TREATMENT OF POSTOPERATIVE WOUND INFECTIONS FOLLOWING SPINAL-FUSION WITH INSTRUMENTATION

被引：140

作者：

ABBEY, DM ^{[1
]}

TURNER, DM ^{[1
]}

WARSON, JS ^{[1
]}

WIRT, TC ^{[1
]}

SCALLEY, RD ^{[1
]}

机构：

[1] UNIV COLORADO,HLTH SCI CTR,DENVER,CO

来源：

JOURNAL OF SPINAL DISORDERS | 1995年 / 8卷 / 04期

关键词：

ALGORITHMS; ANTIBIOTICS; SPINE; SURGICAL WOUND INFECTION;

D O I：

10.1097/00002517-199508040-00003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Postoperative wound infections following spinal fusion with instrumentation often present diagnostic and therapeutic difficulties. This article reviews 34 such infections. An infection rate of 3.7% was noted. Depending on various clinical indicators, treatment strategies included short-course antibiotics, prolonged intravenous antibiotics, or intravenous antibiotics followed by suppressive antibiotics and eventual hardware removal. To eradicate these infections, removal of instrumentation is often required; this option, however, may result in an unstable spine. Treatment algorithms were developed for treatment of postoperative spinal surgical site infections and to minimize the possibility of spine instability. All patients were cured of their infections.

引用

页码：278 / 283

页数：6

共 17 条

[1]

Brause B.D., Infected Orthopedic Prosthesis, pp. 111-128, (1989)

[2]

Digbv J.M., Kersley J.B., Pyogenic non-tuberculosis spinal infec-tion: An analysis of thirtv cases, J Bone Joint Surg (Br), 61, pp. 47-55, (1979)

[3]

Griffiths H., Jones D.M., Pyogenic infection of the spine: A review of 28 cases, J Bone Joint Surg, 53, pp. 383-389, (1971)

[4]

Keller R.B., Pappe A.M., Infections after spinal fusion using internal fixation instrumentation, Ortliop Clin North Am, 3, pp. 99-111, (1972)

[5]

Lonstein J.E., Management of postoperative spine infections, Orthopedic Infection: Diagnosis and Treatment, pp. 243-249, (1989)

[6]

Fusion of the lumbar and sacral spine by internal fixation with screw plates, Clin Ortliop Rel Res, 203, pp. 18-33, (1986)

[7]

Macauslad W.R., Eaton R.G., The management of sepsis fol-lowing intermedullary fixation for fractures of the femur, J Bone Joint Surg, 45, pp. 1643-1653, (1963)

[8]

Micheli U., Hall J.E., Complications in the Management of Adult Spinal Deformities, pp. 1227-1229, (1986)

[9]

Ross P.M., Fleming J.L., Vertebral body osteomyelitis: Spectrum and natural history, Clin Ortliop, 118, pp. 190-198, (1976)

[10]

Roy-Camille R., Saillent G., Mazel C., Internal fixation of the lumbar spine with pedicle screw plating, Clin Ortliop Rel Res, 203, pp. 7-17, (1986)

← 1 2 →