Published online Nov 18, 2018. doi: 10.5312/wjo.v9.i11.271
Peer-review started: June 25, 2018
First decision: July 11, 2018
Revised: July 15, 2018
Accepted: August 26, 2018
Article in press: August 26, 2018
Published online: November 18, 2018
Core tip: The rates of infection following spine surgery have been reported to range from less than 1% to 10.9% depending on the type of case. Several factors have been identified as risk for surgical site infection. In response to an increasing number of surgical site infections at the authors’ institution, a new surgical protocol was initiated in an effort to reduce infection rates after an intensive epidemiological investigation failed to reveal a common source. Institution of this bundle returned surgical site infection rates to historic level of < 1%.