Surgical Site Infections After Pediatric Spine Surgery

Orthop Clin North Am. 2016 Apr;47(2):387-94. doi: 10.1016/j.ocl.2015.09.001.

Abstract

Surgical site infection (SSI) after spinal deformity surgery is a complication in the pediatric population resulting in high morbidity and cost. Despite modern surgical techniques and preventative strategies, the incidence remains substantial, especially in the neuromuscular population. This review focuses on recent advancements in identification of risk factors, prevention, diagnosis, and treatment strategies for acute and delayed pediatric spine infections. It reviews recent literature, including the best practice guidelines for infection prevention in high-risk patients. Targets of additional research are highlighted to assess efficacy of current practices to further reduce risk of SSI in pediatric patients with spinal deformity.

Keywords: Infection prevention; Pediatric spine; Scoliosis; Surgical site infection.

Publication types

  • Review

MeSH terms

  • Antibiotic Prophylaxis
  • Child
  • Humans
  • Risk Factors
  • Scoliosis / surgery*
  • Surgical Wound Infection / diagnosis*
  • Surgical Wound Infection / etiology*
  • Surgical Wound Infection / therapy