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Spinal implant infection

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https://www.readbyqxmd.com/read/27910210/microbiological-evaluation-of-the-extension-wire-and-percutaneous-epidural-lead-anchor-site-following-a-2-stage-cut-down-spinal-cord-stimulator-procedure
#1
Abdul Ghaaliq Lalkhen, Mahindra Chincholkar, Jiten Patel
OBJECTIVES: There are concerns regarding bacterial colonization of the temporary extension leads and subsequent infection risk using the 2-stage cut-down approach in spinal cord stimulation (SCS). We sought to quantify the extent of bacterial colonization of the temporary extension wire and percutaneous epidural lead anchor site. MATERIALS AND METHODS: We conducted a cross-sectional observational study recruiting a pragmatic sample of 25 consecutive patients listed for a cut-down trial of SCS...
December 2, 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27899142/vancomycin-microspheres-reduce-postoperative-spine-infection-in-an-in-vivo-rabbit-model
#2
Gang Liu, Si Chen, Jun Fang, Baoshan Xu, Shuang Li, Yonghong Hao, Naif A Al-Dhabi, Shucai Deng, Veeramuthu Duraipandiyan
BACKGROUND: Surgical site infections are common and devastating complications after implants related surgeries. Staphylococcus aureus contamination is a leading cause of surgical site infections. This study aims at assessing the effect of vancomycin microspheres on reducing Staphylococcus aureus infection in an in vivo rabbit model. METHODS: Sixty surgical sites of 20 New Zealand White rabbits underwent spinal implant were randomly divided to three groups: the control group, the vancomycin group and vancomycin microspheres group...
November 29, 2016: BMC Pharmacology & Toxicology
https://www.readbyqxmd.com/read/27866452/efficacy-of-debridement-antibiotic-therapy-and-implant-retention-within-three-months-during-postoperative-instrumented-spine-infections
#3
Heidi Wille, Frédéric-Antoine Dauchy, Arnaud Desclaux, Hervé Dutronc, Marc-Olivier Vareil, Véronique Dubois, Jean-Marc Vital, Michel Dupon
BACKGROUND: Postoperative instrumented spine infection (PISI) is a severe complication of invasive spine procedures. METHODS: Retrospective study of patients treated for PISI between 1st January 2008 and 31st December 2012 in a French University Hospital. The objectives of this study were to describe the outcome of patients treated with debridement-irrigation, antibiotic therapy and implant retention (DAIR) within three months after the occurrence of PISI and to identify factors associated with relapse...
November 21, 2016: Infectious Diseases
https://www.readbyqxmd.com/read/27852504/bilateral-rib-based-distraction-to-the-pelvis-for-the-management-of-congenital-gibbus-deformity-in-the-growing-child-with-myelodysplasia
#4
John T Smith
BACKGROUND: Congenital gibbus deformity of the spine associated with myelodysplasia is a challenging problem in the growing child and is commonly associated with skin breakdown and chronic infection. Surgical solutions including kyphectomy, flap closure of the skin, and early spinal fusion are associated with a high rate of complications and, ultimately, a short trunk due to stoppage of spinal growth. The purpose of this article is to describe our early results in using a rib-based distraction to the pelvis without vertebral resection and fusion to manage this deformity...
January 2016: Spine Deformity
https://www.readbyqxmd.com/read/27831967/5-year-reoperation-risk-and-causes-for-revision-after-idiopathic-scoliosis-surgery
#5
S Imraan Ahmed, Tracey P Bastrom, Burt Yaszay, Peter O Newton
STUDY DESIGN: Actuarial "survivorship" analysis OBJECTIVE.: To define the incidence and cause of surgical revision five years after scoliosis surgery. SUMMARY OF BACKGROUND DATA: Data on contemporary revision surgery rates after idiopathic scoliosis surgery beyond the two years postoperatively in the adolescent and young adult population is limited. METHODS: Patients enrolled in a prospective, multicenter, idiopathic scoliosis surgical registry from 1995-2009 were reviewed...
November 9, 2016: Spine
https://www.readbyqxmd.com/read/27825365/a-prospective-case-series-for-a-minimally-invasive-internal-fixation-device-for-anterior-pelvic-ring-fractures
#6
Wayne Hoskins, Andrew Bucknill, James Wong, Edward Britton, Rodney Judson, Kellie Gumm, Roselyn Santos, Rohan Sheehy, Xavier Griffin
BACKGROUND: External fixation is commonly used as a means of definitive fixation of pelvic fractures. Pin site infection is common, with some cases of osteomyelitis and inpatient nursing can be challenging. The aim of this study is to report the outcomes and complications of an alternative minimally invasive technique, known as INFIX, utilising spinal pedicle screws inserted into the supra-acetabular bone and connected by a subcutaneous rod. METHODS: A single-centre prospective case series was performed...
