The effect of epidural steroid injection during surgery on surgical site infections following lumbar fusion

BACKGROUND: Intraoperative epidural steroid injections (ESIs) have been suggested to limit pain following lumbar fusions. However, the frequency of resultant surgical site infections has not been fully investigated. METHODS: We retrospectively followed two groups of patients; 23 patients were the co...

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Detalles Bibliográficos
Autores principales: Eltoukhy, Mohamed, Eldabaa, Karim, Eissa, Mohamed Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559386/
https://www.ncbi.nlm.nih.gov/pubmed/37810287
http://dx.doi.org/10.25259/SNI_1072_2022
Descripción
Sumario:BACKGROUND: Intraoperative epidural steroid injections (ESIs) have been suggested to limit pain following lumbar fusions. However, the frequency of resultant surgical site infections has not been fully investigated. METHODS: We retrospectively followed two groups of patients; 23 patients were the control group, while the other 23 patients received, in addition to the spinal fusions, intraoperative ESI. RESULTS: Patients in the latter ESI/fusion treatment group had significantly increased rates of superficial and deep infections (i.e., superficial infections 17.4% and 4.3% deep infections) versus control patients (i.e., 8.6% superficial and 0% deep) undergoing fusions alone. CONCLUSION: We observed an increased risk of postoperative surgical site infections among patients who underwent intraoperative ESI in addition to their lumbar fusions.

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