Epidemiology and Risk Factors for Spinal Wound Infections
نویسندگان
چکیده
ity in the acute phase following lumbar spine surgery. Wound infections of the spine can have devastating consequences on the outcome after procedures such as a simple discectomy or a multilevel decompression and instrumentation fusion. Once identified, rapid and definitive treatment offers the best hope for restoring the patient to the normal recovery process. Prevention is clearly better than treatment for this unfortunate complication, which continues to occur relatively frequently even in the presence of aseptic techniques and prophylactic antibiotic agents. As our surgery-related ability to manage more complex spinal disorders improves, the unfortunate potential for wound complications increases because these procedures often require prolonged operations and multisegmental internal fixation. In this review, we discuss the incidence, risk factors, prophylactic antibiotic regimens, treatment, and outcomes associated with postoperative lumbar infections. Special attention is given to the impact of modern instrumentation-based procedures on postoperative infection rates. Guidelines, compiled from a review of the literature, are offered for prophylaxis and treatment of this unfortunate complication. EPIDEMIOLOGY AND RISK FACTORS FOR SPINAL WOUND INFECTIONS
منابع مشابه
Spine Postoperative Infections: Risk Factors
Postoperative spinal wound infections have been reported in 0.7-12% of the surgical cases. It can be a deleterious complication, resulting in increased morbidity, mortality and health care costs. The rate of surgical site infections is different according to the type of spinal surgery. It has been reported that, laminectomy has a lower risk than fusion with instrumentation, a posterior approach...
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