Decreased Risk of Wound Infection After Posterior Cervical Fusion With Routine Local Application of Vancomycin Powder

Spine ◽  
2013 ◽  
Vol 38 (12) ◽  
pp. 991-994 ◽  
Author(s):  
Russell G. Strom ◽  
Donato Pacione ◽  
Stephen P. Kalhorn ◽  
Anthony K. Frempong-Boadu
Keyword(s):  
Wound Infection ◽  
Local Application ◽  
Cervical Fusion ◽  
Vancomycin Powder ◽  
Posterior Cervical Fusion

scholarly journals Experience with intrawound vancomycin powder for posterior cervical fusion surgery

2015 ◽  
Vol 22 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Joel R. Martin ◽  
Owoicho Adogwa ◽  
Christopher R. Brown ◽  
Maragatha Kuchibhatla ◽  
Carlos A. Bagley ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Wound Infection ◽  
Site Infection ◽  
Cervical Fusion ◽  
Fusion Surgery ◽  
Deep Wound Infection ◽  
Deep Wound ◽  
Vancomycin Powder ◽  
Posterior Cervical Fusion ◽  
Propensity Score Adjustment

OBJECT Recent studies have reported that the local delivery of vancomycin powder is associated with a decrease in spinal surgical site infection. This retrospective cohort study compares posterior cervical fusion cases before and after the routine application of spinal vancomycin powder to evaluate the ability of local vancomycin powder to prevent deep wound infection after posterior cervical spinal fusion. METHODS Posterior cervical fusion spinal surgeries performed at a single institution were reviewed from January 2011 to July 2013. Each cohort's baseline characteristics, operative data, and rates of wound infection were compared. Associations between infection and vancomycin powder, with and without propensity score adjustment for risk factors, were determined using logistic regression. RESULTS A total of 289 patients (174 untreated and 115 treated with vancomycin powder) were included in the study. The cohorts were similar in terms of baseline and operative variables. No significant change in deep wound infection rate was seen between the control group (6.9%) and intervention group (5.2%, p = 0.563). Logistic regression, with and without propensity score adjustment, demonstrated that the use of vancomycin powder did not impact the development of surgical site infection (OR 0.743 [95% CI 0.270–2.04], p = 0.564) and (OR 0.583 [95% CI 0.198–1.718], p = 0.328), respectively. CONCLUSIONS Within the context of an ongoing debate on the effectiveness of locally administered vancomycin powder, the authors found no significant difference in the incidence of deep wound infection rates after posterior cervical fusion surgery with routine use of locally applied vancomycin powder. Future prospective randomized series are needed to corroborate these results.

Intrawound Vancomycin Powder Reduces Surgical Site Infections in Posterior Cervical Fusion

Spine ◽  
2013 ◽  
Vol 38 (14) ◽  
pp. 1183-1187 ◽  
Author(s):  
Cyrus Caroom ◽  
Jessica M. Tullar ◽  
E. Garrison Benton ◽  
Jason R. Jones ◽  
Christopher D. Chaput
Keyword(s):  
Surgical Site Infections ◽  
Cervical Fusion ◽  
Vancomycin Powder ◽  
Posterior Cervical Fusion

Crossing the Cervicothoracic Junction During Posterior Cervical Fusion for Myelopathy Is Associated With Superior Radiographic Parameters But Similar Clinical Outcomes

Neurosurgery ◽  
2021 ◽  
Vol 89 (Supplement_2) ◽  
pp. S35-S35
Author(s):  
Andrew K Chan ◽  
Ryan K Badiee ◽  
Joshua Rivera ◽  
Chih-Chang Chang ◽  
Leslie C Robinson ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Cervical Fusion ◽  
Cervicothoracic Junction ◽  
Radiographic Parameters ◽  
Posterior Cervical Fusion

Comparison of tension band wiring and lateral mass plating for subaxial posterior cervical fusion

1998 ◽  
Vol 50 (4) ◽  
pp. 323-332 ◽  
Author(s):  
David W. Lowry ◽  
Thomas J. Lovely ◽  
Pawan Rastogi
Keyword(s):  
Tension Band ◽  
Tension Band Wiring ◽  
Lateral Mass ◽  
Cervical Fusion ◽  
Posterior Cervical Fusion

Predictive Risk Factors of Nonhome Discharge Following Elective Posterior Cervical Fusion

2018 ◽  
Vol 119 ◽  
pp. e574-e579 ◽  
Author(s):  
Ivan Ye ◽  
Kevin Phan ◽  
Zoe B. Cheung ◽  
Samuel J.W. White ◽  
Jacqueline Nguyen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Fusion ◽  
Posterior Cervical Fusion ◽  
Predictive Risk

Short-term outcomes following posterior cervical fusion among octogenarians with cervical spondylotic myelopathy: a NSQIP database analysis

2018 ◽  
Vol 18 (9) ◽  
pp. 1603-1611 ◽  
Author(s):  
Caroline E. Vonck ◽  
Joseph E. Tanenbaum ◽  
Thomas T. Bomberger ◽  
Edward C. Benzel ◽  
Jason W. Savage ◽  
...  
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Cervical Fusion ◽  
Database Analysis ◽  
Short Term ◽  
Posterior Cervical Fusion

Cervical Alignment and Proximal and Distal Junctional Failure in Posterior Cervical Fusion

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Zachariah W. Pinter ◽  
Brian Karamian ◽  
Jad Bou Monsef ◽  
Jennifer Mao ◽  
Ashley Xiong ◽  
...  
Keyword(s):  
Cervical Fusion ◽  
Cervical Alignment ◽  
Posterior Cervical Fusion

Comparison of Cost and Perioperative Outcome Profiles for Primary and Revision Posterior Cervical Fusion Procedures

Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Michael L. Martini ◽  
Rebecca B. Baron ◽  
Jonathan S. Gal ◽  
Sean N. Neifert ◽  
William H. Shuman ◽  
...  
Keyword(s):  
Cervical Fusion ◽  
Perioperative Outcome ◽  
Posterior Cervical Fusion
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