Abstract
Nowadays there have been various advanced techniques to overcome disparate types of lumbar degenerative diseases. However, post-operation complications such as Surgical Site Infection (SSI) still give the surgeon with a big challenge. This article is going to study the risk factor that causes the lumbar SSI by reviewing all the articles that can be assessed through PubMed, websites of science and other internet data base. Numerous articles have stated different reported prevalence rates of 0.7% to 16% for surgical site infection. This article will document the most common and significant risk factors for SSI. At last, we suggest that there should be preoperative patient screening and postoperative internal environment maintenance, this will be the best way to reduce postoperative SSI rate or prevent SSI from happening.
Highlights
Surgical Site Infection (SSI) in spine surgery remains a significant etiology that led to morbidity, increased medical cost, and prolonged hospitalization
Routine blood test with White blood cell count, Lymphocyte, Heparin-binding protein (HBP), Procalcitonin (PCT), C-reactive protein (CRP), Erythrocyte Sedimentation Rate MRI (ESR) combining with imaging technic Magnetic Resonance Imaging (MRI) can increase the accurate diagnosis
This method could be an alternative way for certain deep infection patients, it is a minimum invasive surgery compared to traditional way and elderly patient can be tolerant for second operation
Summary
Surgical Site Infection (SSI) in spine surgery remains a significant etiology that led to morbidity, increased medical cost, and prolonged hospitalization. Because there has been development of prophylactic antibiotics and advances in surgical technique and postoperative care, wound infection continues to compromise patients’ outcome after surgery [1]. This kind of infection places the patient at risk for pseudoarthrosis, adverse neurologic sequelae, chronic pain, deformity and even death. The flow diagram of literature analysis is shown, 117 articles were found from the internet data base, 37 articles were excluded without full text access and 80 articles were further extracted for reading.
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