Strategies of management of deep spinal infection: from irrigation and debridement to vacuum-assisted closure treatment

Postoperative surgical site problems (PSSPs) following spinal surgery may lead to patient mortality, increased treatment costs and possible recurrent medical interventions. Despite efforts to reduce spinal surgery-related infection rates, complications are common and significantly increased by patie...

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Bibliographic Details
Published inAnnals of translational medicine Vol. 8; no. 2; p. 33
Main Authors Daldal, Ismail, Senkoylu, Alpaslan
Format Journal Article
LanguageEnglish
Published China AME Publishing Company 01.01.2020
Subjects
Review
wound infection
Scoliosis
spinal instrumentation
surgical site infections
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Summary:Postoperative surgical site problems (PSSPs) following spinal surgery may lead to patient mortality, increased treatment costs and possible recurrent medical interventions. Despite efforts to reduce spinal surgery-related infection rates, complications are common and significantly increased by patient comorbidities. Since PSSPs occur regardless of deterrent measures, it is essential to distinguish the related risk factors. Different treatment conventions for PSSPs, for example, antibiotic treatment, debridement, soft tissue care and removal of implants have been prescribed with blended outcomes. The utilization of the wound vacuum-assisted closure (VAC) system has gained increasing popularity in the management of deep wound infections after deformity surgery.
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Contributions: (I) Conception and design: All authors; (II) Administrative support: A Senkoylu; (III) Provision of study materials or patients: All authors; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.
ISSN:2305-5839
2305-5839
DOI:10.21037/atm.2019.11.60