Future directions of postoperative spinal implant infections
Autor: | Susanne Feihl, Florian Ringel, Max Jägersberg |
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Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
030222 orthopedics medicine.medical_specialty Medical treatment business.industry 030106 microbiology Psychological intervention Review Article on Postoperative Spinal Implant Infection Implant Infection Context (language use) Diagnostic tools Implant removal 03 medical and health sciences 0302 clinical medicine medicine Effective treatment Orthopedics and Sports Medicine Surgery Spinal implant Intensive care medicine business |
Zdroj: | J Spine Surg |
ISSN: | 2414-4630 2414-469X |
Popis: | This article outlines some promising future concepts against postoperative spinal implant infections on the basis of today available literature. The ever-adapting bacteria causing this common complication compel a corresponding continuous research about best effective treatment. The aim is to give a perspective on several future attack-points: surgical infection prevention strategies such as technical optimization of implants and surgical technique; faster diagnostic tools to detect infection, especially in the context of late infections with low-virulent germs and with regard to decision-making in the course of the surgical workflow; and combined surgical and medical treatment options against implant infections. The surgical treatment section will also state open issues concerning implant removal, and the medical treatment section will give an outlook to promising medical alternatives in a post-antibiotic era. To keep up in this field will be important to retain spine surgery in the future as the state-of-the-art treatment option for mandatory spinal interventions in the presence of tumor or trauma and even more so as an attractive option for patients with degenerative spinal disorder for improvement of their life quality. |
Databáze: | OpenAIRE |
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