Surgical site infections after posterior spinal fusion for neuromuscular scoliosis: A thirty year experience at a single institution

Journal of Bone and Joint Surgery - American Volume

Volumn 96, Issue 24, 2014, Pages 2038-2048

  Ramo, Brandon A ^a   Roberts, David W ^a   Tuason, Dominick ^a   McClung, Anna ^a   Paraison, Lauren E ^a   Moore, Harold G ^a   Sucato, Daniel J ^a  

^a TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CEFAZOLIN; GENTAMICIN; HEMOGLOBIN;

ADOLESCENT; ADULT; ANTIBIOTIC THERAPY; BLEEDING DISORDER; BODY MASS; CHILD; COBB ANGLE; CONTROLLED STUDY; DECUBITUS; DEVICE REMOVAL; DIARRHEA; FASCIA; FEMALE; FOLLOW UP; FRACTURE FIXATION; GRAM NEGATIVE BACTERIUM; GRAM POSITIVE BACTERIUM; HEMATOMA; HEMOGLOBIN BLOOD LEVEL; HOSPITALIZATION; HUMAN; ILEUS; INFECTION RATE; LENGTH OF STAY; LUNG EDEMA; MAJOR CLINICAL STUDY; MALE; NEUROMUSCULAR SCOLIOSIS; OUTCOME ASSESSMENT; PATIENT IDENTIFICATION; PATIENT RISK; PLEURA EFFUSION; PNEUMONIA; PNEUMOTHORAX; POSTOPERATIVE COMPLICATION; PREVALENCE; PROSTHESIS FAILURE; PROSTHESIS LOOSENING; PSEUDARTHROSIS; RETROSPECTIVE STUDY; REVIEW; RISK ASSESSMENT; RISK FACTOR; SCOLIOSIS; SCREW LOOSENING; SPINAL DYSRAPHISM; SPINE FUSION; SPINE IMPLANT; STOMACH PERFORATION; SURGICAL DRAINAGE; SURGICAL INFECTION; TREATMENT DURATION; URINARY TRACT INFECTION; URINE INCONTINENCE; WOUND DEHISCENCE; PRESCHOOL CHILD; SURGICAL WOUND INFECTION; YOUNG ADULT;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; MALE; PREVALENCE; RETROSPECTIVE STUDIES; RISK FACTORS; SCOLIOSIS; SPINAL FUSION; SURGICAL WOUND INFECTION; YOUNG ADULT;

EID: 84919468390     PISSN: 00219355     EISSN: 15351386     Source Type: Journal    
DOI: 10.2106/JBJS.N.00277     Document Type: Review

References (39)

