Reply to the Letter to the Editor on: “Sterile Seroma Resulting from Multilevel XLIF Procedure as Possible Adverse Effect of Prophylactic Vancomycin Powder: A Case Report” (Evid Based Spine Care J 2014;5(2):127–133)
نویسنده
چکیده
I appreciate the insight provided by this letter to the authors regarding the issue of sagittal malalignment in this case report. Although the case report was directed at the postoperative seroma and potential relationship with the use of vancomycin, andwas not related to the sagittal alignment per se, the input provided in this case ismuch appreciated. In fact, I went back and remeasured the preoperative pelvic parameters and sagittal vertebral alignment (SVA) to further understand the relations created with our surgical intervention. Preoperatively, we noted an SVA of 3 cm, a pelvic incidence of 65 degrees, and a lumbar lordosis (LL) of 25 degrees. At the patient’s most recent follow-up, we noted an SVA of 1 cm, an LL of 39 degrees, and a pelvic incidence (PI) of 65 degrees. Clearly, we did not achieve the goals of PI 1⁄4 9 degrees as published in the literature, but our goals were to improve sagittal balance and I think we achieved this goal. The issue of the seroma and postoperative neurologic deficit was not related to sagittal malalignment but rather to an uncertain etiology, possibly the vancomycin powder used in thewound. I appreciate the input and critique of the radiographic outcome of our surgical intervention; however, the intent of the case report was to bring awareness of a potential complication related to vancomycin powder and postoperative seroma formation, and I do not believe this complication resulted from the sacral fracture or the sagittal malalignment as suggested by this letter.
منابع مشابه
Letter to the Editor on: “Sterile Seroma Resulting from Multilevel XLIF Procedure as Possible Adverse Effect of Prophylactic Vancomycin Powder: A Case Report” (Evid Based Spine Care J 2014;5(2):127–133)
The case published by Youssef et al is highly interesting in my opinion, but not for what the presentation focuses on but rather for what it omits.1 The preoperative lumbar sagittal alignment (Fig. 2) is rather nice with 50 degrees from T12 to S1, despite the severe degenerative changes that led to the indication for surgery. The postoperative film (Fig. 5) shows a severe loss of lumbar lordosi...
متن کاملSterile Seroma Resulting from Multilevel XLIF Procedure as Possible Adverse Effect of Prophylactic Vancomycin Powder: A Case Report
Study Design Case report. Objective The objective of this study was to present the unusual case of a 59-year-old woman with a reoccurring sterile postoperative seroma. Methods A patient was observed postoperatively for any complications or adverse side effects resulting from an initial multilevel anterior/posterior lumbar fusion surgery where 2 g (1 g combined with the bone graft used for poste...
متن کاملCommentary on: “Sterile Seroma Resulting from Multilevel XLIF Procedure as Possible Adverse Effect of Prophylactic Vancomycin Powder: A Case Report”
Postoperative surgical site infection (SSI) is the second most common health care–associated infection in the United States, second only to urinary tract infections, and resulting in an estimated 8,205 deaths in 2002 alone.1 Furthermore, SSIs have been shown to result in a prolongation of hospital stay by 9.7 days and increase treatment cost by $20,842 per admission.2As such, significant attent...
متن کاملComment to the Letter to the Editor: Subjective Symptoms Related to GSM Radiation from Mobile Phone Base Stations: a cross-sectional study In reply to the comments by Seyed Mohammad Javad Mortazavi
متن کامل
Environmental gamma radiation: a comment (Letter to the Editor)
Editor, I read the recent publication by Toossi et al. with a great interest (1). Toossi et al. concluded that “Average gonad and bone marrow doses for North Khorasan, Boshehr and Hormozgan provinces were less than the corresponding values for normal area (2).” There are some facts on this report to be concerned. I agree that the detected levels might be high in the mentioned area, but th...
متن کامل