scholarly journals Risk factors for surgical site infection following lumbar spinal surgery: a meta-analysis

2018 ◽  
Vol Volume 14 ◽  
pp. 2161-2169 ◽  
Author(s):  
Lin Zhang ◽  
Er-Nan Li
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Spinal Surgery ◽  
Meta Analysis ◽  
Site Infection ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal

Risk Factors for Surgical Site Infection After Posterior Lumbar Spinal Surgery

Spine ◽  
2018 ◽  
Vol 43 (10) ◽  
pp. 732-737 ◽  
Author(s):  
Jia-Ming Liu ◽  
Hui-Lin Deng ◽  
Xuan-Yin Chen ◽  
Yang Zhou ◽  
Dong Yang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Spinal Surgery ◽  
Site Infection ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal

Risk Factors for Surgical Site Infection After Spinal Surgery: A Meta-Analysis

2016 ◽  
Vol 95 ◽  
pp. 507-515 ◽  
Author(s):  
Qi Fei ◽  
Jinjun Li ◽  
JiSheng Lin ◽  
Dong Li ◽  
BingQiang Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Spinal Surgery ◽  
Meta Analysis ◽  
Site Infection

Risk Factors for Surgical Site Infection After Spinal Surgery: A Systematic Review and Meta-Analysis Based on Twenty-Seven Studies

2019 ◽  
Vol 123 ◽  
pp. e318-e329 ◽  
Author(s):  
Xiao-Qiang Peng ◽  
Chun-Guang Sun ◽  
Zheng-Guo Fei ◽  
Qi-Jia Zhou
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Surgical Site Infection ◽  
Spinal Surgery ◽  
Meta Analysis ◽  
Site Infection

Effects of Perioperative Blood Product Use on Surgical Site Infection Following Thoracic and Lumbar Spinal Surgery

Spine ◽  
2010 ◽  
Vol 35 (3) ◽  
pp. 340-346 ◽  
Author(s):  
Ran Schwarzkopf ◽  
Christine Chung ◽  
Justin J. Park ◽  
Michael Walsh ◽  
Jeffrey M. Spivak ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Spinal Surgery ◽  
Blood Product ◽  
Site Infection ◽  
Product Use ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal

scholarly journals Effect of intrawound vancomycin application in spinal surgery on the incidence of surgical site infection: a meta-analysis

2018 ◽  
Vol Volume 14 ◽  
pp. 2149-2159 ◽  
Author(s):  
Abuduwufuer Tailaiti ◽  
Jun Shang ◽  
Shuo Shan ◽  
Aikeremujiang Muheremu
Keyword(s):  
Surgical Site Infection ◽  
Spinal Surgery ◽  
Meta Analysis ◽  
Site Infection

A meta-analysis of spinal surgical site infection and vancomycin powder

2014 ◽  
Vol 21 (6) ◽  
pp. 974-983 ◽  
Author(s):  
Nickalus R. Khan ◽  
Clinton J. Thompson ◽  
Michael DeCuypere ◽  
Jonathan M. Angotti ◽  
Erick Kalobwe ◽  
...  
Keyword(s):  
Relative Risk ◽  
Surgical Site Infection ◽  
Risk Reduction ◽  
Spine Surgery ◽  
Spinal Surgery ◽  
Meta Analysis ◽  
Control Group ◽  
Number Needed To Treat ◽  
Site Infection ◽  
Vancomycin Powder

Object Surgical site infection (SSI) is a serious and costly complication of spinal surgery. There have been several conflicting reports on the use of intrawound vancomycin powder in decreasing SSI in spine surgery. The purpose of this study is to answer the question: “Does intrawound vancomycin powder reduce the rate of SSIs in spine surgery?” Methods A comprehensive search of multiple electronic databases and bibliographies was conducted to identify clinical studies that evaluated the rates of SSI with and without the use of intrawound vancomycin powder in spine surgery. Independent reviewers extracted data and graded the quality of each paper that met inclusion criteria. A random effects meta-analysis was then performed. Results The search identified 9 retrospective cohort studies (Level III evidence) and 1 randomized controlled trial (Level II evidence). There were 2574 cases and 106 infections in the control group (4.1%) and 2518 cases and 33 infections (1.3%) in the treatment group, yielding a pooled absolute risk reduction and relative risk reduction of 2.8% and 68%, respectively. The meta-analysis revealed the use of vancomycin powder to be protective in preventing SSI (relative risk = 0.34, 95% confidence interval 0.17–0.66, p = 0.021). The number needed to treat to prevent 1 SSI was 36. A subgroup analysis found that patients who had implants had a reduced risk of SSI with vancomycin powder (p = 0.023), compared with those who had noninstrumented spinal operations (p = 0.226). Conclusions This meta-analysis suggests that the use of vancomycin powder may be protective against SSI in open spinal surgery; however, the exact population in which it should be used is not clear. This benefit may be most appreciated in higher-risk populations or in facilities with a high baseline rate of infection.

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