[Analysis of curative effect of the intervertebral space lavaging for the treatment of incisions deep infections at early stage after posterior lumber internal fixation].
OBJECTIVE
To explore the reason,diagnose outline,therapeutic tool of the incisions deep infections at early stage after lumber internal fixation.


METHODS
From January 2001 to December 2011, 10 patients with incisions deep infections at the early stage after the posterior lumber internal fixation were treated with intervertebral space lavaging. There were 1 male and 9 females with an average age of 63 years, and an average infection started at the 6th day after operation. The main clinical features including backleg pain aggravating, fervescence, fresh seepage from the wound, and blood inflammatory index increased, etc. According to whether the wound could heal at the first treatment stage as a evaluation standard of curative effect.


RESULTS
Ten cases were followed up with an average period of 17 months. The wounds of 9 cases healed at the first stage and no recurrence and complications were found. One case underwent debridgement of many times with the therapic period of 7 months,at last,after taking out the vertebral pedicle bolt,the wound healed,and no recurrence after follow-up of 18 months.


CONCLUSIONS
The deep wound infections after the lumber internal fixation should receive intervertebral space lavaging as soon as possible. The method can finally remain internal fixations and obtain satisfactory effects, but avoiding too much tissue cutting and tube setting in the deep intervertebral space are the keys to the successful fixation.
Department of the First Spinal Surgery, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China. liuyuzhang73@yahoo.com
Yu-Zhang
YZ
Liu
Shi-Min
SM
Zhang
Fu-Hui
FH
Dong
Wei
W
Zhou
Xing
X
Li
Lu-Tang
LT
Zhang
Yong-Dong
YD
Zhang
Zuo-Xu
ZX
Li
Guan-Nan
GN
Wu
Zhao-Jie
ZJ
Zhang
Ming
M
Ma
D000368:Aged; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects*; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D007507:Therapeutic Irrigation