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Management of Postoperative Infections

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Spine Surgery
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Abstract

Postoperative wound infection after instrumented spinal surgery is still one of the most common complication in spine surgery. It affects the clinical outcome negatively, makes operative debridement necessary and often even multiple revisions may be required, can lead to chronic pain and deformity, extends hospitalization and is therefore also responsible for higher treatment costs.

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References

  1. Mok JM, Guillaume TJ, Talu U, et al. Clinical outcome of deep wound infection after instrumented posterior spinal fusion: a matched cohort analysis. Spine (Phila Pa 1976). 2009;34:578–83.

    Article  Google Scholar 

  2. Parchi PD, Evangelisti G, Andreani L, et al. Postoperative spine infections. Orthop Rev (Pavia). 2015;7:5900.

    Article  Google Scholar 

  3. Fang A, Hu SS, Endres N, et al. Risk factors for infection after spinal surgery. Spine (Phila Pa 1976). 2005;30:1460–5.

    Article  Google Scholar 

  4. Koutsoumbelis S, Hughes AP, Girardi FP, et al. Risk factors for postoperative infection following posterior lumbar instrumented arthrodesis. J Bone Joint Surg Am. 2011;93:1627–33.

    Article  Google Scholar 

  5. Hedequist D, Haugen A, Hresko T, et al. Failure of attempted implant retention in spinal deformity delayed surgical site infections. Spine (PhilaPa1986). 2009;34:60–4.

    Article  Google Scholar 

  6. Collins I, Wilson-MacDonald J, Chami G, Burgoyne W, Vineyakam P, Berendt T, Fairbank J. The diagnosis and management of infection following instrumented spinal fusion. Eur Spine J. 2008;17:445–50.

    Article  Google Scholar 

  7. Rickert M, Schleicher P, Fleege C, et al. Management of postoperative wound infections following spine surgery: first results of a multicenter study. Orthopade. 2016;45:780–8.

    Article  CAS  Google Scholar 

  8. Lee JS, Ahn DK, Chang BK, Lee JI. Treatment of surgical site infection in posterior lumbar interbody fusion. Asian Spine J. 2015;9(6):841–8. https://doi.org/10.4184/asj.2015.9.6.841.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Ahn DK, Lee S, Moon SH, et al. Bulb syringe and pulsed irrigation: which is more effective to remove bacteria in spine surgeries? Clin Spine Surg. 2016;29:34–7.

    Article  Google Scholar 

  10. Ahmed R, Greenlee JD, Traynelis VC. Preservation of spinal instrumentation after development of postoperative bacterial infections in patients undergoing spinal arthrodesis. J Spinal Disord Tech. 2012;25(6):299–302.

    Article  Google Scholar 

  11. Ousey KJ, Atkinson RA, Williamson JB, et al. Negative pressure wound therapy (NPWT) for spinal wounds: a systematic review. Spine J. 2013;13:1393–405.

    Article  Google Scholar 

  12. Rickert M, Fleege C, Rauschmann M. Algorithm for treatment of spinal infections and first results of a retrospective analysis of postoperative wound infection and application of a vacuum system for infection treatment. Die Wirbelsäule. 2017;4:265–72.

    Google Scholar 

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Correspondence to Marcus Rickert .

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Rickert, M. (2019). Management of Postoperative Infections. In: Meyer, B., Rauschmann, M. (eds) Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98875-7_75

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  • DOI: https://doi.org/10.1007/978-3-319-98875-7_75

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98874-0

  • Online ISBN: 978-3-319-98875-7

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