Abstract
The value of perioperative prophylactic use of antibiotics in lumbar disc surgery is investigated, based on a retrospective study of the operative results of 5041 patients. The rate of occurrence of postoperative spondylodiscitis was significantly higher during the period in which no perioperative prophylaxis was carried out, than it was during the period, in which perioperative prophylaxis was routine. Thus the perioperative prophylactic use of antibiotics seems highly recommendable.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bennett PH: Epidemiology of diabetes mellitus. In: Rifkin H, JR Porte: Diabetes mellitus, theory and practice. Elsevier, New York-Amsterdam 1990
Dall BE, DE Rowe, WG Odette et al: Postoperative discitis. Diagnosis and management. Clin-Orthop 244 (1987) 138–146
Dauch WA: Infection of teh intervertebral space following conventional and microsurgical operation on the herniated lumbar intervertebral disc. A controlled clinical trial. Acta Neurochir 82 (1986) 43–49
Frank AM, AE Trappe: Die Spondylodiscitis nach lumbaler Bandscheibenoperation. Klinik-Diagnose-Therapie. Neurochirurgia 31 (1988) 205–209
Frank AM, AE Trappe: The role of Magnetic Resonance Imaging (MRI) in the diagnosis of spondylodiscitis. Neurosurg Rev 13 (1990) 279–283
Gieseking H: Lokalisierte Spondylitis nach operiertem Bandscheibenvorfall. Zbl Chir 76 (1951) 1470–1475
Haines S, MI Goodman: Antibiotic prophylaxis of postoperative neurosurgical wound infection. J Neurosurg 56 (1982) 103–105
Kopecky KK, RL Gilmor, LA Scott et al: Pitfalls of computed tomography in diagnosis of discitis. Neuroradiology Vol 27 (1) (1985) 57–66
Meinig K, K Kretschmar, M Sami, TH Wallenfang, R Huelse, K Schuermann: Spondylodiscitis-Lumbar Disc Removal. In: Wuellenweber R, M Brock, J Hamer, M Klingler, O Spoerri (eds): Advances in Neurosurgery 4. Springer-Verlag Berlin-Heidelberg-New York, 1977
Piotrowski WP, I-Hsing Chuang, M Dolenz: Die sogenannte “Discitis” als Komplikation nach lumbaler Bandscheibenoperation. Acta Chir Austriaca 22 (1990) 34–41
Tenny JH, D Vlahov, M Salcman et al: Wide variation in risk of wound infection clean neurosurgery. J Neurosurg 62 (1985) 243–247
Wilson DH, R Harbaugh: Lumbar disectomie: A comparative study of microsurgical and standard technique. In: Russel WH: Lumbar disc disease; Raven Press, New York 1982
Voth D: Perioperative Prevention of Infection in Neurosurgery. Antibiot Chemother 33 (1985) 165–183
Zink PM, AM Frank, AE Trappe: Prophylaxis of postoperative lumbar spondylodiscitis. Neurosurg Rev 12 (1989) 297–303
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Piotrowski, W.P., Krombholz, M.A. & Mühl, B. Spondylodiscitis after lumbar disk surgery. Neurosurg. Rev. 17, 189–193 (1994). https://doi.org/10.1007/BF00418428
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00418428