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• W2895061737 abstract "BACKGROUND CONTEXT Spine surgery patients with a postoperative wound infection were studied to determine if retained instrumentation is associated with infection reoccurrence. PURPOSE The reinfection rate after SSI is not related to retention or removal of implants. STUDY DESIGN/SETTING Retrospective chart review. PATIENT SAMPLE Spine surgery patients who underwent irrigation and debridement (ID 47 were excluded because various reasons; 104 met inclusion criteria. Sixty-nine patients had instrumented fusions and 35 had uninstrumented fusion (6/35) or no fusion (29/35).  There were 53 males and 51 females; age was 55±17 years; BMI was 32±9. Time from surgery to first ID among explanted patients (5) none had recurrence (0%). Among patients with no/removed implants, RR was 5%. The RR was not statistically different between patients with no/removed implants and patients with retained implants (p=.5). Among 76 fusion patients, 30% had radiographic evidence of pseudoarthrosis; 7% had a recurrent infection. Pseudoarthrosis and reinfection were unrelated (p=.16). Ninety-four patients provided some or all of their clinical outcomes preoperatively and a minimum of 6 months.  Thirty-three percent achieved a minimum clinically important difference (MCID) in ODI or NDI scores; 56% achieved MCID in VAS.  The occurrence of a reinfection was not related to achieve MCID for functional outcome score (p=.63) or pain (p=.40). CONCLUSIONS Successful treatment of SSI after I&D and antibiotic treatment was not related to retention or removal of implants. SSI with successful treatment did not impact clinical outcomes after spine surgery.  Implants do not need to be removed in acute infections to have successful outcomes. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs." @default.
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• W2895061737 date "2018-08-01" @default.
• W2895061737 modified "2023-09-28" @default.
• W2895061737 title "Wednesday, September 26, 2018 3:35 PM – 5:05 PM How to Avoid Complications" @default.
• W2895061737 doi "https://doi.org/10.1016/j.spinee.2018.06.105" @default.
• W2895061737 hasPublicationYear "2018" @default.
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