Abstract
Journal of Paediatrics and Child HealthVolume 50, Issue 11 p. 930-930 Heads UpFree Access Spinal rod infections First published: 06 November 2014 https://doi.org/10.1111/jpc.12748_4AboutSectionsPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat A retrospective case series from a single US institution identified 486 patients who had posterior spinal fusion with insertion of rods over 66 months.1 The rods became infected in 27 (5.6%), but only 23 had adequate data for analysis. Of these 23, aged 8–20 years (average 14.8 years), the commonest presentation was wound drainage. Most infections occurred about 2 weeks post-surgery (median 16 days), but the range was 8–1052 days. No single organism was predominant. Among Gram positive organisms, there were eight cases of Staphylococcus aureus, of which three were methicillin resistant. The Gram negatives were Enterobacter (5), Pseudomonas (4), Proteus (2), Escherichia coli (1) and Serratia (1). Six patients grew more than one organism. Two patients grew Mycobacterium abscessus. Infection was cured in 78% of antibiotics with antibiotics alone without removing the rods, but four patients failed medical therapy. Antibiotics were given for a median of 131 days (range 42–>597 days). It appears most spinal rod infections can be cured with antibiotics alone with preservation of the implant, although the optimal duration of antibiotics is unknown. Reference 1Messina AF et al. Pediatr. Infect. Dis. J. 2014; 33: 720– 723. Reviewer: David Isaacs, Children's Hospital at Westmead, david.isaacs@health.nsw.gov.au Volume50, Issue11November 2014Pages 930-930 ReferencesRelatedInformation
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