Article

Spine surgery is known to have a high risk of surgical site
infection (SSI). Multiple studies have looked into the risk factors and incidence
of SSI during elective surgery, but only two retrospective studies have
specifically evaluated SSI during surgery following spine trauma.
METHODS: This work was based on a prospective cohort study that included all the
patients operated on for spinal trauma at 13 French hospitals over a three-month
period. The main endpoint was the occurrence of a SSI during the three-month
period. Patients with multiple trauma or open fractures were excluded from the study. RESULTS: Of the 169 patients re-examined after a minimum of three months,
six had had an acute SSI (3.55%). The following factors were significantly
related to a SSI: age, ASA score, diabetes, procedure duration, delay elapsed
between accident and procedure, number of levels fused, bleeding and prolonged
presence of urinary catheter. DISCUSSION: Our results were consistent with the
published infection rates of 2 to 10%. The risk factors identified have all been
described in previous studies on elective spine surgery.
LEVEL OF EVIDENCE: Level
IV, prospective cohort study.
CI - Copyright (c) 2012. Published by Elsevier Masson SAS.

Langue : ANGLAIS