Quality Improvement Case Series: Dermatitis after Spine Fusion caused by Liquid Adhesive (2-octyl cyanoacrylate)

Abstract

Dermatitis from the use of 2-octyl cyanoacrylate liquid wound closure adhesives after scoliosis surgery are believed to be allergic reactions to some component of wound closure systems. Previous exposure to the closure system can increase risk of allergic dermatitis with subsequent exposures. Two cases of allergic contact dermatitis in pediatric patients who underwent posterior spine fusion surgery using 2-octyl cyanoacrylate wound adhesive are reported here. Successfully management can include a protocol developed of topical corticosteroids, mupirocin, emollient ointment, and antihistamines. In severe cases, tapered oral steroids can be administered to treat diffuse allergic dermatitis. Awareness of potential risks is essential, and healthcare providers should be proficient in managing dermatitis related to this closure system.