Therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patients
We present the results of the treatment of infected primary or delayed spine wounds after spinal surgery using negative pressure wound therapy. In our institution (University Hospital Zurich, Switzerland) nine patients (three women and six men; mean age 68.6, range 43- 87 years) were treated in the...
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doaj-acdcd246a0964898bd123d92890639822021-05-02T21:39:10ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642013-11-0154e30e3010.4081/or.2013.e302655Therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patientsPawel Zwolak0Matthias Alexander König1Georg Osterhoff2Verena Wilzeck3Hans-Peter Simmen4Gerrolt Nico Jukema5Department of Trauma Surgery, University Hospital ZurichDepartment of Trauma Surgery, University Hospital ZurichDepartment of Trauma Surgery, University Hospital ZurichDepartment of Trauma Surgery, University Hospital ZurichDepartment of Trauma Surgery, University Hospital ZurichDepartment of Trauma Surgery, University Hospital ZurichWe present the results of the treatment of infected primary or delayed spine wounds after spinal surgery using negative pressure wound therapy. In our institution (University Hospital Zurich, Switzerland) nine patients (three women and six men; mean age 68.6, range 43- 87 years) were treated in the period between January to December 2011 for non-healing spinal wounds. The treatment consisted of repeated debridements, irrigation and temporary closure with negative pressure wound therapy system. Three patients were admitted with a spinal epidural abscess; two with osteoporotic lumbar fracture; two with pathologic vertebra fracture and spinal cord compression, and two with vertebra fracture after trauma. All nine patients have been treated with antibiotic therapy. In one case the hardware has been removed, in three patients laminectomy was performed without instrumentation, in five patients there was no need to remove the hardware. The average hospital stay was 16.6 days (range 11-30). The average follow-up was 3.8, range 0.5-14 months. The average number of negative pressure wound therapy procedures was three, with the range 1-11. Our retrospective study focuses on the clinical problems faced by the spinal surgeon, clinical outcomes after spinal surgery followed by wound infection, and negative pressure wound therapy. Moreover, we would like to emphasize the importance for the patients and their relatives to be fully informed about the increased complications of surgery and about the limitations of treatment of these wounds with negative pressure wound therapy.http://www.pagepress.org/journals/index.php/or/article/view/4840spinal infections, vacuum assisted therapy, infection, spinal surgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pawel Zwolak Matthias Alexander König Georg Osterhoff Verena Wilzeck Hans-Peter Simmen Gerrolt Nico Jukema |
spellingShingle |
Pawel Zwolak Matthias Alexander König Georg Osterhoff Verena Wilzeck Hans-Peter Simmen Gerrolt Nico Jukema Therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patients Orthopedic Reviews spinal infections, vacuum assisted therapy, infection, spinal surgery |
author_facet |
Pawel Zwolak Matthias Alexander König Georg Osterhoff Verena Wilzeck Hans-Peter Simmen Gerrolt Nico Jukema |
author_sort |
Pawel Zwolak |
title |
Therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patients |
title_short |
Therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patients |
title_full |
Therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patients |
title_fullStr |
Therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patients |
title_full_unstemmed |
Therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patients |
title_sort |
therapy of acute and delayed spinal infections after spinal surgery treated with negative pressure wound therapy in adult patients |
publisher |
Open Medical Publishing |
series |
Orthopedic Reviews |
issn |
2035-8237 2035-8164 |
publishDate |
2013-11-01 |
description |
We present the results of the treatment of infected primary or delayed spine wounds after spinal surgery using negative pressure wound therapy. In our institution (University Hospital Zurich, Switzerland) nine patients (three women and six men; mean age 68.6, range 43- 87 years) were treated in the period between January to December 2011 for non-healing spinal wounds. The treatment consisted of repeated debridements, irrigation and temporary closure with negative pressure wound therapy system. Three patients were admitted with a spinal epidural abscess; two with osteoporotic lumbar fracture; two with pathologic vertebra fracture and spinal cord compression, and two with vertebra fracture after trauma. All nine patients have been treated with antibiotic therapy. In one case the hardware has been removed, in three patients laminectomy was performed without instrumentation, in five patients there was no need to remove the hardware. The average hospital stay was 16.6 days (range 11-30). The average follow-up was 3.8, range 0.5-14 months. The average number of negative pressure wound therapy procedures was three, with the range 1-11. Our retrospective study focuses on the clinical problems faced by the spinal surgeon, clinical outcomes after spinal surgery followed by wound infection, and negative pressure wound therapy. Moreover, we would like to emphasize the importance for the patients and their relatives to be fully informed about the increased complications of surgery and about the limitations of treatment of these wounds with negative pressure wound therapy. |
topic |
spinal infections, vacuum assisted therapy, infection, spinal surgery |
url |
http://www.pagepress.org/journals/index.php/or/article/view/4840 |
work_keys_str_mv |
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