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. 2012 Jul 22;21(10):2027–2033. doi: 10.1007/s00586-012-2435-4

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