Asian Spine J.  2022 Jun;16(3):451-461. 10.31616/asj.2020.0674.

Surgical Site Infection Prophylaxis and Wound Management in Spine Surgery

Affiliations
  • 1Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA
  • 2Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA, USA
  • 3Department of Neurosurgery, Mayo Clinic, Rochester, MN, USA
  • 4Department of Neurological Surgery, Cleveland Clinic, Cleveland, OH, USA

Abstract

Surgical site infection (SSI) is a potentially devastating complication of spinal surgery that increases patient morbidity and healthcare costs. SSIs have complex and multifactorial etiologies; therefore, there are numerous opportunities for prevention and risk mitigation. The aim of this narrative review was to describe the incidence, risk factors, and outcomes of SSIs in spine surgery with an emphasis on postoperative wound care. We list and describe the preoperative, intraoperative, and postoperative evidence-based interventions that can be applied to potentially prevent SSI after spinal surgery.

Keyword

Spine; Infection; Surgical wound; Intraoperative care; Postoperative care; Perioperative care
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