Surgical site infections after degenerative lumbar spine surgery

Česká verzia

Authors: P. Snopko; B. Kolarovszki; R. Opšenák; M. Hanko; R. Richterová
Authors place of work: Neurochirurgická klinika, Jesseniova lekárska fakulta v Martine, Univerzitná nemocnica Martin, Univerzita Komenského v Bratislave
Published in the journal: Rozhl. Chir., 2018, roč. 97, č. 12, s. 539-545.
Category: Souhrnné sdělení

Summary

Degenerative lumbar spine disease is nowadays considered as a serious health condition, because the number of patients requiring a surgical intervention is in last decades rapidly increasing. At the time of surgery indication, it is important to assess the risk of complications incidence, especially surgical ones, because when they occur, they usually lead to reoperation, prolonged hospitalisation and drug use, economic consequences and a compromised postoperative outcome and benefits. Postoperative infectious complications may occur, even after following aseptic and hygienic − epidemiological rules. This article contains an interdisciplinary review of diagnosis, treatment and prevention of postoperative surgical site infections after degenerative lumbar spine surgery.

Key words:

postoperative complications − lumbar spine − surgical treatmens - spondylodiscitis

Zdroje

Kirkland KB, Briggs JP, Trivette SL, et al. The impact of surgical-site infections in the 1990s:attributable mortality, excess length of hospitalisation, and extra costs. Infect Control Hosp Epidemiol 1999;20:725−30.
Smith JS, Shaffrey CI, Sansur CA, et al. Rates of infection after spine surgery based on 108,419 procedures. Spine 2011;36:556−63.
Weinstein MA, McCabe JP, Cammisa FP Jr. Postoperative spinal wound infection: a review of 2,391 consecutive index procedures. J Spinal Disord 2000;13:422−6.
Keller RB, Pappas AM. Infection after spinal fusion using internal fixation instrumentation. OrthopClin North Am 1972;3:99−111.
Bělina F. Současné možnosti ovlivnění infekce v místě operačního výkonu. Rozhl Chir 2017;96:189−96.
Koutsoumbelis S, Hughes AP, Girardi FP, et al. Risk factors for postoperative infection following posterior lumbar instrumented arthrodesis. J Bone Joint Surg Am 2011;93:1627−33.
Cizik A, Lee M, Martin B, et al. Using the spine surgical invasiveness index to identify risk of surgical site infection. J Bone Joint Surg Am 2012;94:335−42.
Gurlich R, Adamkova V, Ulrych J, et al. Infekce kůže a měkkých tkání. Rozhl Chir 2016;95:141−6.
Pull ter Gunne AF, Cohen DB. Incidence, prevalence, and analysis of risk factors for surgical site infection following adult spinal surgery. Spine 2009;34:1422−8.
Collins I, Wilson-MacDonald J, Chami G, et al. The diagnosis and management of infection following instrumented spinal fusion. Eur Spine J 2008;17:445−50.
Bassewitz HL, Fishgurd JS, Herkowitz HN. Postoperative spine infections. Semin Spine Surg 2000;12:203−11.
Valentini LG, Casali C, Chatenoud L, et al. Surgical site infections after elective neurosurgery: a survey of 1747 patients. Neurosurg 2008;62:88−96.
Olsen MA, Nepple JJ, Riew KD, et al. Risk factors for surgical site infection following orthopaedic spinal operations. J Bone Joint Surg Am 2008;90:62−9.
Friedman ND, Sexton DJ, Connelly SM, et al. Risk factors for surgical site infection complicating laminectomy. Infect Control Hosp Epidemiol 2007;28:1060−5.
Blam OG, Vaccaro AR, Vanichkachorn JS, et al. Risk factors for surgical site infection in the patient with spinal injury. Spine 2003;28:1475−80.
Levi AD, Dickman CA, Sonntag VA. Management of postoperative infections after spinal instrumentation. J Neurosurg 1997;86:975−80.
Kato S, Chikuda H, Ohya J, et al. Risk of infectious complications associated with blood transfusion in elective spinal surgery - a propensity score matched analysis. Spine J 2016;16:55−60.
Rao BR, Vasquez G, Harrop J, et al. Risk factors for surical site infections following spinal fusion procedures: a case-control study. Clin Inf Dis 2011;53:686−92.
Olsen MA, Nepple JJ, Riew KD, et al. Risk factors for surgical site infection following orthopaedic spinal operations. J Bone Joint Surg Am 2008;90:62−9.
Salvetti DJ, Tempel ZJ, Gandhoke GS, et al. Preoperative prealbumin level as a risk factor for surgical site infection following elective spine surgery. Surg Neurol Int 2015;6:500−3.
