脊柱内固定手术术后感染与病因的关系

Q4 Medicine Coluna/ Columna Pub Date : 2022-01-01 DOI:10.1590/s1808-185120222102234612
L. Kim, Nelson Astur Neto, R. Mendonça, A. Gotfryd, M. F. Caffaro, Carol Carolina Corritori Coviello, T. Ribeiro, G. Klautau, M. Salles, R. Meves
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引用次数: 0

摘要

【摘要】目的:了解我院脊柱内固定手术术后感染的流行病学特点,探讨术后感染率与手术指征病因是否存在相关性。方法:回顾性检索我院2015 - 2019年脊柱内固定手术患者的病历,选取术后出现急性或慢性感染,需要手术清洗解决的病例。排除非器械手术、脊柱原发感染(骨髓炎和脊椎椎间盘炎)和手术伤口浅表感染而无需手术清洗的病例。结果:术后感染率为11.6%。在这组出现这种并发症的患者中,大多数接受手术的主要原因是创伤(38.9%),其次是退行性疾病(30.8%)、肿瘤(19.2%)和畸形(15.4%)。然而,当我们将这些患者与同期进行的脊柱内固定手术病例总数进行比较时,我们发现畸形手术患者的感染发生率较高(17.6%),其次是退行性疾病(13%)、肿瘤(11.4%)和创伤(9.9%)。这种差异没有统计学意义(p = 0.79),也没有与性别和年龄的相关性。结论:在我们的研究中,不同的病因指征在术后感染发生率上存在比例差异,畸形手术发生率较高,主要是神经肌肉疾病。证据等级IV;病例系列治疗研究。
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CORRELATION OF POSTOPERATIVE INFECTION WITH THE ETIOLOGY OF THE DISEASE IN SPINAL SURGERY WITH INSTRUMENTATION
ABSTRACT Objective: To evaluate the epidemiological characteristics of postoperative infection in surgeries of the spine with instrumentation in our service, and whether there is a correlation between the rate of postoperative infection and the etiology of the indication for the primary surgical procedure. Methodology: A retrospective search through medical records of patients who underwent spinal surgery with instrumentation in our hospital between 2015 and 2019 was performed, and the ones that evolved with acute or chronic postoperative infection with need for surgical cleaning to resolve it were selected. Cases of non-instrumented surgery, primary infection of the spine (osteomyelitis and spondylodiscitis) and superficial infection of the surgical wound without the need for surgical cleaning were excluded. Results: The rate of postoperative infection was 11.6%. In this group of patients who evolved with this complication, most were submitted to surgery primarily for trauma (38.9%), followed by degenerative disease (30.8%), neoplasm (19.2%), and deformity (15, 4%). However, when we analyzed these patients comparing them with the total number of cases of spinal surgery with instrumentation performed in the period, we obtained a higher prevalence of infection in patients operated for deformity (17.6%), followed by degenerative disease (13%), neoplasm (11.4%) and trauma (9.9%). This difference did not prove to be statistically significant (p = 0.79), nor the correlation with sex and age. Conclusion: In our study, proportionally, there was a difference in the prevalence of postoperative infection according to the etiological indication, being higher in cases operated for deformity, mainly due to neuromuscular disease. Level of evidence IV; A case series therapeutic study.
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来源期刊
Coluna/ Columna
Coluna/ Columna Medicine-Surgery
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
10 weeks
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