Spinal Infections

OrthoMedia ◽  
2021 ◽  
Keyword(s):  
Spinal Infections

Late spinal infections following posterior spinal fusion in pediatric deformities: treatment using single-stage titanium implant exchange

2021 ◽  
Author(s):  
Bijan Ameri ◽  
Harry L. Shufflebarger ◽  
Emerson Blaze ◽  
Jahangir Asghar ◽  
Stephen G. George ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Titanium Implant ◽  
Posterior Spinal Fusion ◽  
Single Stage ◽  
Spinal Infections

Spinal Infections in the Immunocompromised Host

1996 ◽  
Vol 27 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Frank A. Broner ◽  
Douglas E. Garland ◽  
Jack E. Zigler
Keyword(s):  
Immunocompromised Host ◽  
Spinal Infections

Role of C-reactive protein in effective utilization of emergent MRI for spinal infections

2021 ◽  
Author(s):  
Aamir Ali ◽  
Komal Manzoor ◽  
Yu-Ming Chang ◽  
Pritesh J. Mehta ◽  
Alexander Brook ◽  
...  
Keyword(s):  
C Reactive Protein ◽  
Effective Utilization ◽  
Reactive Protein ◽  
Spinal Infections

Deep Spinal Infection after Outpatient Epidural Injections for Pain: A Retrospective Sample Cohort Study Using a Claims Database in South Korea

2021 ◽  
Author(s):  
Chang-Soon Lee ◽  
Young Jae Park ◽  
Jee Youn Moon ◽  
Yong-Chul Kim
Keyword(s):  
Risk Factors ◽  
South Korea ◽  
Odds Ratio ◽  
Multivariable Analysis ◽  
Significant Risk ◽  
Epidural Injection ◽  
Spinal Infection ◽  
Single Shot ◽  
Epidural Injections ◽  
Spinal Infections

Background Deep spinal infection is a devastating complication after epidural injection. This study aimed to investigate the incidence of deep spinal infection primarily after outpatient single-shot epidural injection for pain. Secondarily, this study assessed the national trends of the procedure and risk factors for said infection. Methods Using South Korea’s National Health Insurance Service sample cohort database, the 10-yr national trend of single-shot epidural injections for pain and the incidence rate of deep spinal infection after the procedure with its risk factors were determined. New-onset deep spinal infections were defined as those occurring within 90 days of the most recent outpatient single-shot epidural injection for pain, needing hospitalization for at least 1 night, and receiving at least a 4-week course of antibiotics. Results The number of outpatient single-shot epidural injections per 1,000 persons in pain practice doubled from 40.8 in 2006 to 84.4 in 2015 in South Korea. Among the 501,509 injections performed between 2007 and 2015, 52 cases of deep spinal infections were detected within 90 days postprocedurally (0.01% per injection). In multivariable analysis, age of 65 yr or more (odds ratio, 2.91; 95% CI, 1.62 to 5.5; P = 0.001), living in a rural area (odds ratio, 2.85; 95% CI, 1.57 to 5.0; P < 0.001), complicated diabetes (odds ratio, 3.18; 95% CI, 1.30 to 6.7; P = 0.005), multiple epidural injections (three times or more) within the previous 90 days (odds ratio, 2.34; 95% CI, 1.22 to 4.2; P = 0.007), and recent use of immunosuppressants (odds ratio, 2.90; 95% CI, 1.00 to 6.7; P = 0.025) were significant risk factors of the infection postprocedurally. Conclusions The incidence of deep spinal infection after outpatient single-shot epidural injections for pain is very rare within 90 days of the procedure (0.01%). The data identify high-risk patients and procedure characteristics that may inform healthcare provider decision-making. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

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