Postoperative Spine Infection: Diagnosis and Management

James Dowdell, Robert Brochin, Jun Kim, Samuel Overley, Jonathan Oren, Brett Freedman, Samuel Cho

Research output: Contribution to journalArticle

Abstract

Study Design: Review article. Objectives: A review of the literature on postoperative spinal infections, their diagnosis, and management. Methods: A systematic computerized Medline literature search was performed using PubMed, Cochrane Database of Systematic Reviews, and EMBASE. The electronic databases were searched for publication dates from the last 10 years. The searches were performed from Medical Subject Headings (MeSH) used by the National Library of Medicine. Specifically, MeSH terms “spine,” “infections,” “management,” and “diagnosis” were used. Results: Currently, the gold standard for diagnosis of postoperative spine infection is positive deep wound culture. Many of the current radiologic and laboratory tests can assist with the initial diagnosis and monitoring treatment response. Currently erythrocyte sedimentation rate, C-reactive protein, computed tomography scan, and magnetic resonance imaging with and without contrast are used in combination to establish diagnosis. Management of postoperative spine infection involves thorough surgical debridement and targeted antibiotic therapy. Conclusions: Postoperative spine infection is a not uncommon complication following surgery that may have devastating consequences for a patient’s short- and long-term health. A high index of suspicion is needed to make an early diagnosis.

Original languageEnglish (US)
Pages (from-to)37S-43S
JournalGlobal Spine Journal
Volume8
Issue number4_suppl
DOIs
StatePublished - Dec 1 2018

Fingerprint

Spine
Medical Subject Headings
Infection
Databases
National Library of Medicine (U.S.)
Blood Sedimentation
Debridement
PubMed
C-Reactive Protein
Publications
Early Diagnosis
Tomography
Magnetic Resonance Imaging
Anti-Bacterial Agents
Health
Wounds and Injuries
Therapeutics

Keywords

  • diagnosis
  • infection
  • management
  • postoperative
  • spine

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Dowdell, J., Brochin, R., Kim, J., Overley, S., Oren, J., Freedman, B., & Cho, S. (2018). Postoperative Spine Infection: Diagnosis and Management. Global Spine Journal, 8(4_suppl), 37S-43S. https://doi.org/10.1177/2192568217745512

Postoperative Spine Infection : Diagnosis and Management. / Dowdell, James; Brochin, Robert; Kim, Jun; Overley, Samuel; Oren, Jonathan; Freedman, Brett; Cho, Samuel.

In: Global Spine Journal, Vol. 8, No. 4_suppl, 01.12.2018, p. 37S-43S.

Research output: Contribution to journalArticle

Dowdell, J, Brochin, R, Kim, J, Overley, S, Oren, J, Freedman, B & Cho, S 2018, 'Postoperative Spine Infection: Diagnosis and Management', Global Spine Journal, vol. 8, no. 4_suppl, pp. 37S-43S. https://doi.org/10.1177/2192568217745512
Dowdell J, Brochin R, Kim J, Overley S, Oren J, Freedman B et al. Postoperative Spine Infection: Diagnosis and Management. Global Spine Journal. 2018 Dec 1;8(4_suppl):37S-43S. https://doi.org/10.1177/2192568217745512
Dowdell, James ; Brochin, Robert ; Kim, Jun ; Overley, Samuel ; Oren, Jonathan ; Freedman, Brett ; Cho, Samuel. / Postoperative Spine Infection : Diagnosis and Management. In: Global Spine Journal. 2018 ; Vol. 8, No. 4_suppl. pp. 37S-43S.
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