Falavigna Asdrubal, Righesso Neto Orlando, Fonseca Gabriela Poglia, Nervo Monique
Departamento de Neurologia, Universidade de Caxias do Sul, Caxias do Sul, RS, Brasil.
Arq Neuropsiquiatr. 2006 Dec;64(4):1001-4. doi: 10.1590/s0004-282x2006000600022.
The rate of deep wound infections in spinal lumbar fusions is around 0.7% to 11.6%, being one of the causes of morbidity in acute phase. The aim of this study was to evaluate the management of spinal infection after internal lumbar fusions. Two hundred and sixty patients, who underwent to spinal surgery with lumbar fusion and iliac bone grafting, were analized, from January 1997 to January 2005. Wound infection was observed in eight (3%) cases. The average of age was 56 years, with a higher prevalence in males (5 patients). Most prevalent was Staphylococcus aureus in 6 patients. The treatment was done by intravenous antibiotic therapy folowed by oral therapy and local irrigation. The average time of hospitalization was 35.8 days. It was possible to erradicate infection without removal of instrumentation in all patients.
腰椎融合术中深部伤口感染率约为0.7%至11.6%，是急性期发病的原因之一。本研究的目的是评估腰椎内固定融合术后脊柱感染的处理方法。对1997年1月至2005年1月期间接受腰椎融合术和髂骨移植脊柱手术的260例患者进行了分析。观察到8例（3%）伤口感染。平均年龄为56岁，男性患病率较高（5例）。6例患者中最常见的是金黄色葡萄球菌。治疗采用静脉抗生素治疗，随后口服治疗和局部冲洗。平均住院时间为35.8天。所有患者均有可能在不移除内固定器械的情况下根除感染。
