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Infection prevention in cervical spine surgery
Ilyas S Aleem1, Lee A Tan2, Ahmad Nassr3
1Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Journal of Spine Surgery (Hong Kong)
|April 21, 2020
Summary
Preventing surgical site infections (SSI) after cervical spine surgery requires optimizing patients before surgery and using specific intraoperative techniques. This review identifies key methods to reduce SSI rates in cervical spine procedures.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Infectious Disease Prevention
Background:
- Surgical site infections (SSI) following cervical spine surgery increase patient morbidity and healthcare costs.
- Effective SSI prevention strategies are crucial for improving patient outcomes and reducing economic burden.
Purpose of the Study:
- To conduct a literature review identifying methods for preventing SSIs in cervical spine surgery.
- To present surgical pearls and techniques that can significantly decrease cervical SSI rates.
Main Methods:
- Comprehensive literature review focusing on SSI prevention in cervical spine surgery.
- Identification and synthesis of preoperative patient optimization strategies.
- Analysis of intraoperative surgical factors and techniques relevant to SSI reduction.
Main Results:
- Preoperative patient optimization is a key factor in reducing SSI risk.
- Specific intraoperative techniques and surgical "pearls" can significantly lower the incidence of cervical SSIs.
- A multifactorial approach combining patient and surgical factors is most effective.
Conclusions:
- Implementing evidence-based preoperative optimization and intraoperative techniques is essential for minimizing SSIs after cervical spine surgery.
- Adherence to best practices in surgical technique can lead to substantial reductions in cervical SSI rates.
- Further research into novel prevention strategies may further enhance patient safety.
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