Table 2.
Summary of patients who developed deep surgical site infections after spinal instrumentation
| Case | Age/Gender | Diagnosis | Surgical approach | Instrumentation levels | Diabetes | Smoking | Culture |
|---|---|---|---|---|---|---|---|
| 1 | 12/M | Atlantoaxial dislocation | Posterior | O–C2 | − | − | MRSA |
| 2 | 66/M | L1 burst fracture | Posterior | T11–L3 | + | − | SA |
| 3 | 67/M | L3 burst fracture | Anterior | L2–L4 | + | − | MRSA |
| 4 | 57/F | L3 spondylolisthesis | Posterior | L3–L5 | + | + | MRSA |
| 5 | 44/F | L2 fracture dislocation | Posterior | T12–L4 | − | + | MRSA |
| 6 | 26/M | L1 fracture dislocation | Posterior | T11–L4 | − | − | MRSA |
| 7 | 73/F | Tuberculous spondylitis | Posterior | T11–L1 | − | − | MRSA |
| 8 | 80/F | Metastatic spinal tumor | Posterior | T2–T5, T12–L3 | − | − | MRSE |
| 9 | 56/M | L1 fracture dislocation | Posterior | T12–L2 | + | + | MRSA |
| 10 | 66/M | T8 burst fracture | Anterior | T7–T9 | + | − | MRSA |
| 11 | 59/M | L4 spondylolisthesis | Posterior | L4–S1 | + | − | MRSA |
Eight patients (Cases 1, 2, 3, 4, 5, 6, 9, and 11) required removal of spinal instrument as definitive treatment for infection
MRSA Methicillin-resistant Staphylococcus aureus, SAStaphylococcus aureus, MRSE Methicillin-resistant Staphylococcus epidermidis