@article{ART001398330},
author={안동기 and 박훈석 and 김태우 and 전태환 and 양종화 and 최대정},
title={Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2009},
volume={16},
number={4},
pages={274-284}
TY - JOUR
AU - 안동기
AU - 박훈석
AU - 김태우
AU - 전태환
AU - 양종화
AU - 최대정
TI - Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors
JO - Journal of Korean Society of Spine Surgery
PY - 2009
VL - 16
IS - 4
PB - Korean Society Of Spine Surgery
SP - 274
EP - 284
SN - 2093-4378
AB - Study Design: This is a retrospective preparative study and prospective study
Objective: We instituted and verified the precautions against postoperative spinal infection.
Summary of the Literature Review: Postoperative infection comes from contamination during the operation and various strategies
have been recommended to prevent it.
Materials and Methods: 583 cases that underwent instrumented posterior spinal fusion during two years (group Ⅰ), were
reviewed to discover the risk factors, and intraoperative cultures were done to detect the contamination routes and the causative
microorganisms for the next 4 months. Six precautions, based on the results, were instituted. We analyzed 354 cases that
underwent operation in the following year (group Ⅱ) using the precautions.
Results: Twenty cases (3.4%) were infected in group I and the types of infection were superficial wound infection (4 cases), deep
wound infection (4 cases), osteomyelitis around the interbody space (7 cases), osteomyelitis around the pedicle screws (4 cases)
and a combination of wound infection and osteomyelitis around the pedicle screws (1 case). Infections happened more frequently
in the cases of interbody fusion (p=0.034), revision (p=0.087) and those done in the summer season (p=0.025). S. epidermidis, as
the causative bacteria, was cultured from both the operation environments and wounds. Six precautions based on the preliminary
results were instituted as follows; irrigation method reformation, delayed opening of instruments, turning-off local air
conditioners, changing of gowns before instrumentation, local bone irrigation and limited indications for interbody fusion. After
implementation, two cases (0.6%) of infection developed in group II (p=0.002, odds ratio=0.160; 95% confidence interval = 0.037
to 0.688).
Conclusion: Wounds, grafted bones or instruments can be contaminated under longer-time exposure to operating room air and
so produce interbody or pedicle osteomyelitis without wound infection. The precautions were effective to decrease the postoperative
infection rates following posterior spinal fusion.
KW - Spinal fusion;Routes of contamination;Prevention of infection
DO -
UR -
ER -
안동기, 박훈석, 김태우, 전태환, 양종화 and 최대정. (2009). Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors. Journal of Korean Society of Spine Surgery, 16(4), 274-284.
안동기, 박훈석, 김태우, 전태환, 양종화 and 최대정. 2009, "Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors", Journal of Korean Society of Spine Surgery, vol.16, no.4 pp.274-284.
안동기, 박훈석, 김태우, 전태환, 양종화, 최대정 "Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors" Journal of Korean Society of Spine Surgery 16.4 pp.274-284 (2009) : 274.
안동기, 박훈석, 김태우, 전태환, 양종화, 최대정. Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors. 2009; 16(4), 274-284.
안동기, 박훈석, 김태우, 전태환, 양종화 and 최대정. "Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors" Journal of Korean Society of Spine Surgery 16, no.4 (2009) : 274-284.
안동기; 박훈석; 김태우; 전태환; 양종화; 최대정. Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors. Journal of Korean Society of Spine Surgery, 16(4), 274-284.
안동기; 박훈석; 김태우; 전태환; 양종화; 최대정. Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors. Journal of Korean Society of Spine Surgery. 2009; 16(4) 274-284.
안동기, 박훈석, 김태우, 전태환, 양종화, 최대정. Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors. 2009; 16(4), 274-284.
안동기, 박훈석, 김태우, 전태환, 양종화 and 최대정. "Precautions Against Infection Following Posterior Spinal Fusion Based on Types of Infection and Risk Factors" Journal of Korean Society of Spine Surgery 16, no.4 (2009) : 274-284.