Post operative infections of the spine: technique, indications and results of the surgical treatment - A retrospective study of 90 cases

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
J Y LazennecM P Poloujadoff

Abstract

Post operative infection in spine surgery is a well known complication. The authors studied a series of 90 patients in accordance with an homogenous strategy based on the excision of necrotic and infected tissues, associated with appropriate antibiotics.The results are analyzed according to the degree of infection (which is based on the type of germs and their associations), and type of patients, the delay in diagnosis and the anatomical extension of the infected lesions.Making a difference between superficial and deep infection is of no therapeutic value and may lead to wrong and inadequate treatment.One must separate the common infections (which are due to germs as staphylococcus aureus or others from the urinary or digestive tract), and severe infections (which are either due to a per operative massive and deep contamination, or associated with patient's poor general condition).This series is mainly about posterior approaches to the spine, with or without osteosynthesis. Technical problems for treatment depend on the site of infection, particularly at the thoracic kyphosis level, or at the lumbar level where the muscle necrosis can be extensive. At the cervical level, the infection of an anterior approach mandates a check on...Continue Reading

References

Dec 1, 1987·AJR. American Journal of Roentgenology·E J AngtuacoS Flanigan
Jun 1, 1973·Clinical Orthopaedics and Related Research·J P KostuikJ E Hall

Citations

Jan 1, 1988·Surgical and Radiologic Anatomy : SRA·D MarchesiM Aebi
Jan 1, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael VaimanHaim Gavriel
Aug 13, 2003·The Journal of Urology·W Scott McDougal

Related Concepts

Antibiotics
Arginine
Complication
Germ Cells
Gold
Lumbar Region
Membrane Fusion
Necrosis
Pseudarthrosis
Pyramidal Tracts

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