N A Quraishi1, M S Ahmed2, G Arealis2, B M Boszczyk2, K L Edwards3. 1. Centre for Spinal Studies and Surgery, Queens Medical Centre Campus, Nottingham University Hospitals NHS Trust, West Block, D Floor, Derby Road, Nottingham, NG7 2UH, UK. nasquraishi@hotmail.com. 2. Centre for Spinal Studies and Surgery, Queens Medical Centre Campus, Nottingham University Hospitals NHS Trust, West Block, D Floor, Derby Road, Nottingham, NG7 2UH, UK. 3. Centre for Sports Medicine, Queens Medical Centre, University of Nottingham, Derby Road, Nottingham, NG7 2UH, UK.
Abstract
PURPOSE: Most of the literature on infection after surgery for spinal metastases focuses on incidence and risk factors for surgical site infection (SSI). To the best of our knowledge, there is no report on the influence of infection on neurological outcome and survival in patients undergoing emergent surgery for metastatic spinal cord compression (MSCC). METHODS: Our aim was to establish if SSIs adversely affected the neurological outcome and survival in patients with MSCC. We reviewed 318 consecutive patients admitted for surgical intervention for MSCC from October 2005 to October 2012. Morbidity (neurological outcome, length of hospital stay and additional procedures) and survival rates were analysed. RESULTS: During this study period, the incidence of infection was 29/318 (9.1%). The median length of stay in hospital in the infected group was 25 days compared to 13 days in the non-infected group (p = 0.001). Twenty out of the 29 (69%) infected patients underwent an additional procedure (29 procedures in total) compared to 9/289 (3%) non-infected patients (p = 0.001). There was no statistical difference between the two groups with regard to neurological outcome (p = 0.37) but the survival rate was statistically different between the two groups [infected group: median survival 131 days (19-1558) vs. non-infected group: 258 days (5-2696; p = 0.03)]. CONCLUSION: Surgical site infection increased the morbidity with considerably longer hospital stay and requirement for additional procedures. Although there was no difference in neurological outcome, the infected group of patients had a significantly shorter survival. These slides can be retrieved under Electronic Supplementary Material.
PURPOSE: Most of the literature on infection after surgery for spinal metastases focuses on incidence and risk factors for surgical site infection (SSI). To the best of our knowledge, there is no report on the influence of infection on neurological outcome and survival in patients undergoing emergent surgery for metastatic spinal cord compression (MSCC). METHODS: Our aim was to establish if SSIs adversely affected the neurological outcome and survival in patients with MSCC. We reviewed 318 consecutive patients admitted for surgical intervention for MSCC from October 2005 to October 2012. Morbidity (neurological outcome, length of hospital stay and additional procedures) and survival rates were analysed. RESULTS: During this study period, the incidence of infection was 29/318 (9.1%). The median length of stay in hospital in the infected group was 25 days compared to 13 days in the non-infected group (p = 0.001). Twenty out of the 29 (69%) infected patients underwent an additional procedure (29 procedures in total) compared to 9/289 (3%) non-infected patients (p = 0.001). There was no statistical difference between the two groups with regard to neurological outcome (p = 0.37) but the survival rate was statistically different between the two groups [infected group: median survival 131 days (19-1558) vs. non-infected group: 258 days (5-2696; p = 0.03)]. CONCLUSION: Surgical site infection increased the morbidity with considerably longer hospital stay and requirement for additional procedures. Although there was no difference in neurological outcome, the infected group of patients had a significantly shorter survival. These slides can be retrieved under Electronic Supplementary Material.
Entities:
Keywords:
Metastatic spinal cord compression; Spinal metastases; Surgical site infection
Authors: S Kumar; D van Popta; R Rodrigues-Pinto; J Stephenson; S Mohammad; I Siddique; R R Verma Journal: Eur Spine J Date: 2013-12-15 Impact factor: 3.134
Authors: Ibrahim A Omeis; Mashaal Dhir; Daniel M Sciubba; Oren N Gottfried; Matthew J McGirt; Frank J Attenello; Jean-Paul Wolinsky; Ziya L Gokaslan Journal: Spine (Phila Pa 1976) Date: 2011-08-01 Impact factor: 3.468
Authors: N A Quraishi; S R Manoharan; G Arealis; A Khurana; S Elsayed; K L Edwards; B M Boszczyk Journal: Eur Spine J Date: 2013-01-18 Impact factor: 3.134
Authors: Daniel M Sciubba; Clarke Nelson; Beryl Gok; Matthew J McGirt; Gregory S McLoughlin; Joseph C Noggle; Jean Paul Wolinsky; Timothy F Witham; Ali Bydon; Ziya L Gokaslan Journal: J Neurosurg Spine Date: 2008-12
Authors: Margaret A Olsen; Jennie Mayfield; Carl Lauryssen; Louis B Polish; Marilyn Jones; Joshua Vest; Victoria J Fraser Journal: J Neurosurg Date: 2003-03 Impact factor: 5.115