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Does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? A Southeast Asian experience

INTRODUCTION: The trauma patient has an increased susceptibility to postoperative surgical site infection (SSI). There is a lack of studies in the literature investigating the rates of SSI in minimally invasive spine (MIS) surgery for trauma patients with associated injuries, who also require surgic...

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Autores principales: Wu, ChengHan, Lor, Kelvin Kah Ho, Yang, Eugene Weiren, Ng, Allan Shao Hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: China Medical University 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9236709/
https://www.ncbi.nlm.nih.gov/pubmed/35836911
http://dx.doi.org/10.37796/2211-8039.1246
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author Wu, ChengHan
Lor, Kelvin Kah Ho
Yang, Eugene Weiren
Ng, Allan Shao Hui
author_facet Wu, ChengHan
Lor, Kelvin Kah Ho
Yang, Eugene Weiren
Ng, Allan Shao Hui
author_sort Wu, ChengHan
collection PubMed
description INTRODUCTION: The trauma patient has an increased susceptibility to postoperative surgical site infection (SSI). There is a lack of studies in the literature investigating the rates of SSI in minimally invasive spine (MIS) surgery for trauma patients with associated injuries, who also require surgical intervention for thoracolumbar fractures. We aim to investigate if MIS surgery for trauma patients reduces the incidence of SSI through a less invasive approach and smaller surgical incision. METHODS: A case series of 30 trauma patients who underwent MIS surgery for thoracolumbar spine fractures at our center were followed up for a year. The primary outcome measured was the presence of a postoperative SSI. Subgroup analysis was performed to determine if there were specific factors that increase the risk of developing a SSI. RESULTS: In total, 4 (13%) patients developed postoperative SSI out of which 1 was a deep infection (3%). Subgroup analysis of both patient and surgical factors did not demonstrate statistically significant results to suggest risk factors for SSI post-MIS surgery in our patient group. CONCLUSION: Our series of patients did not reflect a lower incidence of SSI with MIS surgery compared to incidences in the literature. This may suggest that the increased rates of SSI in the trauma patient may not be best addressed by a minimally invasive approach alone. A multidisciplinary approach that addresses other factors – such as prolonged recumbence and a compromised immunological state may yield improved results.
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spelling pubmed-92367092022-07-13 Does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? A Southeast Asian experience Wu, ChengHan Lor, Kelvin Kah Ho Yang, Eugene Weiren Ng, Allan Shao Hui Biomedicine (Taipei) Original Research INTRODUCTION: The trauma patient has an increased susceptibility to postoperative surgical site infection (SSI). There is a lack of studies in the literature investigating the rates of SSI in minimally invasive spine (MIS) surgery for trauma patients with associated injuries, who also require surgical intervention for thoracolumbar fractures. We aim to investigate if MIS surgery for trauma patients reduces the incidence of SSI through a less invasive approach and smaller surgical incision. METHODS: A case series of 30 trauma patients who underwent MIS surgery for thoracolumbar spine fractures at our center were followed up for a year. The primary outcome measured was the presence of a postoperative SSI. Subgroup analysis was performed to determine if there were specific factors that increase the risk of developing a SSI. RESULTS: In total, 4 (13%) patients developed postoperative SSI out of which 1 was a deep infection (3%). Subgroup analysis of both patient and surgical factors did not demonstrate statistically significant results to suggest risk factors for SSI post-MIS surgery in our patient group. CONCLUSION: Our series of patients did not reflect a lower incidence of SSI with MIS surgery compared to incidences in the literature. This may suggest that the increased rates of SSI in the trauma patient may not be best addressed by a minimally invasive approach alone. A multidisciplinary approach that addresses other factors – such as prolonged recumbence and a compromised immunological state may yield improved results. China Medical University 2022-03-01 /pmc/articles/PMC9236709/ /pubmed/35836911 http://dx.doi.org/10.37796/2211-8039.1246 Text en © the Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Original Research
Wu, ChengHan
Lor, Kelvin Kah Ho
Yang, Eugene Weiren
Ng, Allan Shao Hui
Does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? A Southeast Asian experience
title Does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? A Southeast Asian experience
title_full Does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? A Southeast Asian experience
title_fullStr Does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? A Southeast Asian experience
title_full_unstemmed Does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? A Southeast Asian experience
title_short Does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? A Southeast Asian experience
title_sort does minimally invasive spine surgery reduce surgical site infection rates in the trauma patient? a southeast asian experience
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9236709/
https://www.ncbi.nlm.nih.gov/pubmed/35836911
http://dx.doi.org/10.37796/2211-8039.1246
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