Clinical outcome of postoperative surgical site infections in patients with posterior thoracolumbar and lumbar instrumentation

Zhang, Tao; Lian, Xiaofeng; Chen, Yuanyuan; Cai, Bin; Xu, Jian-Guang

doi:10.1016/j.jhin.2022.06.014

Cited by 6 publications

(2 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence, characteristics, and risk factors associated with surgical site infections following posterior thoracolumbar and lumbar instrumentation were analyzed in a study elaborated by Zhang et al [ 35 ]. They observed that patients with lumbar spinal stenosis had a substantially higher infection rate than patients with scoliosis or kyphosis.…”

Section: Resultsmentioning

confidence: 99%

Factors Contributing to Surgical Site Infections: A Comprehensive Systematic Review of Etiology and Risk Factors

Bucataru,

Balasoiu,

Ghenea

et al. 2023

Clinics and Practice

View full text Add to dashboard Cite

Surgical site infections persist as a substantial concern within the realm of hospital-acquired infections. This enduring issue is further compounded by the mounting challenge of antibiotic resistance, a surge in surgical interventions, and the presence of comorbidities among patients. Thus, a comprehensive exploration of all discernible risk factors, as well as proactive preventive and prophylactic strategies, becomes imperative. Moreover, the prevalence of multidrug-resistant microorganisms has reached alarming proportions. Consequently, there is an acute need to investigate and scrutinize all potential therapeutic interventions to counter this burgeoning threat. Consequently, the primary objective of this review is to meticulously assess the origins and risk elements intertwined with surgical site infections across a diverse spectrum of surgical procedures. As the medical landscape continues to evolve, this critical analysis seeks to provide a nuanced understanding of the multi-faceted factors contributing to surgical site infections, with the overarching aim of facilitating more effective management and mitigation strategies. By exploring these dimensions comprehensively, we endeavor to enhance patient safety and the quality of surgical care in this era of evolving healthcare challenges.

show abstract

Section: Resultsmentioning

confidence: 99%

Factors Contributing to Surgical Site Infections: A Comprehensive Systematic Review of Etiology and Risk Factors

Bucataru,

Balasoiu,

Ghenea

et al. 2023

Clinics and Practice

View full text Add to dashboard Cite

show abstract

“…Most readmissions for DWIs occur early in the postoperative period [ 1 ]. When an infection is diagnosed, some, but not all, recommend removal of implants (ROIs) to prevent recurrence [ 2 , 3 , 4 , 5 ]. ROIs before the fusion mass can fully consolidate may result in loss of stability, deformity progression, and/or pseudoarthrosis, all of which may require future revision spine surgery.…”

Section: Introductionmentioning

confidence: 99%

Removal of Spinal Instrumentation Is Not Required to Successfully Treat Postoperative Wound Infections in Most Cases

Patel,

Mueller,

Mehbod

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction: Controversy exists regarding whether spinal implants need to be removed to treat postoperative deep wound infections (DWIs). This retrospective study aimed to determine whether the removal or retention of implants impacts the successful treatment of a DWI after spine surgery. Methods: Postoperative spine surgery patients presenting with signs of infection who underwent irrigation and debridement (I&D) at Twin Cities Spine Surgeons at Abbott Northwestern Hospital, Minnesota, USA, were studied. First, the persistence of infection when implants were retained or removed was assessed. Second, we analyzed the persistence of infection with respect to the number of I&D, the use of vacuum-assisted closure (VAC) treatment, pseudoarthrosis status, and functional outcomes. Results: One hundred thirty-five patients were included. Treatment of infection with retention of implants occurred in 64% (87/135); of these, 7% (6/87) had a persistent infection. Of patients with implant removal (36%, 48/135), 6% (3/48) had a persistent infection. Thus, we observed no difference between treatment with implants present compared to implants removed (p = 1.0). Fifty of the 135 patients (37%) received I&D and primary wound closure, and 85 (63%) patients received I&D and VAC treatment. There was no statistical difference between primary wound closure and VAC treatment (p = 0.15) with respect to persistence. Repeat I&D with VAC (three or more times) had a significantly lower rate of recurrence than those with two I&Ds. Pseudoarthrosis and persistent infection were unrelated. At minimum one-year follow-up, achieving a minimum clinically important difference in functional outcome was independent of persistent infection status. Conclusion: Persistent infection was unrelated to the retention of implants. When VAC treatment was deemed necessary, more than two I&Ds resulted in a significantly better cure for infection. Those with a persistent infection were no more likely to exhibit pseudoarthrosis than those with no persistent infection. All patients showed improvement in functional outcomes at minimum one-year follow-up.

show abstract

Enhanced antibacterial efficacies, corrosion resistance, and cytocompatibility of ZnO/CuO composite coatings through designed sputtering orders

Zhang

Liu

Zhu

et al. 2023

Applied Surface Science

View full text Add to dashboard Cite

Clinical outcome of postoperative surgical site infections in patients with posterior thoracolumbar and lumbar instrumentation

Cited by 6 publications

References 46 publications

Factors Contributing to Surgical Site Infections: A Comprehensive Systematic Review of Etiology and Risk Factors

Factors Contributing to Surgical Site Infections: A Comprehensive Systematic Review of Etiology and Risk Factors

Removal of Spinal Instrumentation Is Not Required to Successfully Treat Postoperative Wound Infections in Most Cases

Enhanced antibacterial efficacies, corrosion resistance, and cytocompatibility of ZnO/CuO composite coatings through designed sputtering orders

Contact Info

Product

Resources

About