Risk Factors for Wound Infection in Spinal Surgery: A Focus on Diabetes Mellitus / 대한척추외과학회지
Journal of Korean Society of Spine Surgery
;
: 115-121, 2018.
Article
in Korean
| WPRIM
| ID: wpr-765611
ABSTRACT
STUDY DESIGN:
Retrospective study.OBJECTIVES:
To identify risk factors for infection after spinal surgery. SUMMARY OF LITERATURE REVIEW Infection after spinal surgery is relatively uncommon. However, such infections cause serious consequences and increased costs and sequelae. Risk factors for infection after spinal surgery include a posterior approach, instrumentation, the use of an allogenic bone graft, transfusion, and a long operating time. Patient-related factors include diabetes and obesity. MATERIALS ANDMETHODS:
From January 2009 to December 2013, 350 patients who underwent surgery at our hospital due to spinal disease, including 10 patients with a postoperative spinal infection, were evaluated. We investigated patients' age, gender, morbidity due to diabetes mellitus, body mass index, level of surgery, approach, location, instrumentation, and operation type.RESULTS:
Ten of the 350 patients developed a spinal infection after surgery. The proportion of diabetic patients among the infected patients was higher than among the non-infected patients, although the difference was not statistically significant. Additionally, the proportion of diabetic patients with hemoglobin A1c levels greater than 7.0% was higher among the infected patients. Operating time, the surgical approach, drain tube insertion, transfusion, and the use of an allogenic bone graft were not significantly different between the infected and non-infected patient groups.CONCLUSIONS:
Uncontrolled diabetes is the most important risk factor for the development of spinal infection after surgery. Therefore, in order to prevent infection after surgery, blood glucose should be controlled before surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spinal Diseases
/
Wound Infection
/
Wounds and Injuries
/
Blood Glucose
/
Body Mass Index
/
Retrospective Studies
/
Risk Factors
/
Transplants
/
Diabetes Mellitus
/
Obesity
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2018
Type:
Article
Similar
MEDLINE
...
LILACS
LIS