ArticleBMJ case reports2017
A case of deep infection after instrumentation in dorsal spinal surgery: the management with antibiotics and negative wound pressure without removal of fixation.
Article in BMJ case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Effectiveness of negative pressure wound therapy in treating deep surgical site infections after spine surgery: a meta-analysis of single-arm studies.Journal of orthopaedic surgery and research · 2025Pooled it
- Surgical management of traumatic supra and infratentorial extradural hematomas: our experience and systematic literature review.Neurosurgical review · 2020Pooled it
- Evaluation of prognostic preoperative factors in patients undergoing surgery for spinal metastases: Results in a consecutive series of 81 cases.Surgical neurology international · 2022Article
- The relationship between preoperative predictive factors for clinical outcome in patients operated for lumbar spinal stenosis by decompressive laminectomy.Surgical neurology international · 2020Article
- Laminectomy versus open-door laminoplasty for cervical spondylotic myelopathy: A clinical outcome analysis.Surgical neurology international · 2020Article
- Characteristics of treatment and outcome in elderly patients with brain glioblastoma: a retrospective analysis of case series.Acta clinica Croatica · 2019Article
- Ultra-early surgery in complete cervical spinal cord injury improves neurological recovery: A single-center retrospective study.Surgical neurology international · 2019Article
- Rare case of anterior cervical discectomy and fusion complication in a patient with Zenker's diverticulum.BMJ case reports · 2018Article
- New or Blossoming Hemorrhagic Contusions After Decompressive Craniectomy in Traumatic Brain Injury: Analysis of Risk Factors.Frontiers in neurology · 2018Article
- Coil Extrusion into the Naso- and Oropharynx Ten Years after Internal Carotid Artery Pseudoaneurysm Embolization: A Case Report.Case reports in neurologyArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Until today the role of spinal instrumentation in the presence of a wound infection has been widely discussed and recently many authors leave the hardware in place with appropriate antibiotic therapy. This is a case of a 65-year-old woman suffering from degenerative scoliosis and osteoporotic multiple vertebral collapses treated with posterior dorsolumbar stabilisation with screws and rods. Four months later, skin necrosis and infection appeared in the cranial wound with exposure of the rods. A surgical procedure of debridement of the infected tissue and package with a myocutaneous trapezius muscle flap was performed. One week after surgery, negative pressure wound therapy was started on the residual skin defect. The wound healed after 2 months. The aim of this case report is to focus on the utility of this method even in the case of hardware exposure and infection. This may help avoid removing instrumentation and creating instability.
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