Takahashi J, Ebara S, Kamimura M, et al. Early-phase enhanced inflammatory reaction after spinal instrumentation surgery. Spine 2001;26:1698−1704.
Hadjipavlou AG, Mader JT, Necessary JT, et al. Hematogenous pyogenic spinal infections and their surgical management. Spine 2000;25:1668−79.
Wimmer C, Gluch H, Franzreb B, et al. Predisposing factors for infection in spine surgery: a survey of 850 spinal procedures. J Spinal Disord 1998;11:124−8.
Deguchi M, Shinjo R, Yoshioka Y, et al. The usefulness of serum amyloid A as a postoperative inflammatory marker after posterior lumbar interbody fusion. J Bone Joint Surg Br 2010;92:555−9.
Maus U, Anderega S, Gravius S, et al. Procalcitonin (PTC) as a diagnostic tool for monitoring of spondylodiscitis. Z Orthop Unfall 2009;147:59−64.
Abbey DM, Turner DM, Warson JS, et al. Treatment of postoperative wound infections following spinal fusion and instrumentation. J Spinal Disord 1995;8:278−83.
Sampedro MF, Huddleston PM, Piper KE, et al. A biofilm approach to detect bacteria from removed spinal implants. Spine 2010;35:1218−24.
Nasto LA, Colangelo D, Rossi B, et al. Post-operative spondylodiscitis. Eur Rev Med Pharmacol Sci 2012;16:50−7.
Bemer P, Corvec S, Tariel N, et al. Significance of propionibacterium acnes-positive samples in spinal instrumentation. Spine 2008;33:971−6.
Best NM, Sasso RC. Success and safety in outpatient microlumbar discectomy. J Spinal Disord Tech 2006;19:334−7.
Sweet FA, Roh M, Silva C. Intrawound application of vancomycin for propylaxis in instrumented thoracolumbar fusions: efficiacy, drug levels, and patient outcomes. Spine (Phila Pa 1976) 2011;36:2084−8.
Smith JS, Shaffrey CI, Sansur CA, et al. Rates of infection after spine surgery based on 108,419 procedures. Spine 2011;36:556−63.
Barker FG, II. Efficacy of prophylactic antibiotic therapy in spinal surgery: a meta-analysis. Neurosurgery 2002;51:391−401.
Moller AM, Villebro N, Pedersen T, et al. Effect of preoperative smoking intervention on postoperative complications: a randomised clinical trial. Lancet 2002;359:114−7.
Boer AS, Mintjes-de Groot AJ, Severijnen AJ, et al. Risk assessment for surgical-site infections in orthopedic patients. Infect Control Hosp Epidemiol 1999;20:402−7.
Yasuda T, Hasegawa T, Yamato Y, et al. Optimal timing of preoperative skin preparation with povidone - iodine for spinal surgery: a prospective, randomized controlled study. Asian Spine J 2015;9:423−6.
Rehman A, Rehman AU, Rehman TU, et al. Removing outer gloves as a method to reduce spinal surgery infection. J Spinal Disord Tech 2015;28:343−6.
Menekse G, Kuscu F, Suntur BM, et al. Evaluationof the time-dependent contamination of spinal implants: prospective randomized trial. Spine (Phila Pa 1976) 2015;40:1247−51.
Van Goethem JW, Parizel PM, Jinkins JR. Review article: MR of the postoperative lumbar spine. Neuroradiology 2002;44:723−39.
Ogden AT, Kalser MG. Single-stage debridement and instrumentation for pyogenic spinal infections. Neurosurg Focus 2004;17:5.
Gemmel F, Rijk PC, Collins JMP, et al. Expanding role of 18F-fluoro-d-deoxyglucose PET and PET/CT in spinal infections. Eur Spine J 2010;19:540−51.
Innes MJ, Temple CL, Lacey MS. Vacuum-assisted wound closure: a new approach to spinal wounds with exposed hardware. Spine 2001;26:30−3.
Lazennec JY, Fourniols E, Lenoir T, et al. Infections in the operated spine: update on risk management and therapeutic strategies. Orthop Traumatol Surg Res 2011;97:107−16.
Nasto LA, Colangelo D, Rossi B, et al. Post-operative spondylodiscitis. Eur Rev Med Pharmacol Sci 2012;16:50−7.
Gouliouris T, Aliyu SH, Brown NM. Spondylodiscitis: update on diagnosis and management. J Antimicrob Chemother 2010;65:11−24.
Legrand E, Flipo RM, Guggenbuhl P, et al. Management of nontuberculous infectious discitis. Treatments used in 110 patients admitted to 12 teaching hospitals in France. Joint Bone Spine 2001;68:504−9.
Larsson A, Uusijärvi J, Lind F, et al. Hyperbaric oxygen in the treatment of postoperative infections in paediatric patients with neuromuscular spine deformity. Eur Spine J 2011;20:2217–22.
Abbey DM, Turner DM, Warson JS, et al. Treatment of postoperative wound infections following spinal fusion with instrumentation. J Spinal Disord 1995;8:278−3.
Tunkel AR, Hartman BJ, Kaplan SL, et al. Practice guidelines for the management of bacterial meningitis. Clin Infect Dis 2004;39:1267−84.