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Surgical Site Infections in Spinal Surgery
Barrett S Boody1, Tyler J Jenkins, Sohaib Z Hashmi
1Department of Orthopaedic Surgery, Northwestern Memorial Hospital, Chicago, IL.
Journal of Spinal Disorders & Techniques
|November 14, 2015
Summary
Surgical site infections (SSIs) are serious complications after spine surgery. This review covers the latest evaluation and management strategies for these infections to improve patient outcomes.
Area of Science:
- Orthopedics
- Infectious Disease
- Neurosurgery
Background:
- Surgical site infections (SSIs) are a significant complication following spine surgery.
- SSIs can occur within 30 days of surgery or up to 12 months after spinal instrumentation.
- Infections are classified by tissue depth: superficial, deep incisional, or organ/space.
Purpose of the Study:
- To review current modalities for evaluating and managing spinal SSIs.
- To discuss controversies in the diagnosis and treatment of SSIs in spine surgery.
- To inform spine surgeons about advancements in SSI care.
Main Methods:
- Literature review of recent studies on spinal SSIs.
- Analysis of diagnostic criteria and classification systems for SSIs.
- Examination of current and emerging treatment strategies.
Main Results:
- SSIs increase healthcare costs and patient morbidity.
- Improved diagnostic and management techniques are available.
- Ongoing research continues to refine SSI care.
Conclusions:
- Spine surgeons need to stay updated on SSI evaluation and management.
- Addressing SSIs is crucial for reducing postoperative complications.
- Further research is needed to resolve management controversies.

