Corrective Surgical Procedures Research Articles

Ozone therapy as complementary treatment for surgical infection: case report.

Background: Infection is a serious surgical complication that increases significantly morbidity and mortality rates as well as health care expenses. Bacterial ever-growing resistance to antibiotics makes the treatment of such events even more troublesome.
 Objective: Report on a surgical infection case treated with ozone as a complementary therapy.
 Methods and Materials: Female, 65 years old, submitted to a complex surgical procedure for adult kyphotic deformity correction that presented with early post-surgical infection. The patient was treated with revision surgery and antibiotics that improved the condition but were unable to delete the infection. Ozone, in its gaseous form, was injected subcutaneously and paravertebraly twice weekly for three weeks.
 Results: After 3 weeks of treatment the wound healed completely and repeated visits and blood exams up to one year after the surgery did not show recurrence of infection.
 Conclusions: Although not a definite indication on validity of ozone therapy for surgical infections, the results of this case report indicate a new way that merits to be explored.

A Review of Selected Adult Congenital Heart Diseases Encountered in Daily Practice.

The advancement in corrective surgical procedures and anaesthesia technology has resulted in the increased survival of patients with Congenital Heart Diseases (CHD). Most of the surviving CHD patients have successfully reached adulthood and those surviving adults now outnumber the infants born with the CHD. Unfortunately, the surviving adults with CHD do not get proper care due to either inconsistent follow-up or not getting care from a specialist in the field of CHD. It is imperative for general practicing clinicians to be aware of the congenital diseases as well as the current clinical recommendations. This manuscript reviews some of the common congenital diseases seen in adults such as cardiac shunts, left heart obstructive lesions, and aortopathies.

Current Management of Anomalous Aortic Origin of a Coronary Artery: A Pan-Canadian Survey.

Background:Anomalous aortic origin of a coronary artery (AAOCA) is a significant cause of sudden cardiac death (SCD) in children and adolescents. The natural history of AAOCA and the pathophysiology of AAOCA-related SCD are poorly understood. Therefore, the evaluation and management of AAOCA remain controversial. This survey-based study aims to report the current AAOCA management tendencies in Canada.Methods:We built a 23-question survey on AAOCA. Questions pertained to patient presentation, investigations, morphology of the anomaly, management, and follow-up. We sent the survey to all the Canadian congenital cardiac surgeons, pediatric cardiologists, and adult congenital cardiologists. Data were anonymized and analysis was performed using descriptive statistics.Results:According to our survey participants (N = 47), patient age (94%) and amount of physical activity (60%) are the most influential factors when deciding whether to offer surgical correction. Aborted SCD, exercise-induced syncope, typical chest pain, and left jaw or arm pain are the most important clinical presentations indicating surgery. The most commonly used preoperative investigations are rest echocardiography (75%), electrocardiogram (68%), and exercise stress test (62%). Most respondents favor the unroofing procedure (78%) for surgical correction. For nonsurgical candidates, most physicians choose competitive exercise restriction (64%).Conclusion:We found a divergence between current practices and expert consensus guidelines regarding the treatment of asymptomatic left AAOCA with high-risk features. Our survey also revealed a lack of consensus among clinicians regarding the management of asymptomatic patients, very young patients, and those with right-sided AAOCA. Evidence-based criteria derived from sufficiently powered studies remain to be established to standardize AAOCA treatment.

Artificial intelligence-based nomogram for small-incision lenticule extraction

BackgroundSmall-incision lenticule extraction (SMILE) is a surgical procedure for the refractive correction of myopia and astigmatism, which has been reported as safe and effective. However, over- and under-correction still occur after SMILE. The necessity of nomograms is emphasized to achieve optimal refractive results. Ophthalmologists diagnose nomograms by analyzing the preoperative refractive data with their individual knowledge which they accumulate over years of experience. Our aim was to predict the nomograms of sphere, cylinder, and astigmatism axis for SMILE accurately by applying machine learning algorithm.MethodsWe retrospectively analyzed the data of 3,034 eyes composed of four categorical features and 28 numerical features selected from 46 features. The multiple linear regression, decision tree, AdaBoost, XGBoost, and multi-layer perceptron were employed in developing the nomogram models for sphere, cylinder, and astigmatism axis. The scores of the root-mean-square error (RMSE) and accuracy were evaluated and compared. Subsequently, the feature importance of the best models was calculated.ResultsAdaBoost achieved the highest performance with RMSE of 0.1378, 0.1166, and 5.17 for the sphere, cylinder, and astigmatism axis, respectively. The accuracies of which error below 0.25 D for the sphere and cylinder nomograms and 25° for the astigmatism axis nomograms were 0.969, 0.976, and 0.994, respectively. The feature with the highest importance was preoperative manifest refraction for all the cases of nomograms. For the sphere and cylinder nomograms, the following highly important feature was the surgeon.ConclusionsAmong the diverse machine learning algorithms, AdaBoost exhibited the highest performance in the prediction of the sphere, cylinder, and astigmatism axis nomograms for SMILE. The study proved the feasibility of applying artificial intelligence (AI) to nomograms for SMILE. Also, it may enhance the quality of the surgical result of SMILE by providing assistance in nomograms and preventing the misdiagnosis in nomograms.

