Spondylodiscitis after lumbar discectomy : Incidence and a proposal for prophylaxis. Point of view.
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.
To report the incidence of postoperative spondylodiscitis in cases in which no antibiotic prophylaxis was used, and to define the value of a collagenous sponge containing gentamicin in preventing disc space infections. 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 radioiogic 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.
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 radioiogic investigations were performed 4-8 weeks after surgery.
In nineteen of the 508 patients who were not treated with antibiotic prophylaxis (3.7%) a postoperative spondylodiscitis developed. (...)
Mots-clés Pascal : Spondylodiscite, Complication, Postopératoire, Epidémiologie, Incidence, Modalité traitement, Prévention, Antibiotique, Chimiothérapie, Gentamicine, Rachis lombosacré, Homme, Aminoglycoside, Système ostéoarticulaire pathologie, Rachis pathologie, Infection, Bactériose, Discectomie
Mots-clés Pascal anglais : Spondylitis, Complication, Postoperative, Epidemiology, Incidence, Application method, Prevention, Antibiotic, Chemotherapy, Gentamicin, Lumbosacral spine, Human, Aminoglycoside, Diseases of the osteoarticular system, Spine disease, Infection, Bacteriosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0206433
Code Inist : 002B15F. Création : 11/09/1998.