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척추고정술 후 발생한 창상감염의 임상적 분석

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Author(s)
김인수
Keimyung Author(s)
Kim, In Soo
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Keimyung Medical Journal
Issued Date
2004
Volume
23
Issue
2
Keyword
Postoperative wound infectionSpinal instrumentation
Abstract
Postoperative wound infection
remains a troublesome and not uncommon complication after spinal instrumentation. This study, representing a surgeon’s 10-year experience with postoperative infection at one institution, was performed to evaluate the risk factors, diagnosis, clinical manifestations, effective managements, and prognostic factors among patients with postoperative wound infection after spinal instrumentation. Of 418 operative procedures, 14 cases (mean age, 57 years) of wound infection were identified, yielding and overall infection ratio of 3.35%. Eight among 14 cases had significant preoperative risk factors (diabetes mellitus, smoker, obesity, alcoholism). Wound discharge was the most common presenting problem, with 92.8% experiencing this symptom. The most common cultured organism was Staphylococcus aureus, which was found in the wounds of eight patients(57.1%). All patients could be discharged after infection control without sequelae. C-reactive protein (CRP) was more correlated with clinical outcomes than other laboratory findings. Although wound infection after spinal instrumentation is a potentially devastating problem, this study suggests that aggressive surgical management, including repeated debridement followed by delayed closures, can result in preservation of instrumentation for fusion and acceptable postoperative outcomes.
Alternative Title
Clinical Analysis of Postoperative Wound Infections
after Spinal Instrumentation
Keimyung Author(s)(Kor)
김인수
Publisher
Keimyung University School of Medicine
Citation
김인수. (2004). 척추고정술 후 발생한 창상감염의 임상적 분석. Keimyung Medical Journal, 23(2), 103–110.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15326
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2004
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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