Osteochondral lesions of the talus : Individualized approach based on established and innovative reconstruction techniques

Osteochondral lesions (OCL) of the talus are defined as chondral damage with subchondral involvement. The traumatic etiology is important; in particular, sprains and fractures can lead to lesions of the articular surface and the subchondral plate. As a result, unstable lesions and subchondral cysts can trigger substantial persistent pain and functional impairments. Aprimary conservative treatment can be considered and is especially recommended in children and adolescents; however, return to previous sports activity and level is often not achieved. The principles of reconstructive surgical management include internal fixation of osteochondral fragments, bone marrow stimulation, autologous membrane-augmented chondrogenesis ± bone grafting, osteochondral transfer, retrograde techniques ± bone grafting, (matrix-associated) autologous chondrocyte implantation and autologous osteoperiosteal graft from the iliac crest. Additional surgical procedures for ankle stabilization and deformity correction should be considered if necessary.

Leg lengthening and deformity correction in rare bone diseases: amultidisciplinary approach.

Congenital and acquired conditions presenting with leg length discrepancy, leg deformity or short stature are not only achallenge for paediatric orthopaedic surgeons in terms of treatment options but may also involve anumber of medical specialties due to the complex clinical manifestations of the diseases. Various surgical treatment options are available for these rare genetic diseases, including bone lengthening and growth inhibition techniques for lower limb discrepancy, as well as guided growth and other surgical procedures for correction of angular deformities. Surgical techniques may be similar, but the treatment plans and specific multidisciplinary approaches may differ. The present report is focused on paediatric orthopaedic and multidisciplinary aspects of the treatment of rare bone diseases. We address the clinical presentation of these diseases, gait and surgical procedures for conditions such as achondroplasia, X‑linked hypophosphatemia and osteogenesis imperfecta. We also provide ashort overview of other rare bone diseases.

Successful total correction of Transposition of Great Artery in Surabaya’s rural area experience: serial cases

Background: Transposition of the great arteries (TGA) is a cyanotic heart disorder characterized by the aorta being positioned to the pulmonary artery's right-anterior. Arterial switch operation (ASO) is the main surgical procedure for TGA correction that has favorable outcomes. This case report aims to explain the findings of TGA cases that were performed successfully by ASO surgery at Dr. Soetomo Hospital in Surabaya.Case Presentation: We reported two cases of dextro-TGA, which were confirmed from anamnesis, physical examination and echocardiographic. Both cases have been successfully carried out with an arterial switch operation (ASO) procedure with a post-operative length of 14-15 days with stable hemodynamics.Conclusion: TGA is a congenital heart defect with a rapid worsening of clinical signs if not detected early. The early correction will improve post-correction outcomes in patients.

Keratitis X Acremonium : A Case Report and Literature Review

Purpose: Describe an unusual development of fungal keratitis caused by Acremonium sp in six patients who underwent cataract surgery at an ophthalmology service in Brazil, as well as to report the origin of these infections. Methods: Swabs from the affected corneas were collected to perform culture for bacteria and fungi. These materials were sown in Blood agar (Difco/ USA), Macconkey agar (Difco/USA) and Thioglycolate broth (Difco/USA) for bacterial research and Sabouraud agar (Difco/ USA) for fungi research. A microbiological study was carried out to analyze surgical instruments, the environment and other materials used in the surgeries. Results: Case reports occurred with six patients, all aged over 71 and 85 years, who underwent a surgical procedure for cataract correction by an Ophthalmology service. After surgery, these patients presented loss of unilateral visual capacity, with the formation of a white mass on the cornea. Swabs from the affected corneas were collected to perform culture for bacteria and fungi, in specific culture media. The bacterial cultures showed negative results. Fungal cultures revealed the presence of Acremonium spp. Conclusions: It is likely that Acremonium spores found in the wardrobe were deposited on all the sterile material stored there. At the time of cataract surgeries, this material was unpacked and fungal structures became detached and found in the surgical field of these patients' eyes a gateway. Thus, cleaning and sanitizing measures for surfaces must be implemented and monitored, especially in critical areas such as in hospital areas, in order to avoid damage to patients' health

