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Surgical site infection following surgery for spinal deformity: About 102 patients
Institution:1. Department of neurosurgery, assistance publique des hôpitaux de Marseille, La Timone university hospital, Marseille, France;2. Spine Unit, assistance publique des hôpitaux de Marseille, La Timone university hospital, Marseille, France;3. Department of neurosurgery, CHRU de Brest, Brest, France;4. Department of orthopedic surgery, assistance publique des hôpitaux de Marseille, La Timone university hospital, Marseille, France;1. Faculdade de Medicina da Universidade Agostinho Neto, Luanda, Angola;2. Centro Hospitalar de Vila Nova de Gaia/Espinho, Serviço de Neurocirurgia, Rua Conceição Fernandes S/N 4434-520, Porto, Portugal;1. Division of Orthopedics, Centre Hospitalier de l’Université de Montréal (CHUM), University of Montreal, 1051 Sanguinet Street, Montreal, QC H2X 3E4 Canada;2. Division of Neurosurgery, Centre Hospitalier de l’Université de Montréal (CHUM), University of Montreal, 1051 Sanguinet Street, Montreal, QC H2X 3E4 Canada;1. Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65, Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan;2. Department of Orthopaedic Surgery, Chubu Rosai Hospital, 1-10-6, Komei, Minato-ku, Nagoya, 455-8530, Japan;3. Department of Orthopaedic Surgery, Konan Kosei Hospital, 137, Omatsubara, Takaya-cho, Konan, Aichi, 483-8704, Japan;4. Department of Orthopaedic Surgery, Japanese Red Cross Nagoya Daini Hospital, 2-9, Myoken-cho, Showa-ku, Nagoya, 466-8650, Japan;5. Department of Orthopaedic Surgery, Hachiya Orthopaedic Hospital, 2-4, Suemoridori, Chikusa-ku, Nagoya, 464-0821, Japan;6. Department of Orthopaedic Surgery, Kariya Toyota General Hospital, 15, Sumiyoshi-cho 5, Kariyashi, Aichi, 448-8505, Japan;7. Department of Orthopaedic Surgery, National Center for Geriatrics and Gerontology, 7-430, Morioka-cho, Obu, Aichi, 474-8511, Japan;8. Department of Orthopaedic Surgery, Japanese Red Cross Nagoya Daiichi Hospital, 3-35, Michishita-cho, Nakamura-ku, Nagoya, 453-8511, Japan;9. Department of Orthopaedic Surgery, Anjo Kosei Hospital, 28, Higashi-Kohan, Anjo-cho, Anjo, Aichi, 446-8602, Japan;1. CHU de l’université de Montréal, Montréal, Canada;2. Université de Montréal, Montréal, Canada;1. Division of Spine, Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, 43210, United States;2. Division of Musculoskeletal Oncology, Department of Orthopaedics, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, OH, 43210, United States
Abstract:IntroductionComplex spinal surgery is known to be at risk of complications. Surgical site infection is a serious complication in spine surgery and its frequency is significantly increased in adult spinal deformity correction. The aim of this study is to identify patients’ characteristics and risk factors of surgical site infection (SSI) following an osteotomy.MethodsThis is a single-center retrospective study of patients who underwent an osteotomy between January 2015 and December 2017. Surgical site infection diagnosis was based upon patient's clinical evidence of infection, biologic parameters, microbiological criteria and/or image findings.ResultsIn total, 102 patients were eligible and 70 were women (68.6%). Mean age was 65 years old (27–83 years) and mean body mass index (BMI) was 26.14 kg.m?2 (18.4–44.1). Eleven patients were in the SSI group and 91 in the No-SSI group. The mean Schwab grade was 1.5 (1–4) in the SSI group vs. 1.4 (1–5) in the No-SSI group (P = 0.435). The mean operative time was on 201.9 minutes (67–377). Mean length of stay was 20.6 days (10–73) in the SSI group vs. 15 days (5–44) in the No-SSI group (P = 0.041). Favorable outcome was found in 10 patients (90.9%) in the SSI group.ConclusionCorrection surgery for adult spinal deformity with osteotomies carries a high risk of complications specially SSI. Identification of risk factors, prevention and medical management of SSI should be well assessed.
Keywords:Surgical site infection  Spinal deformity  Osteotomy  Complication  Infection du site opératoire  Déformation rachidienne  Ostéotomie  Complication
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