Read by QxMD icon Read

Spinal instrumentation infections

M D O'Sullivan, D Abdullah, M Jadaan, E Rahall, A Devitt, J P McCabe
The aim of this study was to determine the changes in both the short and long term, in the trends within the practice of spinal surgery in Galway University Hospitals (GUH) over a seven year period, January 2005 to January 2013. The absolute number of spinal surgery cases has increased from 147 in 2005, to 257 cases by 2013. Multiple level spine surgery accounts for 51% (131) of all cases by 2013, which is an increase from 31% (45) in 2005. On analysis of the trends within spinal surgery during the study period, a statistically significant (p<0...
2016: Irish Medical Journal
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: J Spine Surg
Yasuaki Imajo, Toshihiko Taguchi, Masashi Neo, Koji Otani, Tadanori Ogata, Hiroshi Ozawa, Naohisa Miyakoshi, Hideki Murakami, Tetsuhiro Iguchi
BACKGROUND: The Japanese Society for Spine Surgery and Related Research (JSSR) performed a third study on complications in spinal surgery in 2011. The purpose was to present information about surgery and complications in a large amount of elderly patients aged 65 years with lumbar spinal stenosis (LSS) without coexisting spondylolisthesis, spondylolysis, or scoliosis, and to compare patients aged ≥80 years to those aged 65-79 years. METHODS: A recordable optical disc for data storage was sent by JSSR in January 2012 to 1105 surgeons certified by the JSSR in order to collect surgical data...
September 16, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
A Y Mushkin, E Y Malyarova, V A Evseev, P K Yablonskii
DESIGN: Case report. INTRODUCTION: The combination of severe post-infectious kyphosis and diaphragm relaxation is extremely rare in patient early than 1 year old. Its no publications concerning their simultaneous surgical treatment. CASE DESCRIPTION: 7-Month-old girl had simultaneous spinal reconstruction with anterior and posterior instrumentation and plastic of diaphragm because of sequelae of non-granulenatous spondylitis complicated by severe kyphosis (54°) and diaphragm relaxation...
2016: Neurologia i Neurochirurgia Polska
Dae-Jung Choi, Chang-Myong Choi, Je-Tea Jung, Sang-Jin Lee, Yong-Sang Kim
STUDY DESIGN: Descriptions of technical strategies to overcome pitfalls associated with early learning periods in biportal endoscopic spinal surgery (BESS). PURPOSE: To introduce BESS for lumbar spinal diseases (LSDs) and to inform certain challenges to be overcome in mastering the technique. OVERVIEW OF LITERATURE: BESS has shown superior benefits including excellent magnification, a wider range of view by dynamic handling of an endoscope and instruments...
August 2016: Asian Spine Journal
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
Ehab Shiban, Insa Janssen, Pedro Ribeiro da Cunha, Jessica Rainer, Michael Stoffel, Jens Lehmberg, Florian Ringel, Bernhard Meyer
BACKGROUND: To date, there is growing consensus that PEEK material may be used for interbody fusion in spinal infections. Data supporting that claim are however restricted to a few very small clinical series. The aim of this study is to evaluate the outcome of surgical treatment of pyogenic spinal infections with PEEK cages in combination with posterior pedicel screw fixation. METHODS: Between 2006 and 2013, a total of 211 patients suffering from spondylodiscitis underwent surgical debridement and instrumentation...
October 2016: Acta Neurochirurgica
Shearwood McClelland, Richelle C Takemoto, Baron S Lonner, Tate M Andres, Justin J Park, Pedro A Ricart-Hoffiz, John A Bendo, Jeffrey A Goldstein, Jeffrey M Spivak, Thomas J Errico
INTRODUCTION: Wound infections following spinal surgery place a high toll on both the patient and the healthcare system. Although several large series studies have examined the incidence and distribution of spinal wound infection, the applicability of these studies varies greatly since nearly every study is either retrospective and/or lacks standard inclusion criteria for defining surgical site infection. To address this void, we present results from prospectively gathered thoracolumbar spine surgery data for which the Centers for Disease Control (CDC) criteria were stringently applied to define a surgical site infection (SSI)...
