Preservation of Spinal Instrumentation After Development of Postoperative Bacterial Infections in Patients Undergoing Spinal Arthrodesis
Journal of Spinal Disorders & Techniques, 07/31/2012
Ahmed R et al. – A combination of aggressive surgical debridement with microbial–guided pharmacotherapy enabled infection cure in all patients with postoperative bacterial infections after spinal instrumentation. Adjunct measures including the use of wound vacuum devices and long–term suppressive antimicrobial therapy were also used in high–risk patients. These results show that postoperative bacterial infections in the setting of spinal instrumentation can be successfully treated without removing titanium alloy instrumentation.