Management of Deep Infection after Instrumentation on Lumbar Spinal Surgery in a Single Institution

Biomed Res Int. 2015:2015:842010. doi: 10.1155/2015/842010. Epub 2015 Jul 26.

Abstract

Postoperative surgical site infections (SSIs) are more common complications after spinal surgery. SSIs often require extended hospitalisation and may worsen overall clinical outcomes. A retrospective database review of consecutive patients with traditional open lumbar spinal surgery was performed. SSIs patients were identified and reviewed for clinically relevant details, and postoperative SSIs' incidence was calculated for the entire cohort as well as for subgroups with or without spinal implants. In 15 years, 1,176 patients underwent open lumbar spinal surgery with spinal implants and 699 without. Thirty-eight developed postoperative SSIs. Total SSI rate for the entire group was 2.03%. The incidence of postoperative SSIs in the nonimplant group was relatively low. Patients received antibiotics, hyperbaric oxygen therapy, and wet dressing. We provided the precise rates of postoperative SSIs in traditional open spinal surgery obtained from a single-centre data. Patients with spinal implants had higher SSIs' incidence than those without.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Causality
  • Comorbidity
  • Drainage / statistics & numerical data
  • Female
  • Humans
  • Hyperbaric Oxygenation / statistics & numerical data
  • Incidence
  • Internal Fixators / statistics & numerical data*
  • Length of Stay / statistics & numerical data
  • Lumbar Vertebrae / surgery*
  • Male
  • Retrospective Studies
  • Risk Factors
  • Sex Distribution
  • Spinal Fusion / statistics & numerical data*
  • Surgical Wound Infection / epidemiology*
  • Surgical Wound Infection / therapy*
  • Taiwan / epidemiology
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents