Cargando…
Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization
Owing to the increasing population of elderly patients, a large number of patients with degenerative spondylosis are currently being surgically treated. Although basic measures for decreasing postoperative surgical infections (PSIs) are considered, it still remains among the leading causes of morbid...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602987/ https://www.ncbi.nlm.nih.gov/pubmed/26200620 http://dx.doi.org/10.1097/MD.0000000000001177 |
_version_ | 1782394837369094144 |
---|---|
author | Yaldiz, Can Yaldiz, Mahizer Ceylan, Nehir Kacira, Ozlem Kitiki Ceylan, Davut Kacira, Tibet Kizilcay, Gokhan Tanriverdi, Taner |
author_facet | Yaldiz, Can Yaldiz, Mahizer Ceylan, Nehir Kacira, Ozlem Kitiki Ceylan, Davut Kacira, Tibet Kizilcay, Gokhan Tanriverdi, Taner |
author_sort | Yaldiz, Can |
collection | PubMed |
description | Owing to the increasing population of elderly patients, a large number of patients with degenerative spondylosis are currently being surgically treated. Although basic measures for decreasing postoperative surgical infections (PSIs) are considered, it still remains among the leading causes of morbidity and mortality. The aim of this retrospective analysis is to present possible causes leading to PSI in patients who underwent surgery for lumbar degenerative spondylosis and highlight how it can be avoided to decrease morbidity and mortality. The study included 540 patients who underwent posterior stabilization due to degenerative lumbar stenosis between January 2013 and January 2014. The data before and after surgery was retrieved from the hospital charts. Patients with degenerative lumbar stenosis who were operated upon in this study had >2 levels of laminectomy and facetectomy. For this reason, posterior stabilization was performed for all the patients included in this study. Determining the causes of postoperative infection (PI) following spinal surgeries performed with instrumentation is a struggle. Seventeen different parameters that may be related to PI were evaluated in this study. The presence of systemic diseases, unknown glove perforations, and perioperative blood transfusions were among the parameters that increased the prevalence of PI. Alternatively, prolene sutures, double-layered gloves, and the use of rifampicin Sv (RIS) decreased the incidence of PI. Although the presence of systemic diseases, unnoticed glove perforations, and perioperative blood transfusions increased PIs, prolene suture material, double-layered gloves, and the use of RIS decreased PIs. |
format | Online Article Text |
id | pubmed-4602987 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-46029872015-10-27 Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization Yaldiz, Can Yaldiz, Mahizer Ceylan, Nehir Kacira, Ozlem Kitiki Ceylan, Davut Kacira, Tibet Kizilcay, Gokhan Tanriverdi, Taner Medicine (Baltimore) 7100 Owing to the increasing population of elderly patients, a large number of patients with degenerative spondylosis are currently being surgically treated. Although basic measures for decreasing postoperative surgical infections (PSIs) are considered, it still remains among the leading causes of morbidity and mortality. The aim of this retrospective analysis is to present possible causes leading to PSI in patients who underwent surgery for lumbar degenerative spondylosis and highlight how it can be avoided to decrease morbidity and mortality. The study included 540 patients who underwent posterior stabilization due to degenerative lumbar stenosis between January 2013 and January 2014. The data before and after surgery was retrieved from the hospital charts. Patients with degenerative lumbar stenosis who were operated upon in this study had >2 levels of laminectomy and facetectomy. For this reason, posterior stabilization was performed for all the patients included in this study. Determining the causes of postoperative infection (PI) following spinal surgeries performed with instrumentation is a struggle. Seventeen different parameters that may be related to PI were evaluated in this study. The presence of systemic diseases, unknown glove perforations, and perioperative blood transfusions were among the parameters that increased the prevalence of PI. Alternatively, prolene sutures, double-layered gloves, and the use of rifampicin Sv (RIS) decreased the incidence of PI. Although the presence of systemic diseases, unnoticed glove perforations, and perioperative blood transfusions increased PIs, prolene suture material, double-layered gloves, and the use of RIS decreased PIs. Wolters Kluwer Health 2015-07-24 /pmc/articles/PMC4602987/ /pubmed/26200620 http://dx.doi.org/10.1097/MD.0000000000001177 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 7100 Yaldiz, Can Yaldiz, Mahizer Ceylan, Nehir Kacira, Ozlem Kitiki Ceylan, Davut Kacira, Tibet Kizilcay, Gokhan Tanriverdi, Taner Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization |
title | Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization |
title_full | Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization |
title_fullStr | Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization |
title_full_unstemmed | Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization |
title_short | Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization |
title_sort | retrospective, demographic, and clinical investigation of the causes of postoperative infection in patients with lumbar spinal stenosis who underwent posterior stabilization |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602987/ https://www.ncbi.nlm.nih.gov/pubmed/26200620 http://dx.doi.org/10.1097/MD.0000000000001177 |
work_keys_str_mv | AT yaldizcan retrospectivedemographicandclinicalinvestigationofthecausesofpostoperativeinfectioninpatientswithlumbarspinalstenosiswhounderwentposteriorstabilization AT yaldizmahizer retrospectivedemographicandclinicalinvestigationofthecausesofpostoperativeinfectioninpatientswithlumbarspinalstenosiswhounderwentposteriorstabilization AT ceylannehir retrospectivedemographicandclinicalinvestigationofthecausesofpostoperativeinfectioninpatientswithlumbarspinalstenosiswhounderwentposteriorstabilization AT kaciraozlemkitiki retrospectivedemographicandclinicalinvestigationofthecausesofpostoperativeinfectioninpatientswithlumbarspinalstenosiswhounderwentposteriorstabilization AT ceylandavut retrospectivedemographicandclinicalinvestigationofthecausesofpostoperativeinfectioninpatientswithlumbarspinalstenosiswhounderwentposteriorstabilization AT kaciratibet retrospectivedemographicandclinicalinvestigationofthecausesofpostoperativeinfectioninpatientswithlumbarspinalstenosiswhounderwentposteriorstabilization AT kizilcaygokhan retrospectivedemographicandclinicalinvestigationofthecausesofpostoperativeinfectioninpatientswithlumbarspinalstenosiswhounderwentposteriorstabilization AT tanriverditaner retrospectivedemographicandclinicalinvestigationofthecausesofpostoperativeinfectioninpatientswithlumbarspinalstenosiswhounderwentposteriorstabilization |