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

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Daldal I., ŞENKÖYLÜ A.

ANNALS OF TRANSLATIONAL MEDICINE, cilt.8, sa.2, 2020 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 8 Sayı: 2
  • Basım Tarihi: 2020
  • Doi Numarası: 10.21037/atm.2019.11.60
  • Dergi Adı: ANNALS OF TRANSLATIONAL MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), EMBASE
  • Anahtar Kelimeler: Scoliosis, wound infection, spinal instrumentation, surgical site infections, SURGICAL SITE INFECTIONS, RISK-FACTORS, WOUND-INFECTION, VANCOMYCIN POWDER, FUSION, INSTRUMENTATION, IMPLANT
  • Gazi Üniversitesi Adresli: Evet

Özet

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.