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BioMed Research International
Volume 2015, Article ID 842010, 5 pages
http://dx.doi.org/10.1155/2015/842010
Research Article

Management of Deep Infection after Instrumentation on Lumbar Spinal Surgery in a Single Institution

1School of Medicine, College of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
2Departments of Neurosurgery, Nuclear Medicine, and Radiology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
3Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan
4Department of Medical Research, China Medical University Hospital, Taichung 40402, Taiwan
5Department of Psychology, College of Medical and Health Science, Asia University, Taichung 41354, Taiwan

Received 17 September 2014; Accepted 17 February 2015

Academic Editor: Yi Liu

Copyright © 2015 Jung-Tung Liu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Postoperative surgical site infections (SSIs) are more common complications after spinal surgery. SSIs often require extended hospitalisation and may worsen overall clinical outcomes. A retrospective database review of consecutive patients with traditional open lumbar spinal surgery was performed. SSIs patients were identified and reviewed for clinically relevant details, and postoperative SSIs’ incidence was calculated for the entire cohort as well as for subgroups with or without spinal implants. In 15 years, 1,176 patients underwent open lumbar spinal surgery with spinal implants and 699 without. Thirty-eight developed postoperative SSIs. Total SSI rate for the entire group was 2.03%. The incidence of postoperative SSIs in the nonimplant group was relatively low. Patients received antibiotics, hyperbaric oxygen therapy, and wet dressing. We provided the precise rates of postoperative SSIs in traditional open spinal surgery obtained from a single-centre data. Patients with spinal implants had higher SSIs’ incidence than those without.