Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis

Objective. To analyze the results of treatment patients with implant-associated surgical site infection after decompression and stabilization surgery performed for lumbar spinal stenosis. Material Methods. Results 43 early (up to 90 days operation) suppuration wound operations stenosis were analyzed. Results. A total 4033 implantation systems from 2015 2019. There (1.06 %) cases installed instrumentation. Out them seven (16.27 superficial 36 (83.78 – deep. In all cases, revision, debridement installation a vacuum assisted closure (VAC-dressing) performed. The was accompanied by single VAC-dressing before closure, in deep 2 8 (on average 4.10 ± 1.73) VAC-dressings changed. Wound healing achieved within 14–55 (average 29.10 10.06) days. Timely diagnosis complication application negative pressure therapy allowed arresting inflammatory process preserving implants follow-up period 12 months. Conclusion. case development wound, patient needs an urgent sanitizing operation. Negative is effective safe way relieve this complication. This method combined etiotropic antibiotic makes it possible quickly cleanse heal while implanted