1. Levi AD, Dickman CA, Sonntag VK. Management of postoperative infections after spinal instrumentation. J Neurosurg. 1997 Jun;86(6):975-80.
2. Li Y, Glotzbecker M, Hedequist D. Surgical site infection after pediatric spinal deformity surgery. Curr Rev Musculoskelet Med. 2012 Feb 9. Epub 2012 Feb 9.
3. Cahill PJ, Warnick DE, Lee MJ, Gaughan J, Vogel LE, Hammerberg KW, Sturm PF. Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a single institution. Spine (Phila Pa 1976). 2010 May 20;35(12):1211-7.
4. Calderone RR, Garland DE, Capen DA, Oster H. Cost of medical care for postoperative spinal infections. Orthop Clin North Am. 1996 Jan;27(1):171-82.
5. Parker SL, Shau DN, Mendenhall SK, McGirt MJ. Factors influencing 2-year health care costs in patients undergoing revision lumbar fusion procedures. J Neurosurg Spine. 2012 Apr;16(4):323-8. Epub 2012 Jan 27.
6. Coe JD, Arlet V, Donaldson W, Berven S, Hanson DS, Mudiyam R, Perra JH, Shaffrey CI. Complications in spinal fusion for adolescent idiopathic scoliosis in the new millennium. A report of the Scoliosis Research Society Morbidity and Mortality Committee. Spine (Phila Pa 1976). 2006 Feb 1;31(3):345-9.
7. Rihn JA, Lee JY, Ward WT. Infection after the surgical treatment of adolescent idiopathic scoliosis: evaluation of the diagnosis, treatment, and impact on clinical outcomes. Spine (Phila Pa 1976). 2008 Feb 1;33(3):289-94.
8. Sponseller PD, LaPorte DM, Hungerford MW, Eck K, Bridwell KH, Lenke LG. Deep wound infections after neuromuscular scoliosis surgery: a multicenter study of risk factors and treatment outcomes. Spine (Phila Pa 1976). 2000 Oct 1;25(19): 2461-6.
9. Vitale MG, Riedel MD, Glotzbecker MP, Matsumoto H, Roye DP, Akbarnia BA, Anderson RC, Brockmeyer DL, Emans JB, Erickson M, Flynn JM, Lenke LG, Lewis SJ, Luhmann SJ, McLeod LM, Newton PO, Nyquist AC, Richards BS 3rd, Shah SA, Skaggs DL, Smith JT, Sponseller PD, Sucato DJ, Zeller RD, Saiman L. Building consensus: development of a Best Practice Guideline (BPG) for surgical site infection (SSI) prevention in high-risk pediatric spine surgery. J Pediatr Orthop. 2013 Jul-Aug;33(5):471-8.
10. Geiger F, Parsch D, Carstens C. Complications of scoliosis surgery in children with myelomeningocele. Eur Spine J. 1999;8(1):22-6.
11. Benson ER, Thomson JD, Smith BG, Banta JV. Results and morbidity in a consecutive series of patients undergoing spinal fusion for neuromuscular scoliosis. Spine (Phila Pa 1976). 1998 Nov 1;23(21):2308-17, discussion; 2318.
12. Stella G, Ascani E, Cervellati S, Bettini N, Scarsi M, Vicini M, Magillo P, Carbone M. Surgical treatment of scoliosis associated with myelomeningocele. Eur J Pediatr Surg. 1998 Dec;8(Suppl 1):22-5.
13. McMaster MJ. Anterior and posterior instrumentation and fusion of thoracolumbar scoliosis due to myelomeningocele. J Bone Joint Surg Br. 1987 Jan;69(1):20-5.
14. Tsirikos AI, Lipton G, Chang WN, Dabney KW, Miller F. Surgical correction of scoliosis in pediatric patients with cerebral palsy using the unit rod instrumentation. Spine (Phila Pa 1976). 2008 May 1;33(10):1133-40.
15. Teli MG, Cinnella P, Vincitorio F, Lovi A, Grava G, Brayda-Bruno M. Spinal fusion with Cotrel-Dubousset instrumentation for neuropathic scoliosis in patients with cerebral palsy. Spine (Phila Pa 1976). 2006 Jun 15;31(14):E441-7.
16. Szöke G, Lipton G, Miller F, Dabney K. Wound infection after spinal fusion in children with cerebral palsy. J Pediatr Orthop. 1998 Nov-Dec;18(6):727-33.
17. Dias RC, Miller F, Dabney K, Lipton G, Temple T. Surgical correction of spinal deformity using a unit rod in children with cerebral palsy. J Pediatr Orthop. 1996 Nov-Dec;16(6):734-40.
18. Aleissa S, Parsons D, Grant J, Harder J, Howard J. Deep wound infection following pediatric scoliosis surgery: incidence and analysis of risk factors. Can J Surg. 2011 Aug;54(4):263-9.
19. Bentley G, Haddad F, Bull TM, Seingry D. The treatment of scoliosis in muscular dystrophy using modified Luque and Harrington-Luque instrumentation. J Bone Joint Surg Br. 2001 Jan;83(1):22-8.
20. Sponseller PD, Shah SA, Abel MF, Newton PO, Letko L, Marks M. Infection rate after spine surgery in cerebral palsy is high and impairs results: multicenter analysis of risk factors and treatment. Clin Orthop Relat Res. 2010 Mar;468(3):711-6. Epub 2009 Jun 19.
