Postoperative Deep Wound Infections in Adults After Spinal Fusion

Abstract

VAC therapy is an effective adjunct in closing complex deep spinal wounds with exposed instrumentation.

The Management and Outcome of Spinal Implant Infections: Contemporary Retrospective Cohort Study

“…In addition, we have shown for the first time, to our knowledge, that the use of oral antimicrobial suppression therapy is associated with an improved rate of failure-free survival and limited adverse events in patients with early-onset spinal implant infection. Previously published reports detailing the management of early-onset spinal implant infection largely advocate debridement, implant retention, and systemic antimicrobial therapy [4,5,[11][12][13][14][15]. Success with this therapeutic approach varies widely from !50% [4] to 100% [11].…”

Wound conditioning by vacuum assisted closure (V.A.C.) in postoperative infections after dorsal spine surgery

“…TM dressing in infected wounds after spine surgery was hitherto documented in one case report [70]. A recently published study describes treatment of 20 patients with deep wound infections after dorsal spinal fusion [44]. The authors performed repeated debridements in 12 of 20 patients without resolving the infection before they applied V.A.C.…”

“…TM , Kinetic Concepts, Inc., San Antonio, TX, USA) is a new efficient system for wound conditioning in treatment of problematic wounds [19,22,25,36,47,48,52]. Until now, this technique was applied in spinal surgery in one case report and one retrospective study only [44,70].…”

Impact of negative pressure wound therapy on open diaphyseal tibial fractures: A prospective randomized trial

“…Various studies and series have evaluated the use of NPWT on infected wounds although infection being a relative contraindication for the use of NPWT. 13,16,25 Open tibial fractures present with a common and vexing problem in view of large wounds and poor ability of the wounds to Incidence of acute and deep infections in the two groups.…”