A novel pulsed electromagnetic field promotes distraction osteogenesis via enhancing osteogenesis and angiogenesis in a rat model

Summary Background Distraction Osteogenesis (DO) is a widely used surgical procedure for limb lengthening, deformity correction, and management of segmental bone defects. However, delayed bone consolidation during DO remains an unsolved clinical problem, which significantly and negatively affects the quality of healing outcome. Pulsed electromagnetic field (PEMF) therapy has been shown to promote osteogenesis and exhibit beneficial effects on the management of delayed union and nonunion fractures. Thus, we hypothesize that PEMF could have beneficial effects on DO. Methods In this study, specialized PEMF devices employing a novel high slew rate signal were used to firstly investigate effects of PEMF on osteogenesis of MSCs in vitro. MSCs cultured in osteogenic inductive medium treated with or without PEMF (3hrs/day) were subject to qPCR test, Alizarin Red S and ALP staining on day 7. Secondly, an in vivo study was undertaken using a DO model with fifty-six SD-rats randomly divided into two groups. The PEMF group received daily PEMF treatment, 3hr/day, and the control group received no treatment. Histology and IHC staining, radiographic exams, μCT, and biomechanical tests were used to evaluate the quality of bone healing. Immunofluorescence staining and vessel perfusion following by μCT were used to evaluate the effect of PEMF on angiogenesis. Results Significantly more bone volume and mineral density were observed in the PEMF group compared with the control group, along with better biomechanical properties. Histological results showed that better quality callus formation with less cartilage in callus in PEMF group than control group. Immunofluorescence staining and vessel perfusion results showed that more blood vessels at both early and late stage of DO in PEMF group compared with control group. Conclusion Our study showed that new high slew rate PEMF signal could promote osteogenesis and angiogenesis in a rat model of DO, which provides insight into the development of new noninvasive mean to accelerate bone formation in the DO process. The translation potential of this article This study provides supporting evidence for the use of high slew rate PEMF signal to promote bone formation in DO.

Left heart Impella-device to bridge acute mitral regurgitation to MitraClip-procedure: a novel implementation of percutaneous mechanical circulatory support

Abstract Background Acute mitral regurgitation (MR) is an emergency, often requiring urgent surgery. Severe acute MR presenting with hemodynamic collapse is usually caused by papillary muscle rupture or dysfunction after acute myocardial infarction (AMI) or chordal rupture, resulting in flail mitral leaflet(s). Preoperative stabilization is complex due to concomitant hemodynamic collapse and hypoxic respiratory failure. Finding the right balance between both preload and inotropic support is challenging. When patients are too sick for immediate surgical intervention, mechanical circulatory support can be considered because of its ability to both unload and reduce of cardiac work while increasing coronary perfusion and cardiac output. Nevertheless, even after initial stabilization, surgical risk remains high in critically ill acute severe MR patients and transcatheter treatments such as MitraClip are increasingly being explored. Methods Between August 2017 and September 2019, patients presenting with acute severe mitral regurgitation and considered too ill for immediate surgical intervention (EURO-II score >11.2% plus pulmonary oedema necessitating mechanical ventilation and/or hemodynamic instability), were selected for an Impella-assisted LV unloading technique as bridge to MitraClip-procedure. Five patients were selected for the combined left Impella/MitraClip-procedure in two tertiary cardiac ICUs. Results The mean age was 72 years. The cause of MR was ischemic in 20% and all patients presented in cardiogenic shock state, necessitating mechanical ventilation. The overall cardiac operative risk assessment (Euro-II) score predicted a 35% chance of in-hospital mortality. Cardiac output was severely impaired (mean LVOT VTI 8.2 cm). All patients were on inotropic support and supported by an Impella-CP pVAD (mean flow 2.5 Liter per minute; mean 6.3 days of support). In all cases, we managed to reduce the LVEDP below 15 mmHg using the combination of medical therapy (afterload reduction, inotropes), mechanical ventilation and pVAD-therapy. The MR was significantly reduced by a MitraClip-procedure in each Impella supported patient. The overall survival at discharge was 80%. One patient with late referral and multiple organ failure at presentation deceased due to refractory cardiogenic shock. Overall, severe MR was reduced to grade 1+ and all four patients survived 6 months after discharge with only one readmission for decompensated heart failure. Conclusions A combined strategy of Impella and MitraClip appears to be a novel, feasible alternative for patients presenting with acute, severe MR unable to proceed to a corrective surgical procedure at presentation due to severe left ventricular forward flow failure. In these cases, the early initiation of pVAD-support may reduce the risk of development of irreversible end- organ damage and dysfunction. Exploration in a larger, randomised population is warranted to investigate this strategy further. Funding Acknowledgement Type of funding source: None

