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Orthop Rev (Pavia). 2015 Sep 28;7(3):5900. doi: 10.4081/or.2015.5900. eCollection 2015 Sep 28.

Postoperative Spine Infections.

Orthopedic reviews

Paolo Domenico Parchi, Gisberto Evangelisti, Lorenzo Andreani, Federico Girardi, Lebl Darren, Andrew Sama, Michele Lisanti

Affiliations

  1. First Orthopedic Division, University of Pisa , Italy.
  2. Spine Care Institute Hospital For Special Surgery , New York, NY, USA.

PMID: 26605028 PMCID: PMC4592931 DOI: 10.4081/or.2015.5900

Abstract

Postoperative spinal wound infection is a potentially devastating complication after operative spinal procedures. Despite the utilization of perioperative prophylactic antibiotics in recent years and improvements in surgical technique and postoperative care, wound infection continues to compromise patients' outcome after spinal surgery. In the modern era of pending health care reform with increasing financial constraints, the financial burden of post-operative spinal infections also deserves consideration. The aim of our work is to give to the reader an updated review of the latest achievements in prevention, risk factors, diagnosis, microbiology and treatment of postoperative spinal wound infections. A review of the scientific literature was carried out using electronic medical databases Pubmed, Google Scholar, Web of Science and Scopus for the years 1973-2012 to obtain access to all publications involving the incidence, risk factors, prevention, diagnosis, treatment of postoperative spinal wound infections. We initially identified 119 studies; of these 60 were selected. Despite all the measures intended to reduce the incidence of surgical site infections in spine surgery, these remain a common and potentially dangerous complication.

Keywords: Spine; infections; orthopedic; surgery

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