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Management of spinal infections in children with cerebral palsy

A Sebaaly1, R El Rachkidi1, J J Yaacoub1

  • 1Department of orthopedic surgery, Hôtel Dieu de France, university hospital, faculty of medicine, Saint Joseph university, Mount Lebanon, Alfred Naccache street, Achrafieh, 166830 Beirut, Lebanon.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|August 3, 2016
PubMed

Insights

Cerebral palsy patients undergoing spinal surgery for scoliosis face higher surgical site infection risks. This review explores infection causes and proposes a treatment algorithm for better patient outcomes.

Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Pediatric Neurology

Background:

  • Cerebral palsy (CP) patients with scoliosis undergoing posterior spinal instrumentation have a higher risk of surgical site infection (SSI) compared to those with idiopathic scoliosis.
  • Various organisms can cause SSIs in this population.
  • Identified risk factors encompass patient-specific characteristics, nutritional status, and surgical factors.

Purpose of the Study:

  • To review the pathophysiology of surgical site infection in cerebral palsy patients with scoliosis.
  • To propose a treatment algorithm for surgical site infection in this patient group.

Main Methods:

  • Comprehensive literature review of current research on SSIs in CP patients with scoliosis.
  • Analysis of personal clinical experience with managing these infections.
  • Development of a treatment algorithm based on evidence and experience.

Main Results:

  • Detailed examination of the mechanisms leading to SSIs in this high-risk population.
  • Identification of key contributing factors to infection development.
  • Outline of a structured approach to surgical site infection management.

Conclusions:

  • Surgical site infection is a significant complication in cerebral palsy patients with scoliosis requiring spinal instrumentation.
  • A clear understanding of pathophysiology and risk factors is crucial for prevention and management.
  • The proposed treatment algorithm aims to guide clinicians in effectively managing SSIs in this vulnerable patient group.

Keywords:
Cerebral palsyScoliosisSurgical site infection

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