Journal of Spine Practice

Published date: Nov 15 2025

Journal Title: Journal of Spine Practice

Issue title: Journal of Spine Practice (JSP): Volume 5, Issue 1

Pages: 20 - 27

DOI: 10.18502/jsp.v5i1.19530

Sriram Vasudevanramorthodr@gmail.comEast Point College of Medical Sciences and Research Center, Bangalore

Ravi D Narahattird.narahatti@gmail.comEast Point College of Medical Sciences and Research Center, Bangalore

Hemanth D Ramaiahhemanth.dr19@gmail.comEast Point College of Medical Sciences and Research Center, Bangalore

Background
Surgical site infections (SSIs) represent a significant source of complications following spine surgeries. In this study, iodine-impregnated plastic adhesive drapes (PAD) are explored as a means to mitigate contamination and infection risks, offering both a physical barrier and antimicrobial properties.

Aim
To assess the effect of iodine-impregnated plastic adhesive drapes in preventing surgical site infections after spine surgeries.

Material and Methods
An observational prospective study was undertaken on 90 elective spine surgery patients. Patients were divided into PAD and non-PAD groups. Baseline variables, operative parameters, and postoperative infection rates were compared. The infection was diagnosed clinically and confirmed through laboratory investigations and cultures.

Results
Infection occurred in two non-PAD patients (4.4%) and one PAD patient (2.2%), with no statistically significant difference. PAD patients had longer surgeries but lower infection rates. Laboratory investigations in infected patients revealed elevated ESR (Erythrocyte Sedimentation Rate), CRP (C Reactive Protein), and leukocyte counts.

Conclusion
The use of iodine-impregnated PADs may contribute to reduced SSI rates following spine surgeries, though the difference was not statistically significant. They can be considered adjuncts to infection prevention in high-risk spinal procedures. Larger randomized controlled trials are needed for stronger recommendations.

Keywords: surgical site infection, spine surgery, iodine-impregnated drapes, infection prevention

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