Of the 102 patients, 37.3% had prior radiation therapy, and the majority (64.6%) had low albumin levels (<3.5). In this cohort, the use of plastic surgery for soft tissue reconstruction led to a 2.9% rate of wound complications needing re-operation. Percutaneous implants are also ideal for the metastatic spinal tumor population, where stabilization can be performed without a large soft tissue dissection, and tumor debulking/neural element decompression can be performed through a midline incision. Here, ALB is linked to neoplasm.