Risk Factors of Deep Infection after Thoracic and Lumbar Spinal Arthrodesis

송경진; 송광훈; Yong-Geun Park,; 이광복; 김상림

Study Design: This is a retrospective analysis Objectives: We wanted to analyze the risk factors related to deep infection and removing an implant after thoracic and lumbar spinal arthrodesis. Summary of literature reviews: The relationship between deep infection and implant removal is controversial. Materials and Methods: We retrospectively compared the infection group with the non-infection group for the rates of deep infection, the preoperative diagnosis, the number of fused segments, the operative methods, the graft materials, the operating time and the blood loss. Moreover, we classified the deep infection patients into two groups: those who underwent implant removal and those who did not, and we compared the microorganisms that were cultured out of the patients. We also compared the relationship of deep infection with the risk factors, the mean hospital stay and the mean number of operations. Results: There were 18 cases (2.46%) of deep infection. The factors that did not show a significant difference were the preoperative diagnosis, the graft material, the increased number of fused segments, age, gender and BMI. The factors that were significant were the operating time (p=0.001), the amount of blood loss (p<0.000), DM (p=0.021), and PLF (p=0.054). The incidence of implant removal was higher for the cases with deep infection caused by MRSA. We were able to see a significant difference of between the group that had undergone implant removal and the group that had not undergone implant removal. Conclusions: The incidence of deep infection after thoracic and lumbar spinal athrodesis increased as the operating time and blood loss increased, and it was also higher when either PLF or DM were present. Implant removal causes bad clinical results, so physicians should be very cautious when operating on a case of implant removal.

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REFERENCES (18)
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* 2021년 이후 발행 논문의 참고문헌은 현재 구축 중입니다.

[journal] Kim EH / 2000 / Deep Wound Infection after Lumbar Spine Fusion with Pedicular Screw Fixation / J Korean Soc Spine Surg 7 : 535~543

[journal] 김진환 / 2006 / Deep Infection following Instrumented Posterior Fusion / 대한정형외과학회지 / 대한정형외과학회 41(4) : 617~622

[journal] Kim KS / 1996 / Postoperative Wound Infections in Patients with Posterior Spinal Instrumentations / J Korean Soc Spine Surg 3 : 77~82

[journal] Kim YM / 2001 / Management of Deep Infection after Posterior Spinal Instrumentation with Prolonged Suction Drainage / J Korean Soc Spine Surg 8 : 504~512

[journal] McCarthy RE / 1986 / Allograft bone in spinal fusion for paralytic scoliosis / J Bone Joint Surg Am 68 : 370~375

[journal] Lin PM / 1983 / Posterior lumbar interbody fusion / Clin Orthop Relat Res 180 : 154~168

[journal] Lee HM / 2000 / Infection after Cervical Spine Surgery / J Korean Soc Spine Surg 7 : 456~461

[journal] Viola RW / 1997 / Delayed infection after elective spinal instrumentation and fusion. A retrospective analysis of eight cases / Spine 15(22) : 2444~2450

[journal] Rah JH / 1994 / A Clinical Study of Postoperative Infection in Posterior Spinal Surgery with Pedicle Screw System / J Korean Orthop Assoc 29 : 994~1003

[journal] Shim JI / 2000 / Late Infection of Spinal Instrumentation / J Korean Soc Spine Surg 7 : 29~36

[journal] Lonstein J / 1973 / Wound infection with Harrington instrumentation and spine fusion for scoliosis / Clin Orthop Relat Res 96 : 222~233

[journal] Massie JB / 1992 / Postoperative posterior spinal wound infections / Clin Orthop Relat Res 284 : 99~108

[journal] Park WW / 2001 / Posterior lumbar interbody fusion in the pyogenic discitis / J Korean Soc Spine Surg 8 : 39~45

[journal] Richards BS / 1995 / Delayed infections following posterior spinal instrumentation for the treatment of idiopathic scoliosis / J Bone Joint Surg Am 77 : 524~529

[journal] Sepica FL / 1990 / Vertebral osteomyelitis / Infect Dis Clin North Am 4 : 539~550

[journal] Weinstein MA / 2000 / Postoperative spinal wound infection. A review of 2391 consecutive index procedures / J Spinal Disord 13 : 422~426

[journal] Boachie-Adjei O / 1991 / Treatment of adult spinal deformity with fusion to the sacrum using CD instrumentation / J Spinal Disord 4 : 1~14

[journal] McAfee PC / 1985 / Complications following Harrington instrumentation for fractures of the thoracolumbar spine / J Bone Joint Surg Am 67 : 672~685

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