Abstract | STUDY DESIGN: An analysis of the incidence of spondylodiscitis after lumbar disc surgery in 1642 patients. In 508 patients no prophylactic antibiotics were given. In 1134 patients a collagenous sponge containing gentamicin was placed in the cleared disc space. OBJECTIVES: SUMMARY OF BACKGROUND DATA:
Spondylodiscitis is considered to be a rare complication of lumbar disc surgery. The retrospective design of most studies and the rare use of magnetic resonance imaging for early radiologic diagnosis suggest that the reported incidence rates may be underestimates. Postoperative spondylodiscitis is the result of intraoperative contamination and, theoretically, could be prevented by treating these patients with prophylactic antibiotics. METHODS: In 1642 patients, 1712 discectomies were performed. In 508 of these patients no prophylactic antibiotics were given; in 1134 of these patients a collagenous sponge containing gentamicin was placed in the cleared disc space. Clinical reexamination and, in cases of unsatisfactory results, laboratory and radiologic investigations were performed 4-8 weeks after surgery. RESULTS: CONCLUSION:
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Authors | V Rohde, B Meyer, C Schaller, W E Hassler |
Journal | Spine
(Spine (Phila Pa 1976))
Vol. 23
Issue 5
Pg. 615-20
(Mar 01 1998)
ISSN: 0362-2436 [Print] United States |
PMID | 9530794
(Publication Type: Journal Article)
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Chemical References |
- Anti-Bacterial Agents
- Gentamicins
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Topics |
- Administration, Topical
- Adult
- Anti-Bacterial Agents
(administration & dosage)
- Discitis
(drug therapy, epidemiology, prevention & control)
- Diskectomy
(statistics & numerical data)
- Female
- Gentamicins
(administration & dosage)
- Humans
- Incidence
- Intervertebral Disc Displacement
(surgery)
- Lumbar Vertebrae
- Male
- Middle Aged
- Postoperative Complications
(epidemiology, prevention & control)
- Surgical Sponges
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