title: Management of spinal infections in children with cerebral palsy.
abstract: Cerebral palsy patients who undergo posterior spinal instrumentation for scoliosis are at a greater risk of surgical site infection compared to adolescents with idiopathic scoliosis. Many infecting organisms are reported. Risk factors include patients' specific factors, nutritional status as well as surgery related factors. Although surgical management is still controversial, it is always based on irrigation and debridement followed or not by implant removal. The purpose of this paper is to review the pathophysiology of surgical site infection in this patient population and to propose a treatment algorithm, based on a thorough review of the current literature and personal experience.
authors.affiliation: Department of orthopedic surgery, Hôtel Dieu de France, university hospital, faculty of medicine, Saint Joseph university, Mount Lebanon, Alfred Naccache street, Achrafieh, 166830 Beirut, Lebanon. Electronic address: amersebaaly@hotmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Sebaaly
authors.affiliation: Department of orthopedic surgery, Hôtel Dieu de France, university hospital, faculty of medicine, Saint Joseph university, Mount Lebanon, Alfred Naccache street, Achrafieh, 166830 Beirut, Lebanon.
authors.forename: R
authors.initials: R
authors.lastname: El Rachkidi
authors.affiliation: Department of orthopedic surgery, Hôtel Dieu de France, university hospital, faculty of medicine, Saint Joseph university, Mount Lebanon, Alfred Naccache street, Achrafieh, 166830 Beirut, Lebanon.
authors.forename: J J
authors.initials: JJ
authors.lastname: Yaacoub
authors.affiliation: Department of orthopedic surgery, Hôtel Dieu de France, university hospital, faculty of medicine, Saint Joseph university, Mount Lebanon, Alfred Naccache street, Achrafieh, 166830 Beirut, Lebanon.
authors.forename: E
authors.initials: E
authors.lastname: Saliba
authors.affiliation: Department of orthopedic surgery, Hôtel Dieu de France, university hospital, faculty of medicine, Saint Joseph university, Mount Lebanon, Alfred Naccache street, Achrafieh, 166830 Beirut, Lebanon.
authors.forename: I
authors.initials: I
authors.lastname: Ghanem
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D003646:Debridement; D006801:Humans; D054843:Negative-Pressure Wound Therapy; D012307:Risk Factors; D012600:Scoliosis / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion; D013530:Surgical Wound Infection / Q000209:etiology* / Q000628:therapy*; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents
keywords: Cerebral palsy; Scoliosis; Surgical site infection