Early infection in surgery of idiopathic scoliosis
Objective. To analyze the current level of early postoperative septic complications in a large retrospective series of patients with idiopathic scoliosis operated in the same clinic. Material and Methods. The single-center retrospective database of 1973 patients who underwent surgical correction...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2016-06-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/238/1235 |
| _version_ | 1827843316476018688 |
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| author | Denis N. Dolotin Mikhail V. Mikhailovsky |
| author_facet | Denis N. Dolotin Mikhail V. Mikhailovsky |
| author_sort | Denis N. Dolotin |
| collection | DOAJ |
| description | Objective. To analyze the current level of early postoperative septic complications in a large retrospective series of patients
with idiopathic scoliosis operated in the same clinic.
Material and Methods. The single-center retrospective database of 1973 patients who underwent surgical correction of
idiopathic scoliosis with corrective segmental 3rd generation instrumentation during 1996–2013 was studied. In all pa-
tients, antibiotic prophylaxis was started 30 minutes before incision and lasted up to 72 hours after surgery. Cefazolin in
age-specific dosage variances was used as antibiotic. Drainage of the area of surgical intervention was performed within
two days after surgery.
Results. Surgical site infection occurred in 12 (0.6 %) cases within 90 days after surgery. Suppuration developed only
in the area of posterior approach to the spine. The most common pathogen was S. epidermidis isolated in 68.0 % of cases.
Implants and the achieved correction of spinal deformity were saved in 10 (83.0 %) patients.
Conclusion. Prevention of postoperative infections in surgery of idiopathic scoliosis is the most important task. It is neces-
sary to carry out an early revision and debridement of the wound and strive to maintain implants if they are stable. |
| first_indexed | 2024-03-12T08:23:03Z |
| format | Article |
| id | doaj.art-c0ffc33f4495444b966dc1c2eefdd825 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T08:23:03Z |
| publishDate | 2016-06-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-c0ffc33f4495444b966dc1c2eefdd8252023-09-02T18:18:08ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972016-06-01132242710.14531/ss2016.2.24-27Early infection in surgery of idiopathic scoliosisDenis N. Dolotin0Mikhail V. Mikhailovsky1Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, RussiaObjective. To analyze the current level of early postoperative septic complications in a large retrospective series of patients with idiopathic scoliosis operated in the same clinic. Material and Methods. The single-center retrospective database of 1973 patients who underwent surgical correction of idiopathic scoliosis with corrective segmental 3rd generation instrumentation during 1996–2013 was studied. In all pa- tients, antibiotic prophylaxis was started 30 minutes before incision and lasted up to 72 hours after surgery. Cefazolin in age-specific dosage variances was used as antibiotic. Drainage of the area of surgical intervention was performed within two days after surgery. Results. Surgical site infection occurred in 12 (0.6 %) cases within 90 days after surgery. Suppuration developed only in the area of posterior approach to the spine. The most common pathogen was S. epidermidis isolated in 68.0 % of cases. Implants and the achieved correction of spinal deformity were saved in 10 (83.0 %) patients. Conclusion. Prevention of postoperative infections in surgery of idiopathic scoliosis is the most important task. It is neces- sary to carry out an early revision and debridement of the wound and strive to maintain implants if they are stable.https://www.spinesurgery.ru/jour/article/view/238/1235idiopathic scoliosissurgical site infectioncorrection of deformity |
| spellingShingle | Denis N. Dolotin Mikhail V. Mikhailovsky Early infection in surgery of idiopathic scoliosis Хирургия позвоночника idiopathic scoliosis surgical site infection correction of deformity |
| title | Early infection in surgery of idiopathic scoliosis |
| title_full | Early infection in surgery of idiopathic scoliosis |
| title_fullStr | Early infection in surgery of idiopathic scoliosis |
| title_full_unstemmed | Early infection in surgery of idiopathic scoliosis |
| title_short | Early infection in surgery of idiopathic scoliosis |
| title_sort | early infection in surgery of idiopathic scoliosis |
| topic | idiopathic scoliosis surgical site infection correction of deformity |
| url | https://www.spinesurgery.ru/jour/article/view/238/1235 |
| work_keys_str_mv | AT denisndolotin earlyinfectioninsurgeryofidiopathicscoliosis AT mikhailvmikhailovsky earlyinfectioninsurgeryofidiopathicscoliosis |