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Postoperative Spinal Wound Infections

Sasso, Rick C. MD; Garrido, Ben J. MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: June 2008 - Volume 16 - Issue 6 - p 330–337

Surgical site infection is a common adverse event and a significant source of morbidity after any spinal procedure. A patient who presents with postoperative infection often requires prolonged hospitalization, revision surgical procedures, and long-term intravenous antibiotics. Awareness of risk factors and preventive measures can lead to improved outcomes. Infection after spinal surgery may pose diagnostic challenges and difficult management questions. Postoperative spinal infections present with a diverse degree of severity, from superficial skin incision infections to deep subfascial infections with myonecrosis. Definitive management is based on etiology, clinical course, and patient risk factors.

Dr. Sasso is Associate Professor, Clinical Orthopaedic Surgery, Indiana Spine Group, Indianapolis, IN. Dr. Garrido is Resident, Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Sasso and Dr. Garrido.

Reprint requests: Dr. Sasso, Indiana Spine Group, Suite 400, 8402 Harcourt Road, Indianapolis, IN 46260.

© 2008 by American Academy of Orthopaedic Surgeons
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