2016: International Journal of Spine Surgery
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
Thorsten Jentzsch, James Geiger, Clément M L Werner
BACKGROUND: A fascial dehiscence after spinal instrumentation is usually located at the mechanically stressed interscapular thoracic spine and often causes cosmetic impairment and pain. However, therapy options remain barely discussed. Synthetic meshes have been successfully used in the treatment of abdominal hernias. OBJECTIVE: It was hypothesized that synthetic meshes are a successful treatment option for spinal fascial dehiscence. METHODS: This retrospective study of a prospective database investigated all consecutive patients who received a synthetic mesh for a fascial dehiscence of the spine between 2010 and 2014 after prior spinal instrumentation...
June 30, 2016: Journal of Back and Musculoskeletal Rehabilitation
Yu-Xiang Wang, Hong-Qi Zhang, Ming-Xing Tang, Chao-Feng Guo, Ang Deng, Jian-Huang Wu, Jin-Yang Liu, Zhansheng Deng, Jing Chen
PURPOSE: The purpose of this study was to determine the efficacy and feasibility of surgical management of children with thoracolumbar spine tuberculosis with kyphosis by using one-stage posterior focus debridement, interbody grafts, and posterior instrumentation and fusion. METHODS: From October 2010 to September 2013, 21 children with thoracolumbar spinal tuberculosis accompanied by kyphosis were treated with one-stage posterior decompression, interbody grafts, and posterior instrumentation and fusion...
August 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Penghui Zhang, Wei Peng, Xiyang Wang, Chengke Luo, Zhengquan Xu, Hao Zeng, Zheng Liu, Yupeng Zhang, Lei Ge
AIM: The aim of this retrospective clinical study is to evaluate the long-term outcomes for single-stage transpedicular debridement, posterior instrumentation and fusion in the management of thoracic and thoracolumbar spinal tuberculosis in adults. METHODS: Fifty-nine adult patients with thoracic and thoracolumbar spinal tuberculosis underwent single-stage transpedicular debridement, posterior instrumentation and fusion. These patients were followed for a minimum of 5 years...
July 8, 2016: British Journal of Neurosurgery
Jian-Ru Xiao, Wen-Ding Huang, Xing-Hai Yang, Wang-Jun Yan, Dian-Wen Song, Hai-Feng Wei, Tie-Long Liu, Zhi-Peng Wu, Cheng Yang
OBJECTIVE: To investigate the feasibility and safety of en bloc resection of cervical primary malignant bone tumors by a combined anterior and posterior approach based on a three-dimensional (3-D) printing model. METHODS: Five patients with primary malignant bone tumors of the cervical spine underwent en bloc resection via a one-stage combined anteroposterior approach in our hospital from March 2013 to June 2014. They comprised three men and two women of mean age 47...
May 2016: Orthopaedic Surgery
Alexa Bodman, Margaret Riordan, Lawrence S Chin
Spinal epidural abscesses are an uncommon cause of spinal cord injury but, depending on the size and presence of neurological deficits, urgent neurosurgical intervention may be required. We present a unique case of a patient presenting with a spinal epidural collection several days after a fall. While a spinal epidural hematoma was suspected based on the patient's history and MRI findings, a spinal epidural abscess was found during surgery. The patient underwent laminectomy and instrumented fusion with successful treatment of her infection...
2016: Curēus
X Zheng, Y Qiu, X Sun, B P Qian, B Wang, Y Yu, Z Z Zhu
OBJECTIVE: To evaluate the efficacy of a growth-guidance growing rod in an established porcine scoliosis model via the Cobb angle correction and the continued spinal growth. METHODS: Immature pigs (age: 6 weeks old, weight: 6-8 kg) were instrumented and tethered using a three separate incisions fashion.After considerable scoliosis was induced, the pigs were randomly assigned to an experiment group (EG) and a sham group (SG). In EG, the growing rod was implanted and the pigs were euthanized 8 weeks postoperatively; while in SG, the whole instrumentations were only removed and the pigs were followed up over a 8-week period...
