الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
SSI after spinal operations is an uncommon but serious complication. Rates of post-operative spinal infection ranged from 0% to 15%, depending on the reason for the operation, the site, the approach, and the use of instrumentation. A wide variety of risk factors for SSI in spinal surgery have been reported. Modification of the risk factors can help in diminishing the rate of postoperative spinal infection. S.aureus is the most common organism causing postoperative spinal infection. Postoperative infection can be classified according to the anatomic location, and superficial versus deep. Infection involving the intervertebral disc can develop whenever the disc is violated. CRP and MRI are the most sensitive diagnostic tools for the diagnosis of postoperative spondylodiscitis. Antimicrobial prophylaxis has significantly decreased the incidence of postoperative wound infections in spinal surgery. Treatment of spinal implant infections after instrumentation according to Thalgott et al. consists of debridement/irrigation and constant closed antibiotic irrigation-suction technique. Muscle flaps and vacuum-assisted clo¬sure are alternatives for these patients. Conservative treatment of post-procedural spinal infection consists of immobilization/bracing and organism-specific antibiotic therapy. The goal of surgery is to debride all necrotic and nonviable tissue followed by stabilization of the spine to prevent deformity and/or neurologic injury.