Infection After Spinal Fusion for Pediatric Spinal Deformity

• DOI: 10.1097/brs.0b013e3181c212d1
• Publication Date: 2010-05-05T08:27:06Z
• Authors: Patrick J. Cahill; Drew E. Warnick; Michael J. Lee; John Gaughan; Lawrence E. Vogel; Kim W. Hammerberg; Peter F. Sturm
• Keywords: Spinal Deformity

In Brief Study Design. A retrospective, consecutive case study of 1571 pediatric patients who underwent spinal deformity surgery and had minimum 2-year follow-up. Objective. To identify (1) the rate infection after surgery; (2) number surgeries required to treat a postoperative (3) percentage with require implant removal quantify effect on deformity; (4) microbiology infections surgery. Summary Background Data. Several previous reports have discussed rates for deformity. No quantified magnitude progression in Methods. retrospective review was performed medical records radiographs all children undergoing at Shriners Hospital Children Chicago from January 1, 1975, June 2005. Results. The varied based underlying diagnosis: idiopathic scoliosis 0.5%, myelomeningocele 19.2%, myopathies 4.3%, cerebral palsy 11.2%. On average, 2 were eradicate infection. Approximately half instrumentation their Forty-four percent developed an significant deformity, average increase 27°. Implant predisposed 3 most common organisms order Staphylococcus aureus, S. epidermidis, Pseudomonas aeruginosa. Conclusion. Infection is rare but relatively neuromuscular conditions. Eradication can be expected, often required. Should implants totally removed, possible. We discuss our experience 1543 treated 1 institution during 30 years. elucidate diagnosis specific rates, microbiology, specifics treatment, including reoperation effects removal.