June 21, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Mauro Dobran, Maurizio Iacoangeli, Davide Nasi, Niccolo Nocchi, Alessandro Di Rienzo, Lucia di Somma, Roberto Colasanti, Carmela Vaira, Roberta Benigni, Valentina Liverotti, Massimo Scerrati
STUDY DESIGN: Retrospective study. PURPOSE: The aim of our study was to analyze the safety and effectiveness of posterior pedicle screw fixation for treatment of pyogenic spondylodiscitis (PSD) without formal debridement of the infected tissue. OVERVIEW OF LITERATURE: Posterior titanium screw fixation without formal debridement of the infected tissue and anterior column reconstruction for the treatment of PSD is still controversial. METHODS: From March 2008 to June 2013, 18 patients with PSD underwent posterior titanium fixation with or without decompression, according to their neurological deficit...
June 2016: Asian Spine Journal
Martin Franz Hoffmann, Clifford Barry Jones, Debra Lynn Sietsema
STUDY DESIGN: Single center retrospective cohort analysis. PURPOSE: The goal was to evaluate the influence of varying amount of recombinant human bone morphogenetic protein 2 (rhBMP-2) per level on fusion rates and complications in posterolateral spinal fusions. OVERVIEW OF LITERATURE: rhBMP-2 has been utilized for lumbar posterolateral fusions for many years. Initial rhBMP-2 recommendations were 20 mg/level of fusion. Dose and concentration per level in current studies vary from 4...
June 2016: Asian Spine Journal
Hwee Weng Dennis Hey, Hey Hwee Weng Dennis, Tan Chuen Seng, Dale Fisher, Anupama Vasudevan, Liu Ka-Po Gabriel, Joseph Thambiah, Naresh Kumar, Lau Leok Lim, Wong Hee Kit, Paul Anantharajah Tambyah
STUDY DESIGN: A retrospective, cohort study of 84 patients with deep spine infection managed at a major tertiary hospital over 14 years, with a minimum follow-up of 2 years. OBJECTIVE: To determine the role of instrumentation in spines with deep infection SUMMARY OF BACKGROUND DATA.: It is often believed that implants should not be inserted in patients with deep spine infection because of the risk of persistent or recurrent infection. However, there are often concerns about spinal stability and a paucity of evidence to guide clinical practice in this field...
June 21, 2016: Spine
A S Himebauch, W N Sankar, J M Flynn, M T Sisko, G S Moorthy, J S Gerber, A F Zuppa, E Fox, J P Dormans, T J Kilbaugh
BACKGROUND: Surgical site infections (SSIs) can have devastating consequences for children who undergo spinal instrumentation. Prospective evaluations of prophylactic cefazolin in this population are limited. The purpose of this study was to describe the pharmacokinetics and skeletal muscle disposition of prophylactic cefazolin in a paediatric population undergoing complex spinal surgery. METHODS: This prospective pharmacokinetic study included 17 children with adolescent idiopathic scoliosis undergoing posterior spinal fusion, with a median age of 13...
July 2016: British Journal of Anaesthesia
Pamela Kantelhardt, Alf Giese, Sven R Kantelhardt
ISSUE: Recently, quality tools have been promoted to improve patient safety and process efficiency in healthcare. While surgeons primarily focused on surgical issues, like infection rates or implant design, we introduced pre-admission and preoperative checklists in the early 2000s. INITIAL ASSESSMENT: To assess the efficiency of these tools in a neurosurgical department, we performed a survey of all spinal instrumentation patients operated in 2011 (n = 147)...
September 2016: International Journal for Quality in Health Care
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"