Beyond the obvious cranial abnormalities in fetal MMC

The early and adequate recognition of associated or presumed non-associated/incidental imaging findings have a significant impact on decision making of intrauterine corrective surgical procedures. The association between a spinal dysraphia and the occurrence of a Chiari 2 malformation (C2M) are linked to the mechanical consequences of a venting/leakage of cerebro-spinal fluid (CSF) from the developing caudal embryonic rhombencepalic and metencephalic vesicles during early fetal life. This unified theory does not explain the entire spectrum of anatomical abnormalities that may be observed on imaging.

Radiographic evaluation of patellar tendon length following corrective surgical procedures for medial patellar luxation in dogs.

To quantify changes in the patellar tendon length following surgical correction of medial patellar luxation in dogs and evaluate potential risk factors associated with patellar tendon elongation. Retrospective case series (n = 50). Dogs that underwent surgery for medial patellar luxation correction and had 2-3 months follow up were included. Digital radiographs were utilized to quantify the patellar tendon length to patellar length ratio at various follow-up points. Odds ratio comparisons between potential risk factors associated with changes in patellar tendon length were performed. Post-operative patellar tendon lengthening of ≥ 5% was observed in 20% of stifles and post-operative patellar tendon shortening of ≥ 5% was observed in 22% of stifles at the 2-3 month follow up period. The risk factors including age, body weight, trochleoplasty and grade of medial patellar luxation were not significantly associated with risk of patellar tendon elongation. Patellar tendon lengthening was not associated with recurrence of luxation. Patellar tendon lengthening and shortening can be observed in dogs following common medial patellar luxation corrective procedures in the short term follow up period. Patellar tendon lengthening does not appear to be associated with age, weight, trochleoplasty, grade of luxation, or risk of luxation recurrence.

Visual outcomes after three different surgical procedures for correction of refractive error in patients with thin corneas.

To investigate and compare the visual and refractive outcomes of small incision lenticule extraction (SMILE), laser assisted sub-epithelial keratomileusis (LASEK), and LASEK combined with corneal collagen cross-linking (LASEK-CXL) surgery in patients with less than 500 µm of central corneal thickness (CCT). The retrospective medical records review was conducted on the patients with CCT less than 500 µm treated with SMILE, LASEK, and LASEK-CXL. There was a total of 172 eyes, 76 eyes were in the SMILE group, 53 eyes in the LASEK group, and 43 eyes in the LASEK-CXL group. Uncorrected distance visual acuity (UDVA), spherical equivalent refraction (SE), and corneal haze were followed up in the three groups for 12mo. At 12mo postoperatively, there were no statistically significant differences in UDVA and in the absolute value of SE between the three groups. The predictability within ±0.50 D in the SMILE group (85.5%) was significantly higher than in both the LASEK group (64.2%, P<0.01) and the LASEK-CXL group (69.8%, P=0.04). The efficacy index and safety index were not significantly different among the three groups. Corneal haze at 12mo postoperatively was higher in the LASEK-CXL group (27.9%) than in the SMILE group (2.6%, P<0.01) and in the LASEK group (7.5%, P<0.01). In patients with CCT less than 500 µm, SMILE, LASEK, and LASEK-CXL appear to be effective for myopic correction. Among them, SMILE surgery shows the highest predictability.