November 8, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27780479/association-of-airborne-microorganisms-in-the-operating-room-with-implant-infections-a-randomized-controlled-trial
#7
Rabih O Darouiche, David M Green, Melvyn A Harrington, Bruce L Ehni, Panagiotis Kougias, Carlos F Bechara, Daniel P O'Connor
: OBJECTIVE To evaluate the association of airborne colony-forming units (CFU) at incision sites during implantation of prostheses with the incidence of either incisional or prosthesis-related surgical site infections. DESIGN Randomized, controlled trial. SETTING Primary, public institution. PATIENTS Three hundred patients undergoing total hip arthroplasty, instrumented spinal procedures, or vascular bypass graft implantation. METHODS Patients were randomly assigned in a 1:1 ratio to either the intervention group or the control group...
October 26, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27776893/is-spinal-cord-stimulation-safe-a-review-of-13-years-of-implantations-and-complications
#8
J-C Kleiber, B Marlier, M Bannwarth, E Theret, P Peruzzi, F Litre
OBJECTIVE: The aim of this review was to evaluate the complications of spinal cord stimulation (SCS) for chronic pain. METHODS: This was a retrospective case series of 212 patients treated with SCS for chronic lower-limb neuropathic pain between March 2002 and February 2015 in a Reims academic hospital. All patients received a surgically implanted paddle-type electrode. Complications with this technique are here described and analyzed, and other treatment and preventative methods proposed...
November 2016: Revue Neurologique
https://www.readbyqxmd.com/read/27716451/surgical-treatment-of-a-broken-neuroplasty-catheter-in-the-epidural-space-a-case-report
#9
Tae Hyun Kim, Jun Jae Shin, Woo Yong Lee
BACKGROUND: Percutaneous epidural neuroplasty with a Racz catheter is widely used to treat radicular pain caused by spinal stenosis or a herniated intervertebral disc. The breakage or shearing of an epidural catheter, particularly a percutaneous epidural neuroplasty catheter, is reported as a rare complication. There has been a controversy over whether surgical removal of a shorn epidural catheter is needed. Until now, only three cases related to sheared Racz neuroplasty catheters have been reported...
October 6, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27704027/clinical-characteristics-and-outcomes-among-individuals-with-spinal-implant-infections-a-descriptive-study
#10
Sanjiv M Baxi, Makeda L Robinson, Marie F Grill, Brian S Schwartz, Sarah B Doernberg, Catherine Liu
Little is known about the clinical presentation and outcomes associated with spinal implant infections. Here, we describe a single center's experience in a retrospective cohort of 109 individuals with spinal implant infections, including clinical, microbiological, therapeutic, and outcome data.
September 2016: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/27683681/surgery-for-spinal-tuberculosis-a-multi-center-experience-of-582-cases
#11
Md Shah Alam, Kevin Phan, Rezaul Karim, Sharif Ahmed Jonayed, Hasan Khalid Md Munir, Shubhendu Chakraborty, Tashfique Alam
BACKGROUND: Tuberculosis (TB) of the spine is a common site of osseous TB, accounting for 50%-60% of cases. Spinal TB still occurs in both developed and developing countries. The diagnosis of spinal TB is difficult and it commonly presents at an advanced stage. Delays in establishing diagnosis and management result in complications such as spinal cord compression and spinal deformity. METHODS: A total of 582 patients with TB of the cervical, thoracic and lumbar spine with moderate to severe cord compression were studied...
December 2015: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27683679/the-outcome-of-pedicle-screw-instrumentation-removal-for-ongoing-low-back-pain-following-posterolateral-lumbar-fusion
#12
Mario G Zotti, Oscar P Brumby-Rendell, Ben McDonald, Tom Fisher, Christovalantis Tsimiklis, Wai Weng Yoon, Orso L Osti
BACKGROUND: Our aim was to determine whether patients derived benefit from removal of pedicle screw instrumentation for axial pain without other cause using our surgical technique and patient selection. A secondary aim was to investigate factors that were associated with poorer outcomes for this procedure as well as complication rate in this cohort. METHODS: Theater records from a single spinal surgeon's practice were reviewed to identify patients that had undergone lumbar fusion for discogenic back pain with subsequent pedicle screw instrumentation removal (Expedium, DePuy Synthes) in the preceding 3 years with a minimum of 18 months follow-up...
December 2015: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27603194/complication-rates-after-bone-morphogenetic-protein-bmp-use-in-orthopaedic-surgery-in-children-a-concise-multicenter-retrospective-cohort-study
#13
Sumeet Garg, James J McCarthy, Ryan Goodwin, Joel Kolmodin, Wudbhav N Sankar, Corinna Franklin, Douglas Armstrong, David Fryzel, Susan Hassenbein, Cara Meder
BACKGROUND: The use of bone morphogenetic protein (BMP) has been associated with a number of complications in adult patients. However, this association is less established in children. The aim of this study was to evaluate the safety of BMP use in children by determining the complication rates after BMP use at multiple institutions. METHODS: In a retrospective study (2000 to 2013), the medical records of all patients who received BMP at any of the 5 institutions were reviewed...
