title: Meningitis complicating spinal surgery.
abstract: METHODS
  A retrospective review of all cases of bacterial meningitis after spinal surgery.
  
  
  OBJECTIVE
  To identify the usual clinical and laboratory features, and to determine the frequency of this complication.
  
  
  BACKGROUND
  Meningitis has been recognized as a rare complication of spinal surgery, but no series of cases has been reported previously, and there are no published estimates of its frequency.
  
  
  METHODS
  A retrospective review of the medical records of all cases of bacterial meningitis after spinal surgery in Auckland over a 3-year period was done.
  
  
  RESULTS
  Four cases were identified after 2180 operations, an incidence of 0.18%. All four patients survived.
  
  
  CONCLUSIONS
  This is a rare complication from which a good outcome is possible with early diagnosis and prompt management.
authors.affiliation: Department of Orthopaedic Surgery, Auckland Hospital and School of Medicine, New Zealand.
authors.forename: R S
authors.initials: RS
authors.lastname: Twyman
authors.forename: P
authors.initials: P
authors.lastname: Robertson
authors.forename: M G
authors.initials: MG
authors.lastname: Thomas
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000209:etiology*; D008875:Middle Aged; D013168:Spondylolisthesis / Q000382:microbiology / Q000601:surgery*; D013530:Surgical Wound Infection / Q000150:complications*