Postoperative Spine Infections
- PMID: 26949475
- PMCID: PMC4764532
- DOI: 10.4184/asj.2016.10.1.176
Postoperative Spine Infections
Abstract
Postoperative spinal wound infection increases the morbidity of the patient and the cost of healthcare. Despite the development of prophylactic antibiotics and advances in surgical technique and postoperative care, wound infection continues to compromise patient outcome after spinal surgery. Spinal instrumentation also has an important role in the development of postoperative infections. This review analyses the risk factors that influence the development of postoperative infection. Classification and diagnosis of postoperative spinal infection is also discussed to facilitate the choice of treatment on the basis of infection severity. Preventive measures to avoid surgical site (SS) infection in spine surgery and methods for reduction of all the changeable risk factors are discussed in brief. Management protocols to manage SS infections in spine surgery are also reviewed.
Keywords: Postoperative infections; Spine surgery.
Conflict of interest statement
Figures
References
-
- Weinstein MA, McCabe JP, Cammisa FP., Jr Postoperative spinal wound infection: a review of 2,391 consecutive index procedures. J Spinal Disord. 2000;13:422–426. - PubMed
-
- Veeravagu A, Patil CG, Lad SP, Boakye M. Risk factors for postoperative spinal wound infections after spinal decompression and fusion surgeries. Spine (Phila Pa 1976) 2009;34:1869–1872. - PubMed
-
- Thalgott JS, Cotler HB, Sasso RC, LaRocca H, Gardner V. Postoperative infections in spinal implants. Classification and analysis: a multicenter study. Spine (Phila Pa 1976) 1991;16:981–984. - PubMed
-
- Horan TC, Culver DH, Gaynes RP, Jarvis WR, Edwards JR, Reid CR. Nosocomial infections in surgical patients in the United States, January 1986-June 1992. National Nosocomial Infections Surveillance (NNIS) System. Infect Control Hosp Epidemiol. 1993;14:73–80. - PubMed
-
- Pull ter Gunne AF, Cohen DB. Incidence, prevalence, and analysis of risk factors for surgical site infection following adult spinal surgery. Spine (Phila Pa 1976) 2009;34:1422–1428. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