Osteochondroma of the mandibular condyle: an algorithm for treatment

Purpose Osteochondroma (OC) or osteocartilaginous exostosis is considered to be the most common benign tumor of the axial skeleton; however, due to its endochondral origin, this pathology is rarely seen in the maxillofacial skeleton aside in the head of the mandibular condyle.1,2 Condylar OCs can lead to various structural and functional disturbances which include facial asymmetries, malocclusion, prognathic deviation of chin, crossbite of the contralateral side, mouth opening disturbances, temporomandibular joint (TMJ) dysfunctions, and hearing loss, and pain in some cases.2-8 The types of surgical treatments for osteochondroma vary from resection without reconstruction (low-condylectomy), resection (total condylectomy) with TMJ reconstruction (autogenous/alloplastic), combined surgery, including orthognathic correction and low-condylectomy or TMJ reconstruction. Although previous studies have reviewed various modes of treatments and have supported the efficacy of each of them, none address the indications of such treatments in an algorithmic fashion. In this study, we reviewed a series of cases which were surgically treated and proposed a treatment algorithm based on initial presentation, age, location of the mass, morphology of the mass, and the degree of dentofacial deformity created. Methods We reviewed a total of 6 patients with a mean age of 33.6 years at the time of surgery. Three of those 6 patients presented as a pedunculated condylar mass located on the superior surface of the condyle, resulting in mild occlusal discrepancies and facial asymmetry. Two of these patients were treated successfully with proportional condylectomy and postoperative orthodontic correction of dental malocclusion with stable results. No orthognathic surgery was required until the last follow-up. The third patient elected not to undergo postoperative orthodontic correction of persistent malocclusion due to financial reasons but had no sign of recurrence with stable functional mild malocclusion. One of the 6 patients presented with superior located condylar mass, which was slightly larger in size, with significant cant of the maxilla and the mandible. This patient underwent a low condylectomy with simultaneous orthognathic surgery. The final 2 patients presented with a significantly larger mass, with medial extension toward the cranial base. One of these patients had preoperative facial dysesthesia, presumed to be due to impingement on cranial nerve V. These patients were both treated with complete condylectomy and total joint replacement due to size of the mass, patient age, and medial extension and location of the mass on the condyle. Results All 6 patients who received treatment at Virginia Commonwealth University by the same surgeon from years 2015–2019 were found to show no sign of tumor recurrence at their most recent follow-up (mean follow-up length 10.8 months; range 3–30 months). Conclusions Based upon these surgical outcomes, we propose the algorithm shown in Figure 2, which can help guide practitioners in choosing the correct surgical procedure based upon preoperative clinical and radiographic findings.

Mastopexy with Autologous Augmentation in Women After Massive Weight Loss: A Randomized Clinical Trial.

Breast reshaping or mastopexy following massive weight loss can be challenging. The LOPOSAM (lower pole subglandular advancement mastoplasty) technique has shown promising results for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss. We compared the LOPOSAM technique to the mastopexy technique after massive weight loss described by Rubin JP, in a randomized trial. The main outcome measure was the total operative time. Secondary outcomes measures were socio-economic factors; length of hospital stay, numbers of sutures used, secondary corrective procedures, post-operative sick leave and surgeon- and patient-reported appearance of the breasts. We included 22 women: 11 operated on by the LOPOSAM technique and 11 by the technique described by Rubin JP. The total operative time was 84.8 (SD 12.2) minutes in the LOPOSAM group and 99.1 (SD 23.5) in the Rubin JP group (p = 0.074). There were no differences related to days with drains, length of hospital stay or sick leave between the two groups. The surgeon- and the patient-reported appearance of the breasts changed significantly between the pre-operative and the 12-month post-operative assessments. The LOPOSAM technique is a safe and quick surgical procedure for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss and seems to provide results comparable to the better-known Rubin JP's technique. There was a trend that the LOPOSAM technique was faster to perform, however, not significant. The breast appearance improved significantly using both techniques when assessed by both surgeons and patients. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Severity of Pectus Excavatum is a Risk Factor for Primary Spontaneous Pneumothorax