21. Borkhuu B, Borowski A, Shah SA, Littleton AG, Dabney KW, Miller F. Antibioticloaded allograft decreases the rate of acute deep wound infection after spinal fusion in cerebral palsy. Spine (Phila Pa 1976). 2008 Oct 1;33(21):2300-4.
22. Linam WM, Margolis PA, Staat MA, Britto MT, Hornung R, Cassedy A, Connelly BL. Risk factors associated with surgical site infection after pediatric posterior spinal fusion procedure. Infect Control Hosp Epidemiol. 2009 Feb;30(2):109-16.
23. Mohamed Ali MH, Koutharawu DN, Miller F, Dabney K, Gabos P, Shah S, Holmes L Jr. Operative and clinical markers of deep wound infection after spine fusion in children with cerebral palsy. J Pediatr Orthop. 2010 Dec;30(8):851-7.
24. Yuan K, Chen HL. Obesity and surgical site infections risk in orthopedics: a meta-Analysis. Int J Surg. 2013;11(5):383-8. Epub 2013 Mar 05.
25. Hatlen T, Song K, Shurtleff D, Duguay S. Contributory factors to postoperative spinal fusion complications for children with myelomeningocele. Spine (Phila Pa 1976). 2010 Jun 1;35(13):1294-9.
26. Jevsevar DS, Karlin LI. The relationship between preoperative nutritional status and complications after an operation for scoliosis in patients who have cerebral palsy. J Bone Joint Surg Am. 1993 Jun;75(6):880-4.
27. Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK, Fish DN, Napolitano LM, Sawyer RG, Slain D, Steinberg JP, Weinstein RA; American Society of Health-System Pharmacists (ASHP); Infectious Diseases Society of America (IDSA); Surgical Infection Society (SIS); Society for Healthcare Epidemiology of America (SHEA). Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surg Infect (Larchmt). 2013 Feb;14(1):73-156. Epub 2013 Mar 05.
28. Steinberg JP, Braun BI, Hellinger WC, Kusek L, Bozikis MR, Bush AJ, Dellinger EP, Burke JP, Simmons B, Kritchevsky SB; Trial to Reduce Antimicrobial Prophylaxis Errors (TRAPE) Study Group. Timing of antimicrobial prophylaxis and the risk of surgical site infections: results from the Trial to Reduce Antimicrobial Prophylaxis Errors. Ann Surg. 2009 Jul;250(1):10-6.
29. Cataife G, Weinberg DA, Wong HH, Kahn KL. The effect of Surgical Care Improvement Project (SCIP) compliance on surgical site infections (SSI). Med Care. 2014 Feb;52(2)(Suppl 1):S66-73.
30. Berrios-Torres SI. CDC Surgical Site Infection (SSI) Toolkit. http://www.cdc. gov/hai/pdfs/toolkits/SSI-toolkit021710SIBT-revised.pdf. Accessed 2014 Jul 9.
31. Sweet FA, Roh M, Sliva C. Intrawound application of vancomycin for prophylaxis in instrumented thoracolumbar fusions: efficacy, drug levels, and patient outcomes. Spine (Phila Pa 1976). 2011 Nov 15;36(24):2084-8.
32. Cheng MT, Chang MC, Wang ST, Yu WK, Liu CL, Chen TH. Efficacy of dilute betadine solution irrigation in the prevention of postoperative infection of spinal surgery. Spine (Phila Pa 1976). 2005 Aug 1;30(15):1689-93.
33. Soultanis KC, Pyrovolou N, Zahos KA, Karaliotas GI, Lenti A, Liveris I, Babis GC, Soucacos PN. Late postoperative infection following spinal instrumentation: stainless steel versus titanium implants. J Surg Orthop Adv. 2008 Fall;17(3):193-9.
34. Di Silvestre M, Bakaloudis G, Lolli F, Giacomini S. Late-developing infection following posterior fusion for adolescent idiopathic scoliosis. Eur Spine J. 2011 May;20(Suppl 1):S121-7. Epub 2011 Apr 20.
35. Ho C, Sucato DJ, Richards BS. Risk factors for the development of delayed infections following posterior spinal fusion and instrumentation in adolescent idiopathic scoliosis patients. Spine (Phila Pa 1976). 2007 Sep 15;32(20): 2272-7.
36. Diab M, Smucny M, Dormans JP, Erickson MA, Ibrahim K, Lenke LG, Sucato DJ, Sanders JO. Use and outcomes of wound drain in spinal fusion for adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2012 May 15;37(11): 966-73.
37. Master DL, Poe-Kochert C, Son-Hing J, Armstrong DG, Thompson GH. Wound infections after surgery for neuromuscular scoliosis: risk factors and treatment outcomes. Spine (Phila Pa 1976). 2011 Feb 1;36(3):E179-85.
38. Dhawale AA, Shah SA, Sponseller PD, Bastrom T, Neiss G, Yorgova P, Newton PO, Yaszay B, Abel MF, Shufflebarger H, Gabos PG, Dabney KW, Miller F. Are antifibrinolytics helpful in decreasing blood loss and transfusions during spinal fusion surgery in children with cerebral palsy scoliosis Spine (Phila Pa 1976). 2012 Apr 20;37(9):E549-55.
39. Sponseller PD, Zimmerman RM, Ko PS, Pull Ter Gunne AF, Mohamed AS, Chang TL, Kebaish KM. Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up. Spine (Phila Pa 1976). 2010 Sep 15;35(20):1887-92.