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Association of modic changes and postoperative surgical site infection after posterior lumbar spinal fusion.
Deng, Siping; Xie, Jiahua; Niu, Tianzuo; Wang, Jianru; Han, Guowei; Xu, Jinghui; Liu, Hui; Li, Zemin.
Afiliação
  • Deng S; Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Xie J; Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Niu T; Department of Spine Surgery, The Seventh Affiliated Hospital of Southern Medical University, Foshan, 528244, China.
  • Wang J; Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Han G; Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Xu J; Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Liu H; Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Li Z; Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China. liuhui58@mail.sysu.edu.cn.
Eur Spine J ; 33(8): 3165-3174, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38816538
ABSTRACT

PURPOSE:

Postoperative surgical site infection is one of the most serious complications following spine surgery. Previous studies have reported Modic changes (MC) represent a subclinical infection. This study aims to investigate the relation between Modic changes and surgical site infection after posterior lumbar fusion surgery.

METHODS:

We retrospectively reviewed the records of 424 patients who received posterior lumbar fusion. Preoperative clinical and radiological parameters were recorded. Primary outcome was the rate of postoperative surgical site infection. Covariates included age, body mass index (BMI), sex, hypertension, diabetes mellitus, chronic heart failure, Pfirrmann classification, fused levels, and operation duration. The presence of Modic changes was used as an exposition variable, and adjusted for other risk factors in multivariate analyses.

RESULTS:

Of the 424 patients, 30 (7%) developed an acute surgical site infection. Infection had no relation to age, sex, BMI, and comorbidities. There were 212 (50%) patients with MC, and 23 (10.8%) had a surgical site infection, compared to 212 (50%) patients without MC in which there were 7 (3.3%) surgical site infections. MC was associated with surgical site infection in univariate analysis (odds ratio [OR] = 3.56, 95% confidence interval [CI] 1.49-8.50, p = 0.004) and multivariate logistic regression analysis (OR = 3.05, 95% CI 1.26-7.37, p = 0.013). There was statistically significant between specific type (p = 0.035) and grade of MCs (p = 0.0187) and SSI.

CONCLUSIONS:

MCs may be a potential risk factor for SSI following posterior lumbar spinal intervertebral fusion. Type I and grade C MCs showed a higher infection rate compared with other MC types and grades.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fusão Vertebral / Infecção da Ferida Cirúrgica / Vértebras Lombares Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur Spine J Assunto da revista: ORTOPEDIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fusão Vertebral / Infecção da Ferida Cirúrgica / Vértebras Lombares Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur Spine J Assunto da revista: ORTOPEDIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China