Management of postoperative infections after spinal instrumentation

Journal of Neurosurgery
A D LeviV K Sonntag

Abstract

The authors retrospectively reviewed 452 consecutively treated patients who underwent a spinal instrumentation procedure at a single institution to establish which patients and which surgical approaches might be associated with an increased risk of developing deep wound infections and to determine the efficacy with which the institution's current treatment strategy eradicates these infections. Wound infections occurred in 17 patients (10 men and seven women) with spinal instrumentation (incidence 3.8%). All infections occurred after posterior spinal instrumentation procedures (7.2%); there were no infections after anterior instrumentation procedures regardless of the level. Each patient was assigned an infection risk factor (RF) score depending on the number of RFs identified in an individual patient preoperatively. The mean RF score of patients who developed infections was 2.18, whereas the mean RF score for a procedure-matched, infection-free control group was 0.71. The mean number of days from surgery to clinical presentation was 27.6 days (range 4-120 days), and the mean increase in hospitalization time for the subset of patients who developed infections was 16.6 days. The most common organism isolated from wound cultures w...Continue Reading

References

Jan 1, 1976·Clinical Neurosurgery·S N Chou, D L Erickson
Jul 1, 1992·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·R F GagnonR Subang
Sep 1, 1992·Journal of Spinal Disorders·J L Stambough, D Beringer
May 1, 1989·Postgraduate Medical Journal·R A Coward
Aug 1, 1989·AJR. American Journal of Roentgenology·J J Volpe
Apr 1, 1989·Spine·S I Esses
Aug 1, 1973·Archives of Surgery·P J Cruse, R Foord
Jun 1, 1973·Clinical Orthopaedics and Related Research·J P KostuikJ E Hall
Apr 1, 1995·The Journal of Bone and Joint Surgery. American Volume·B S Richards
Aug 1, 1995·Journal of Spinal Disorders·D M AbbeyR D Scalley
Sep 1, 1996·Journal of Neurosurgery·N SundaresanK Kelliher

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Citations

Jan 10, 2012·International Orthopaedics·Andrew Quaile
Dec 14, 2011·International Orthopaedics·Dennis S MeredithOheneba Boachie-Adjei
May 25, 2007·Archives of Orthopaedic and Trauma Surgery·Ender Ali OfluogluHalil Toplamaoglu
Apr 8, 2004·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Kee-Yong Ha, Young-Hoon Kim
Jul 13, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ludwig LablerMichael Heinzelmann
Dec 14, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Iona CollinsJeremy Fairbank
Jun 26, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Li-Yang DaiLei-Sheng Jiang
Sep 25, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Dan XingRui Feng
Jul 2, 2005·Neurosurgical Review·Ernest E BraxtonJ Christopher Post
Oct 10, 2013·Colloids and Surfaces. B, Biointerfaces·E T J RochfordT F Moriarty
May 29, 2004·Surgical Neurology·Anthony H SinAnil Nanda
Mar 3, 1998·Journal of the American College of Surgeons·I A Awad
Mar 8, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Todd J KowalskiDouglas R Osmon
Oct 29, 2000·Journal of Spinal Disorders·M A WeinsteinF P Cammisa
Jul 13, 2000·The Laryngoscope·Y P TalmiJ Kronenberg
Mar 9, 2000·Spine·K A PoelstraT C Schuler
Jun 17, 2005·Spine·Andrew FangDavid S Bradford
Apr 7, 2007·Journal of Spinal Disorders & Techniques·Yigal MirovskyMichael Giladi
Dec 20, 2007·Spine·Brian A O'ShaughnessyStephen L Ondra
Nov 1, 2007·Journal of Spinal Disorders & Techniques·Craig H RabbAnthony Dwyer
Jul 5, 2008·Journal of Spinal Disorders & Techniques·Avraam PloumisJohn E Lonstein
Jan 20, 2010·Journal of Spinal Disorders & Techniques·Jeung Il KimJung Sub Lee
Dec 10, 2009·Southern Medical Journal·Panagiotis Korovessis
May 4, 2010·Journal of Neurosurgery. Spine·Masahiko WatanabeJoji Mochida
Sep 7, 2004·Neurosurgical Focus·John M BeinerAlexander R Vaccaro
Jan 8, 2005·Neurosurgical Focus·Alfredo Quiñones-HinojosaPhilip R Weinstein
Jan 8, 2005·Neurosurgical Focus·John W GermanPaul T Turner
Mar 26, 2003·Journal of Neurosurgery·Margaret A OlsenVictoria J Fraser
Nov 4, 2005·Journal of Neurosurgery. Spine·John R VenderDennis E McDonnell
Apr 27, 2010·Indian Journal of Orthopaedics·Federico Canavese, Joseph I Krajbich
Jan 19, 2013·World Journal of Orthopedics·Vishal HegdeRussel C Huang
Dec 18, 2013·Surgical Neurology International·Manish K KasliwalVincent C Traynelis
Dec 7, 2013·BioMed Research International·María Eugenia PortilloAndrej Trampuz

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