September 3, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27550951/surgical-site-infections-in-cancer-patients-with-intrathecal-drug-delivery-devices
#14
Maura M Scanlon, Halena M Gazelka, Susan M Moeschler, Bryan C Hoelzer, W Michael Hooten, Markus A Bendel, Tim J Lamer
OBJECTIVES:  Our purpose was to determine the incidence of surgical site infection (SSI) in cancer patients receiving an intrathecal drug delivery system (IDDS) and compare that rate with the incidence of SSI in the general population receiving an IDDS or spinal cord stimulator. We attempted to describe risk factors for SSIs in cancer patients treated with IDDS in terms of exposure to cancer treatments. DESIGN:  Retrospective review. SETTING:  Large tertiary care center...
August 22, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27535632/spinal-implant-density-and-postoperative-lumbar-lordosis-as-predictors-for-the-development-of-proximal-junctional-kyphosis-in-adult-spinal-deformity
#15
Jamal McClendon, Timothy R Smith, Patrick A Sugrue, Sara E Thompson, Brian A O'Shaughnessy, Tyler R Koski
OBJECTIVE: To evaluate spinal implant density and proximal junctional kyphosis (PJK) in adult spinal deformity (ASD). METHODS: Consecutive ASD patients receiving >5 level fusions were retrospectively analyzed between 2007 and 2010. INCLUSION CRITERIA: ASD, elective fusions, minimum 2-year follow-up. EXCLUSION CRITERIA: Age < 18 years, neuromuscular or congenital scoliosis, cervical or cervicothoracic fusions, non-elective conditions (infection, tumor, trauma)...
August 12, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27484826/-infections-of-the-spine-therapeutic-strategies
#16
S Weckbach, B Lutz, J V Wölfle-Roos, H Reichel
Spinal infections are relatively rare entities but the incidence is significantly increasing due to the rapidly growing numbers of interventions on the spine. Primary infections of intervertebral discs (spondylodiscitis) and vertebral bodies (spondylitis) are distinguished from secondary postinterventional infections. Treatment relies primarily on either conservative or surgical management. In the absence of indications for surgery, a conservative approach is indicated when the patient is neurologically intact and the bony destruction is minimal...
October 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27445617/continuous-thoracic-sympathetic-ganglion-block-in-complex-regional-pain-syndrome-patients-with-spinal-cord-stimulation-implantation
#17
EungDon Kim, MiSun Roh, SooHyang Kim, DaeHyun Jo
The sympathetic block is widely used for treating neuropathic pain such as complex regional pain syndrome (CRPS). However, single sympathetic block often provides only short-term effect. Moreover, frequent procedures for sympathetic block may increase the risk of complications. The use of epidural route may be limited by concern of infection in case of previous implantation of the spinal cord stimulation (SCS). In contrast, a continuous sympathetic block can be administered without such concerns. The continuous thoracic sympathetic block (TSGB) has been used to treat the ischemic disease and other neuropathic conditions such as postherpetic neuralgia...
2016: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/27428392/surgical-site-infections-caused-by-methicillin-resistant-staphylococcus-epidermidis-following-spinal-instrumentation-surgery
#18
Takashi Takizawa, Takahiro Tsutsumimoto, Mutsuki Yui, Hiromichi Misawa
STUDY DESIGN: .: Retrospective case series. OBJECTIVE: .: To determine relevant demographics, clinical presentations, and outcomes of surgical site infections (SSIs) following spinal instrumentation (SI) surgery caused by methicillin-resistant Staphylococcus epidermidis (MRSE). SUMMARY OF BACKGROUND DATA: .: This is the first study looking specifically at MRSE-related SSIs following SI surgery. METHODS: .: We performed a retrospective review of patients with MRSE-related SSIs from 665 consecutive cases of SI surgery performed between 2007 and 2014 at our institution...
July 14, 2016: Spine
https://www.readbyqxmd.com/read/27401953/differentiating-radiculopathy-from-lower-extremity-arthropathy
#19
REVIEW
Steven F DeFroda, Alan H Daniels, Matthew E Deren
Low back and lower extremity pain are among the most common complaints encountered by physicians. Distinguishing pain due to primary extremity pathology versus lumbar radiculopathy can be challenging. Careful physical examination and appropriate imaging with plain radiographs and advanced studies as needed are important in determining the cause of lower extremity complaints. Over-utilization of advanced imaging may reveal otherwise asymptomatic spinal pathology and can lead to an incorrect diagnosis. In patients in whom surgical intervention is being considered by a spine or arthroplasty surgeon, intra-articular or epidural steroid injections may help to reveal the underlying cause of pain via short-term symptomatic relief...
October 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27397045/complications-in-using-the-vertical-expandable-prosthetic-titanium-rib-veptr-in-children
#20
John H T Waldhausen, Greg Redding, Klane White, Kit Song
PURPOSE: This report describes complications using the vertical expandable prosthetic titanium rib (VEPTR) for thoracic insufficiency syndrome (TIS) at a single center. METHODS: This is a prospective cohort evaluating 65 patients with rib-rib and rib-spine VEPTR devices for TIS placed between 10/2001 and 11/2014, for children with spinal or chest wall deformity. Patients were classified using the early onset scoliosis classification system (C-EOS). RESULTS: 65 patients are available for follow up...
June 26, 2016: Journal of Pediatric Surgery
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