지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 673 - 681 (9page)
이용수
초록· 키워드
오류제보하기
Study Design: Retrospective study.Purpose: Postoperative wound complications occurring after transforaminal lumbar interbody fusion (TLIF) are unique, as they can involve different tissue zones (subcutaneous, subfascial, osseous, peri-implant, and disc). Overview of Literature: Management of postoperative infections occurring after TLIF remains controversial in the context of retention or removal of implants.Methods: A total of 1,279 consecutive patients (1,520 segments) who underwent TLIF with a minimum follow-up of 1 year were analyzed. Patients with wound complications were classified anatomically into the following five types: type 1, suprafascial necrosis; type 2, wound dehiscence; type 3, pus around screws and rods; type 4, bone marrow edema; and type 5, pus in the disc space. Details pertaining to clinicoradiological and laboratory findings and management were also recorded.Results: Of the 62 patients (4.8%) with wound complications, there were seven patients in type 1, 35 in type 2, 10 in type 3, four in type 4, and six in type 5. Patients in types 1 and 2 manifested delayed wound healing and were systemically well. In type 1, five patients were managed with resuturing and two were managed conservatively. In type 2, all patients had wound gaping and were managed by debridement, whereas three patients required vacuum-assisted closure. Patients in type 3 had severe back pain and fever, with demonstrable pus around the screw site. Tissue culture identified organisms in 90% of the patients. Patients in type 4 presented with increasing back pain, and magnetic resonance imaging revealed vertebral bone marrow edema. Those in type 5 had severe back pain and fever, with demonstrable pus in the disc space. Patients in types 3–5 required debridement, implant revision/retention, and long-term antibiotics.Conclusions: The new anatomical classification of surgical site infections could help grade the severity of infection and provide tangible treatment guidelines, resulting in better infection clearance and patient outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Weinstein MA / 2000 / Postoperative spinal wound infection : a review of 2, 391consecutive index procedures / J Spinal Disord 13:422~426
Christodoulou AG / 2006 / Reduction of postoperative spinal infections based on an etiologic protocol / Clin Orthop Relat Res 444:107~113
Chaudhary SB / 2007 / Postoperative spinal wound infections and postprocedural diskitis / J Spinal Cord Med 30:441~451
Goz V / 2014 / Comparison of complications, costs, and length of stay of three different lumbar interbody fusion techniques : an analysis of the Nationwide Inpatient Sample database / Spine J 14:2019~2027
Tormenti MJ / 2012 / Perioperative surgical complications of transforaminal lumbar interbody fusion : a single-center experience / J Neurosurg Spine 16:44~50
Christodoulou AG / 2006 / Reduction of postoperative spinal infections based on an etiologic protocol / Clin Orthop Relat Res 444:107~113
Chaudhary SB / 2007 / Postoperative spinal wound infections and postprocedural diskitis / J Spinal Cord Med 30:441~451
Goz V / 2014 / Comparison of complications, costs, and length of stay of three different lumbar interbody fusion techniques : an analysis of the Nationwide Inpatient Sample database / Spine J 14:2019~2027
Tormenti MJ / 2012 / Perioperative surgical complications of transforaminal lumbar interbody fusion : a single-center experience / J Neurosurg Spine 16:44~50
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
How to manage the pain in postoperative patients
대한외과학회 학술대회 초록집
2016 .11
-
Early Bone Marrow Edema Pattern of the Osteoporotic Vertebral Compression Fracture : Can Be Predictor of Vertebral Deformity Types and Prognosis?
대한신경외과학회지
2016 .01
-
Postoperative Spine Infections
Asian Spine Journal
2016 .01
-
The Impact of Educational Status on the Postoperative Perception of Pain
The Korean Journal of Pain
2015 .01
-
Soft-tissue coverage for wound complications following total elbow arthroplasty
대한견주관절의학회지
2021 .12
-
Classification of Chronic Back Muscle Degeneration after Spinal Surgery and Its Relationship with Low Back Pain
Asian Spine Journal
2016 .01
-
The evaluation of implant stability measured by resonance frequency analysis in different bone types
대한구강악안면외과학회지
2019 .01
-
Surgical Site Infection
대한외과학회 학술대회 초록집
2022 .11
-
Elderly Patients Achieving Clinical and Radiological Outcomes Comparable with Those of Younger Patients Following Minimally Invasive Transforaminal Lumbar Interbody Fusion
Asian Spine Journal
2017 .01
-
Intraoperative infection prevention measures for surgical procedures: Lessons from the MERS outbreak
대한임상종양학회 학술대회지
2021 .06
-
Sufficient explanation of management affects patient satisfaction and the practice of post-treatment management in spinal pain, a multicenter study of 1007 patients
The Korean Journal of Pain
2017 .01
-
포커스 그룹 인터뷰를 이용한 환자안전전담자의 환자 및 보호자 대상 환자 안전 교육 경험 분석
한국의료질향상학회지
2019 .01
-
의원급 의료기관 환자의 환자경험과 환자안전인식의 관계에서 환자안전지식의 조절효과
성인간호학회지
2021 .08
-
Efficacy of Antibiotics Sprayed into Surgical Site for Prevention of the Contamination in the Spinal Surgery
Asian Spine Journal
2015 .01
-
Analysis of Malpractice Claims Associated with Surgical Site Infection in the Field of Plastic Surgery
Journal of Korean Medical Science
2016 .01
-
Negative-Pressure Wound Therapy in a Patient with Osteomyelitis Caused by Multidrug-Resistant Bacterial Infection: A Case Report
Journal of Wound Management and Research
2021 .10
-
Patient Satisfaction in Spine Surgery: A Systematic Review of the Literature
Asian Spine Journal
2019 .01
-
방사선 치료 시 환자 Set-up Line 개선을 통한 암환자 삶의 질 만족도 향상
대한방사선치료학회지
2018 .01
-
족부 족관절 골좌상에서 자기공명영상 분류에 따른 통증의 호전
대한족부족관절학회지
2019 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0