What is the risk for postoperative infection in the treatment of idiopathic scoliosis?

Updated: Dec 02, 2020
  • Author: Charles T Mehlman, DO, MPH; Chief Editor: Jeffrey A Goldstein, MD  more...
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Answer

Delayed infections following posterior spinal fusion with Texas Scottish Rite Hospital instrumentation have been reported. Richards described 10 such patients who presented with infections at an average of about 2 years after successful spinal fusion. [140] Low-virulence organisms such as Propionibacterium acnes were the main cause, and instrumentation removal was successful in eradicating the infections. Richards hypothesized that the infections might be related to the amount of hardware (eg, hooks, rods) used and suggested that efforts at minimizing such hardware might help prevent such infections.


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