Management of Deep Infection after Instrumentation on Lumbar Spinal Surgery in a Single Institution.
Postoperative surgical site infections (SSIs) are more common complications after spinal surgery. SSIs often require extended hospitalisation and may worsen overall clinical outcomes. A retrospective database review of consecutive patients with traditional open lumbar spinal surgery was performed. SSIs patients were identified and reviewed for clinically relevant details, and postoperative SSIs' incidence was calculated for the entire cohort as well as for subgroups with or without spinal implants. In 15 years, 1,176 patients underwent open lumbar spinal surgery with spinal implants and 699 without. Thirty-eight developed postoperative SSIs. Total SSI rate for the entire group was 2.03%. The incidence of postoperative SSIs in the nonimplant group was relatively low. Patients received antibiotics, hyperbaric oxygen therapy, and wet dressing. We provided the precise rates of postoperative SSIs in traditional open spinal surgery obtained from a single-centre data. Patients with spinal implants had higher SSIs' incidence than those without.
School of Medicine, College of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan ; Departments of Neurosurgery, Nuclear Medicine, and Radiology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Jung-Tung
JT
Liu
Departments of Neurosurgery, Nuclear Medicine, and Radiology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Wen-Jui
WJ
Liao
Departments of Neurosurgery, Nuclear Medicine, and Radiology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Cheng-Siu
CS
Chang
Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Department of Medical Research, China Medical University Hospital, Taichung 40402, Taiwan ; Department of Psychology, College of Medical and Health Science, Asia University, Taichung 41354, Taiwan.
Yung-Hsiang
YH
Chen
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015984:Causality; D015897:Comorbidity; D004322:Drainage / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000706:statistics & numerical data; D015994:Incidence; D016268:Internal Fixators / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D013123:Spinal Fusion / Q000706:statistics & numerical data*; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000628:therapy*; D013624:Taiwan / Q000453:epidemiology; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents