Surgical site infection after pediatric spinal deformity surgery
Pediatrics (M Glotzbecker, Section Editor)
First Online: 09 February 2012 DOI:
Cite this article as: Li, Y., Glotzbecker, M. & Hedequist, D. Curr Rev Musculoskelet Med (2012) 5: 111. doi:10.1007/s12178-012-9111-5 Abstract
The incidence of surgical site infection (SSI) after spinal deformity surgery for adolescent idiopathic scoliosis ranges from 0.5–6.7%. The risk of infection following spinal fusion in patients with neuromuscular scoliosis is greater, with reported rates of 6.1–15.2% for cerebral palsy and 8–41.7% for myelodysplasia. SSIs result in increased patient morbidity, multiple operations, prolonged hospital stays, and significant financial costs. Recent literature has focused on elucidating the most common organisms involved in SSIs, as well as identifying modifiable risk factors and prevention strategies that may decrease the rates of infection. These include malnutrition, positive urine cultures, antibiotic prophylaxis, surgical site antisepsis, antibiotic-loaded allograft, local application of antibiotics, and irrigation solutions. Acute and delayed SSIs are managed differently. Removal of instrumentation is required for effective treatment of delayed SSIs. This review article examines the current literature on the prevention and management of SSIs after pediatric spinal deformity surgery.
Keywords Spinal fusion Spinal surgery Scoliosis Spinal deformity Infection Complications Surgical site infection Spinal infection Pediatric Risk factors Prevention Instrumentation Infected spinal instrumentation Implant removal References Papers of particular interest, published recently, have been highlighted as: • Of importance
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