This study aimed to investigate the relationship between bleb formation, primary spontaneous pneumothorax (PSP) and pectus excavatum (PE). From July 2005 to December 2016, the records of 514 patients with PE who underwent the Nuss procedure were obtained from a prospectively collected database and reviewed. Clinical features, images and treatments were analyzed retrospectively. The incidence rate of bleb formation was 26.5% in PE patients. The bleb group had a greater body height (174.4cm vs. 170.4cm, p < 0.001), a higher Haller index (HI; 4.2 vs. 3.43, p < 0.001) and a higher risk of developing PSP than the non-bleb group (risk ratio 9.8, p = 0.002). HI values larger than 3.615 had good discriminatory power for predicting bleb formation in patients with PE. With each increase in the HI, PE patients had a 2.2-fold greater odds ratio of bleb formation (odds ratio 2.221, CI 1.481-3.330, p < 0.001). We discovered that a high percentage of PE patients have bleb formation and a higher risk of PSP, especially those with an HI >3.615. High-resolution computed tomography of the chest may be useful for evaluating both the HI and the presence of blebs in the lungs before performing a corrective surgical procedure.

Effectiveness of Various Surgical Procedures for Correction of Monocular Elevation Deficit

Monocular Elevation Deficit (MED) is a frequent cause of hypotropia and is associated with ptosis/pseudoptosis. The primary aim of surgery in these cases is to improve Bell's phenomenon and correct misalignment. Various surgical procedures have been described to correct this defect and the choice of procedure depends upon the numerous associated factors. In this retrospective case series we have analyzed the effect of various surgical procedures used to correct MED.

Secondary reconstruction of flexor tendons

The secondary reconstruction of flexor tendons is in most cases very demanding and tedious. The indications, selection of the correct surgical procedure, operative technique and further treatment have to be individually adjusted and are mostly very difficult. Due to the previous operations unpleasant surprises may occur intraoperatively, which must be recognized and treated by the surgeon. Nevertheless, asignificant improvement of the function of the whole hand can be achieved for most patients, e.g. by a two-stage flexor tendon transplantation or other techniques described in this article.

Usefulness of laparoscopic posterior rectopexy for complete rectal prolapse: A cohort study.

Transabdominal rectopexy for complete rectal prolapse reportedly yields more definitive results than transperineal surgery. Recently, minimally invasive laparoscopic rectopexy has become a popular treatment option for patients with rectal prolapse. Herein, we describe our surgical procedure for correction of rectal prolapse. We further aimed to perform a comparative assessment between perioperative outcomes achieved with open and laparoscopic applications of this technique. In this cohort study, 65 patients underwent posterior rectopexy (laparoscopic, 50; open, 15) between April 2008 and December 2015. The basic procedure consisted of posterior rectopexy using mesh fixation (modified Wells' method). We assessed and compared perioperative outcomes (duration of surgery and hospitalization, complication rates, blood-loss, degree of fecal incontinence) of laparoscopic and open rectopexy. Furthermore, pre- and post-operative urinary incontinence was measured (using pad test, questionnaire) and compared to determine the effects of the procedure on pelvic organ function. A p-value <0.05 indicated statistical significance. The mean operative time of the laparoscopic and open procedures was 127 and 83.6 min, respectively. The amount of blood-loss was negligible and 77 (range, 18-200) g with the laparoscopic and open approaches, respectively. The mean duration of hospitalization was 4.2 and 7.2 days for the former and latter procedures, respectively (p < 0.05). Rectal prolapse and fecal incontinence (evaluated using Wexner's score) diminished in all patients. Urinary incontinence also decreased postoperatively. There were no recurrences of rectal prolapse. Laparoscopic rectopexy can be safely performed in older patients to achieve early postoperative ambulation and significantly shorten the hospital-stay. It may therefore be considered an effective treatment for complete rectal prolapse and urinary dysfunction.

Severe Spinal Surgery Infection and Local Ozone Therapy as Complementary Treatment: A Case Report.

Infection is a serious surgical complication that significantly increases morbidity and mortality rates as well as health care expenses. Increased bacterial resistance to antibiotics makes the treatment of such events even more troublesome. To report on a surgical infection case treated with ozone as a complementary therapy. A female, 65 years old, submitted to a complex surgical procedure for adult kyphotic deformity correction that presented with early postsurgical infection. The patient was treated with revision surgery and antibiotics that improved the condition but were unable to delete the infection. Ozone, in its gaseous form, was injected subcutaneously and paravertebrally twice weekly for 3 weeks. After 3 weeks of treatment, the wound healed completely. Follow-up visits and laboratory exams for up to 1 year after surgery showed no recurrence of infection. Although just a single case, topical ozone therapy for surgical infections showed promising potential in this specific case.