Single-use instrumentation in posterior lumbar fusion could decrease incidence of surgical site infection: a prospective bi-centric study

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
Stéphane LitricoJean-Charles Le Huec

Abstract

Single-use surgical instruments were recently introduced to improve OR efficiency and reduce infection risks. This study aimed to investigate clinical results 1 year after instrumented lumbar fusion, with the aid of single-use surgical instruments, with particular attention to surgical site infection and Oswestry Disability Index (ODI). This prospective bi-centric study included 21 men and 28 women, aged 61.6 ± 12.8 years, that underwent short instrumented lumbar fusion for degenerative disc disease, canal stenosis, or degenerative spondylolisthesis. All patients underwent posterior or transforaminal lumbar interbody fusion, using the SteriSpine™ PS Pedicle Screw System, available in multiple traceable sterile kits. Instrumented fusion was performed at one level in 31, two levels in 11, three levels in 5, and four levels in 2 patients. The mean follow-up was 16.4 ± 2.1 months, during which the ODI improved by 20 or more points in 28 patients (57 %), improved by less than 20 points in 17 patients (35 %), and remained unchanged or worsened in 4 patients (8 %). Only one infection (2 %) was observed in a 60-year-old man with previous spine surgery and two additional risk factors (diabetes mellitus and BMI 38). Compared to an older ...Continue Reading

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Citations

Nov 18, 2018·Global Spine Journal·Aakash AgarwalJeffrey C Wang
Apr 16, 2019·Global Spine Journal·Aakash AgarwalNeel Anand
Feb 19, 2019·Global Spine Journal·Aakash AgarwalAnand K Agarwal
Jul 28, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·C BouthorsCh Court
Jun 20, 2020·Clinical Spine Surgery : a Spine Publication·Matthew S GalettaGregory D Schroeder
Nov 1, 2017·The Journal of Bone and Joint Surgery. American Volume·Peter O NewtonBurt Yaszay

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