Abstract
Retrospective analysis. To compare the rates and types of a surgical site infection according to the surgical options in spine surgeries. Scant literatures exist on the difference of surgical site infection according to the surgical methods. We presumed that the incidence of infection after posterior lumbar interbody fusion (PLIF) was higher than posterior or posterolateral fusion (PF, PLF) due to several reasons. A retrospective analysis was made on the patients who received instrumented spinal fusion surgeries from 2000 to 2009. The differences of surgical site infection rates and characteristics were compared between the patients who received PF or PLF (group I) and PLIF (group II). In addition, the infection rate according to the graft options and number of cages was compared in group II. A significant difference (P = 0.003) of infection rate between group I (0.3%, 3 cases out of 974) and group II (1.37%, 29 cases out of 2110) was observed. In group I, 67% of infections were wound infections and 33% were osteomyelitis. In group II, 23% were wound infections, 73% were osteomyelitis, and 4% were osteomyelitis combined with wound infection. Significant increase of infection rate was observed in the single cage group (P = 0.001...Continue Reading
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