Postoperative Spinal Wound Infection in Neurosurgical wards at RIMS, a Single Centre Experience

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2

Abstract

With modern surgical techniques and perioperative antibiotics, spinal infection after surgery is relatively uncommon. Certain patient and surgical treatments are however at higher risk and should be treated with extra caution. Surgical site infection (SSI) following spine surgery is a dreaded complication with significant morbidity and economic burden. SSIs following spine surgery can be superficial, characterized by obvious wound drainage or deep-seated with a healed wound. Staphylococcus aureus remains the principal causal agent. There are certain pre-operative risk factors that increase the risk of SSI, mainly diabetes, smoking, steroids, and peri-operative transfusions. Additionally, intra-operative risk factors include surgical invasiveness, type of fusion, implant use, and traditional instead of minimally invasive approach. A high level of suspicion is crucial to attaining an early definitive diagnosis and initiating appropriate management. The most common presenting symptom is back pain, usually manifesting 2–4 weeks and up to 3 months after a spinal procedure. Scheduling a follow-up visit between weeks 2 and 4 after surgery is therefore necessary for early detection. Inflammatory markers are important diagnostic tools, and comparing pre-operative with postoperative levels should be done when suspecting SSIs following spine surgery. Magnetic resonance imaging remains the diagnostic modality of choice when suspecting a SSI following spine surgery.

Authors and Affiliations

Dr Alok Chandra Prakash, Dr Anand Prakash, Dr Chandra Bhushan Sahay

Keywords

Related Articles

QT Dispersion-An Ignored Screening Tool For Cardiovascular Disease In Diabetics

Background: Diabetes Mellitus Type 2 is a major global non-communicable disease among adults causing micro and macrovascular complications, one being cardiovascular system. QT dispersion represents the summation of sever...

Study of Substance Abuse in Young Age Group with Their Socioeconomic Background

Drug addiction prevents the individual from realizing his or her full potential .In doing so,it acts as an obstacle to social development .The social and economic cost of drug abuse impose a massive strain of the infrast...

Study on Vitamin D Deficiency and Its Associating Factors in Tertiary Care Center, Rajasthan

Introduction: Vitamin D deficiency does indeed constitute an epidemic in many populations across the world. It is essential to bone health and is a major regulator of calcium homeostasis. Research Question: prevalence an...

Study of Pathological Lesions in Liver Autopsy

Liver is a site for plethora of disease among which many become symptomatic. However, some are diagnosed only on autopsy examination. Our aim is to correlate gross and histopathological examination of 109 liver autopsy s...

A Profile of Awareness and Knowledge of Diabetic Retinopathy Among Diabetics In Rural Based Hospital of Central India

Aim: To study the awareness and knowledge of Diabetic retinopathy among Patients with Diabetes Mellitus in a rural based hospital of Central India Materials and Methods: A prospective time bound study was done among the...

Download PDF file
  • EP ID EP361455
  • DOI 10.9790/0853-1702042024
  • Views 106
  • Downloads 0

How To Cite

Dr Alok Chandra Prakash, Dr Anand Prakash, Dr Chandra Bhushan Sahay (2017). Postoperative Spinal Wound Infection in Neurosurgical wards at RIMS, a Single Centre Experience. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 17(2), 20-24. https://europub.co.uk/articles/-A-361455