Monitoring for Deep Wound Infection after Thoracolumbar Surgery Significance of Suction Drainage Tip Culture for Early Detection of Postoperative Deep Wound Infection

An, Ki Chan; Kim, Key Yong; Heo, Mu Jung; Kim, Jin Seok

doi:10.4184/jkss.2006.13.1.23

Cited by 2 publications

(2 citation statements)

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“…Not only because the dura mater is directly exposed when the affected site is opened for surgical operation, but also because it is difficult to remove the surgical instruments postoperatively due to the vertebral instability. Thus, more special attention should be paid to the possible occurrences of posterior infections as compared with other body areas [ 1 ]. Particularly in patients who developed neurological deficits due to the formation of epidural abscess, a poor prognosis is expected.…”

Section: Discussionmentioning

confidence: 99%

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Thoracic Infectious Spondylitis After Surgical Treatments of Herniated Lumbar Intervertebral Disc

et al. 2013

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The postoperative infectious spondylitis has been reported to occur among every 1% to 12%. It is difficult to early diagnose in some cases. If the diagnosis is delayed, it can be a life-threatening condition. We report a 32-year-old male patient with postoperative infectious spondylitis. He had surgical treatments for traumatic intervertebral disc herniations in L3-4 and L4-5. Three weeks after surgery, he complained for fever and paraplegia. Cervicothoracic magnetic resonance imaging showed the collapsed T2 and T3 vertebral body with changes of bone marrow signal intensity. Moreover, it showed anterior and posterior epidural masses causing spinal cord compressions which suggested infectious spondylitis. After the use of antibiotics and surgical decompressions T2-T3, his general conditions were improved and muscle power of lower extremities began to be gradually restored. However, we could not identify the exact organisms that may be the cause of infectious spondylitis. It could be important that the infectious spondylitis, which is presented away from the primary operative level, should be observed in patients with fevers of unknown origin and paraplegia.

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Section: Discussionmentioning

confidence: 99%

“…The reported incidence rate of this rare pyogenic infectious spondylitis is 0.2-2 cases in one million persons per year. Recently, an increase has been found due to the suspected elongated life expectancy of patient with chronic diseases [ 1 ]. Moreover, the incidence rate of postoperative infectious spondylitis has been increasing.…”

Section: Introductionmentioning

confidence: 99%