeder,
  • Abbey Wohlers,
  • Jacob Shreffler,
  • Codi Schaper,
  • Hariharaputhiran Subramanian and
  • Amanda Brooks

In spite of advances in Total Joint Replacements (TJR), infection remains a major concern and a primary causative factor for revision surgery. Current clinical standards treat these osteomyelitis infections with antibiotic-laden poly(methyl methacryl...

  • Review
  • Open Access
6 Citations
4,854 Views
14 Pages

Mastering the Best Practices: A Comprehensive Look at the European Guidelines for Cardiopulmonary Bypass in Adult Cardiac Surgery

  • Milan Milojevic,
  • Goran Milosevic,
  • Aleksandar Nikolic,
  • Masa Petrovic,
  • Ivana Petrovic,
  • Milovan Bojic and
  • Sinisa Jagodic

The successful outcome of a cardiac surgery procedure is significantly dependent on the management of cardiopulmonary bypass (CPB). Even if a cardiac operation is technically well-conducted, a patient may suffer CPB-related complications that could r...

  • Article
  • Open Access
58 Citations
31,613 Views
35 Pages

From Monolithic Systems to Microservices: A Comparative Study of Performance

  • Freddy Tapia,
  • Miguel Ángel Mora,
  • Walter Fuertes,
  • Hernán Aules,
  • Edwin Flores and
  • Theofilos Toulkeridis

21 August 2020

Currently, organizations face the need to create scalable applications in an agile way that impacts new forms of production and business organization. The traditional monolithic architecture no longer meets the needs of scalability and rapid developm...

  • Systematic Review
  • Open Access
1,626 Views
11 Pages

Tibial Anterior Cruciate Ligament Avulsion Fractures in Pediatric and Adult Populations: A Systematic Literature Review

  • Vincent Landré,
  • Michel Teuben,
  • Felix Karl-Ludwig Klingebiel,
  • Alba Shehu,
  • Falko Ensle,
  • Hans-Christoph Pape and
  • Thomas Rauer

7 September 2025

Objectives: Tibial anterior cruciate ligament avulsion fractures (TAFs) are avulsions of the anterior cruciate ligament (ACL) from its insertion at the tibial intercondylar eminence that share the same trauma mechanism as ACL tears. TAFs were initial...

  • Article
  • Open Access
245 Views
11 Pages

19 December 2025

Background and Objectives: Unstable distal clavicle fractures (Neer type II) have a relatively high risk of nonunion and often require operative fixation. Hook plates are widely used, particularly when the distal fragment is small or comminuted, beca...

  • Review
  • Open Access
86 Citations
17,914 Views
21 Pages

27 April 2020

Non-invasive remote health monitoring plays a vital role in epidemiological situations such as SARS outbreak (2003), MERS (2015) and the recently ongoing outbreak of COVID-19 because it is extremely risky to get close to the patient due to the spread...

  • Study Protocol
  • Open Access
6 Citations
2,532 Views
12 Pages

The Efficacy of Trabecular Titanium Cages to Induce Reparative Bone Activity after Lumbar Arthrodesis Studied through the 18f-Naf PET/CT Scan: Observational Clinical In-Vivo Study

  • Fabio Cofano,
  • Daniele Armocida,
  • Livia Ruffini,
  • Maura Scarlattei,
  • Giorgio Baldari,
  • Giuseppe Di Perna,
  • Giulia Pilloni,
  • Francesco Zenga,
  • Elena Ballante and
  • Fulvio Tartara
  • + 1 author

23 September 2022

Background: Titanium trabecular cages (TTCs) are emerging implants designed to achieve immediate and long-term spinal fixation with early osseointegration. However, a clear radiological and clinical demonstration of their efficacy has not yet been ob...

  • Article
  • Open Access
3 Citations
4,393 Views
14 Pages

Training Performance Indications for Amateur Athletes Based on Nutrition and Activity Lifelogs

  • Phuc-Thinh Nguyen,
  • Minh-Son Dao,
  • Michael A. Riegler,
  • Rage Uday Kiran,
  • Thai-Thinh Dang,
  • Duy-Dong Le,
  • Kieu-Chinh Nguyen-Ly,
  • Thanh-Qui Pham and
  • Van-Luong Nguyen

4 January 2023

To maintain and improve an amateur athlete’s fitness throughout training and to achieve peak performance in sports events, good nutrition and physical activity (general and training specifically) must be considered as important factors. In our contex...

  • Article
  • Open Access
36 Citations
5,037 Views
20 Pages

Centromedian–Parafascicular and Somatosensory Thalamic Deep Brain Stimulation for Treatment of Chronic Neuropathic Pain: A Contemporary Series of 40 Patients

  • Mahmoud Abdallat,
  • Assel Saryyeva,
  • Christian Blahak,
  • Marc E. Wolf,
  • Ralf Weigel,
  • Thomas J. Loher,
  • Joachim Runge,
  • Hans E. Heissler,
  • Thomas M. Kinfe and
  • Joachim K. Krauss

Introduction: The treatment of neuropathic and central pain still remains a major challenge. Thalamic deep brain stimulation (DBS) involving various target structures is a therapeutic option which has received increased re-interest. Beneficial result...

  • Review
  • Open Access
1,753 Views
44 Pages

17 November 2025

Background: Surgical site infections (SSIs) following spinal and thoracic procedures are associated with prolonged hospitalization and increased morbidity, with incidence rates of 2–15% in spinal surgery and 3–12% in thoracic procedures....