Drain Tip Culture is Not Prognostic for Surgical Site Infection in Spinal Surgery Under Prophylactic Use of Antibiotics

Yamada, Takatsugu; Yoshii, Toshitaka; Egawa, Satoru; Takada, Ryohei; Hirai, Takashi; Inose, Hiroyuki; Kato, Tsuyoshi; Jinno, Tetsuya; Okawa, Atsushi

doi:10.1097/brs.0000000000001503

Cited by 17 publications

(23 citation statements)

References 13 publications

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“…In addition, risk for skin contamination is high in the upper cervical region. 18 In this study, the rate of SSI was indeed high (10.00%).…”

Section: Resultsupporting

confidence: 48%

Surgery of atlantoaxial dislocation by Posterior Decompression Fusion & Fixation at Lateral Mass Screw of C1 & Pedicle Screw & Rod by C2: A Study of 30 Cases

Nath¹,

Barua²,

Banyea³

et al. 2021

Bangla J. Neurosurgery

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Background: Atlantoaxial dislocation (AAD) is a potentially fatal disturbance to the normal occipital-cervical anatomy that affects some populations disproportionately, which may cause permanent neurologic deficits or sagittal deformity if not treated in a timely and appropriate manner. Methods: This was a cross sectional study, which was carried out at the Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University from July 2010 to June 2017. We have studied 30 patients of atlantoaxial subluxation. After collecting patient admission data a brief history and clinical examinations were done. We have conducted a retrospective analysis of the outcomes of 30 consecutive spinal surgeries performed for AAS patients, by posterior decompression, fusion & fixation at lateral mass screw of C1 & pedicle screw & rod by C2 in all cases. We have compared our findings with a previous study. We also examined the factors related to poor outcomes. Result: From a surgical method perspective, the patients underwent post decompression, fusion & fixation at lateral mass screw of C1 & pedicle screw & rod by C2. After surgery, closed follow up was done. The highest age group was 21-40 years 40%. Most of the sufferer were male 80%. The commonest cause was road traffic accident 26.66%. The commonest clinical finding was quadriparesis 14(46.67%). The majority of the patients 24(80%) improved after surgery. In our present study after surgery neurological improvement rate is 83.33%, the rate of SSI was indeed high 10.00%, total death rate was 3.33%, the hardware failure rate was 3.33% and the reoperation rate reached 6.66%. Conclusion: The results of this study showed that the C1/2 fixation technique exhibited effectiveness in terms of neurological recovery. Bang. J Neurosurgery 2021; 10(2): 148-153

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“…In addition, risk for skin contamination is high in the upper cervical region. 18 In this study, the rate of SSI was indeed high (10.00%).…”

Section: Resultsupporting

confidence: 48%

Surgery of atlantoaxial dislocation by Posterior Decompression Fusion & Fixation at Lateral Mass Screw of C1 & Pedicle Screw & Rod by C2: A Study of 30 Cases

Nath¹,

Barua²,

Banyea³

et al. 2021

Bangla J. Neurosurgery

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show abstract

“…The AAS patients in this study included a large number of patients who had a high risk of developing SSI, including patients with diabetes mellitus and collagen diseases such as RA and patients taking other immunosuppressants. In addition, risk for skin contamination is high in the upper cervical region [21]. In this study, the rate of SSI was indeed high (6.7%).…”

Section: Discussionmentioning

confidence: 51%

Retrospective analysis of surgical outcomes for atlantoaxial subluxation

Yamada

Yoshii

et al. 2019

J Orthop Surg Res

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Background Atlantoaxial subluxation (AAS) is characterized by excessive movement at the junction between the atlas (C1) and axis (C2) as a result of either a bony or ligamentous abnormality. Surgical intervention is a therapeutic choice for AAS. In addition to C1 laminectomy (LAM), surgical fixation for subluxation or instability is performed by various techniques. While surgical treatment options for AAS have increased, the outcomes of different surgical techniques remain unclear. Methods The authors conducted a retrospective analysis of the outcomes of 30 consecutive spinal surgeries performed for AAS patients, C1 LAM in 11 cases and C1/2 fixation in 19 cases. We investigated the correlation between the clinical outcomes and the surgical methods. We also examined the factors related to poor outcomes (the recovery rate of the Japanese Orthopedic Association score for cervical myelopathy < 40%) following AAS surgeries . Results From a surgical method perspective, the patients in the C1 LAM group were older than those in the C1/2 fixation group (74.6 years vs 68.0 years), and the average recovery rate from the preoperative status was as follows: the C1 LAM group, 39.4%; the C1/2 fixation group, 49.8%. The C-JOA score was significantly improved after surgery in the C1/2 fixation group (from 9.8 to 13.1 points). The fixation technique seemed to successfully reduce C1/2 displacement. Each group exhibited a slight increase in the C1/2 angle and a decrease in the C2–7 angles after the operation. A higher preoperative atlantodental interval (ADI) was associated with good outcomes after the C1/2 fixation. The postoperative ADI was significantly reduced from 8.6 mm to 3.8 mm in the good outcome group after fixation. Patients with higher C1/2 angle showed good outcomes after C1 LAM. Despite the good neurological improvement, the C1/2 fixation method showed higher complication rates compared with C1 LAM method. Conclusions The results of this study showed that the C1/2 fixation technique exhibited effectiveness in terms of neurological recovery. However, there was a high complication rate in surgeries for AAS, especially in the C1/2 fixation. C1 LAM would be considered for high-risk AAS cases such as elderly patients with multiple comorbidities.

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“…The flow-chart is presented in Figure 1. Seventeen studies were selected (Tables I and II) [5,7,8,[17][18][19][20][21][22][23][24][25][26][27][28][29][30].…”

Section: Resultsmentioning

confidence: 99%

“…We also contacted five authors of studies that were potentially eligible for inclusion in the meta-analysis in order to obtain additional information or new results [7][8][9][10][11]. Two of them replied to us [7][8].…”

Section: Selectionmentioning

confidence: 99%

Are systematic drain tip or drainage fluid cultures predictive of surgical site infections?

Macaigne

Ruggieri

Vallet-Tadeusz

et al. 2019

Journal of Hospital Infection

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Drain Tip Culture is Not Prognostic for Surgical Site Infection in Spinal Surgery Under Prophylactic Use of Antibiotics

Abstract: 4.

Cited by 17 publications

References 13 publications

Surgery of atlantoaxial dislocation by Posterior Decompression Fusion & Fixation at Lateral Mass Screw of C1 & Pedicle Screw & Rod by C2: A Study of 30 Cases

Surgery of atlantoaxial dislocation by Posterior Decompression Fusion & Fixation at Lateral Mass Screw of C1 & Pedicle Screw & Rod by C2: A Study of 30 Cases

Retrospective analysis of surgical outcomes for atlantoaxial subluxation

Are systematic drain tip or drainage fluid cultures predictive of surgical site infections?

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