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Allen L. Ho, John G. D. Cannon, Jyodi Mohole, Arjun V. Pendharkar, Eric S. Sussman, Gordon Li, Michael S. B. Edwards, Samuel H. Cheshier, and Gerald A. Grant

with low rates of SSI, the addition of topical vancomycin can still have a beneficial effect on SSI following open craniotomies. Though the cost data are sparse in the pediatric neurosurgery literature for craniotomies specifically, the mean overall cost of pediatric SSI for all types of surgery is estimated to be around $27,288. 23 Some studies have reported a range of $26,977–$961,722 cost for wound complications following pediatric spinal deformity surgeries. 11 , 14 In their adult open craniotomy series, Ravikumar et al. estimated the range of cost savings

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Nikita G. Alexiades, Edward S. Ahn, Jeffrey P. Blount, Douglas L. Brockmeyer, Samuel R. Browd, Gerald A. Grant, Gregory G. Heuer, Todd C. Hankinson, Bermans J. Iskandar, Andrew Jea, Mark D. Krieger, Jeffrey R. Leonard, David D. Limbrick Jr., Cormac O. Maher, Mark R. Proctor, David I. Sandberg, John C. Wellons III, Belinda Shao, Neil A. Feldstein, and Richard C. E. Anderson

asymptomatic (94.12%) patients. While preoperative urinary tract infections are an identified modifiable risk factor in the neuromuscular pediatric spinal deformity surgery population, 15 , 32 expert opinion among our group held that this was unnecessary in the complex tethered spinal cord population. Intraoperative Best Practice Statements A total of nine intraoperative interventions were identified as consensus best practices following the first Delphi survey round. The interventions identified are a mix of practical modifications without proven risk to patients along