Sterility of posterior elements of the spine in posterior correction surgery

Yuta Shiono, Kota Watanabe, Naobumi Hosogane, Takashi Tsuji, Ken Ishii, Masaya Nakamura, Yoshiaki Toyama, Kazuhiro Chiba, Morio Matsumoto

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Study Design.: Prospective clinical series. Objective.: To investigate the sterility of the posterior elements of the spine during posterior correction surgery. Summary of Background Data.: Bacterial growth in the operating field is considered one of the causes of surgical-site infection. Methods.: A total of 80 consecutive patients (mean age = 19.5 years) who underwent posterior correction surgery for spinal deformities were included in the study. During surgery, specimens for bacterial culture were obtained by swabs from (1) the skin after cleansing using povidone-iodine scrub solution but before draping, (2) laminae immediately after exposure, (3) laminae immediately after screw placement, (4) laminae immediately before wound closure, (5) a small piece of bone obtained from the spinous process immediately after exposure and placed on a sterile dish during surgery as a control, kept covered, and (6) a similar sample as (5), kept uncovered. The culture was conducted on both blood agar and Gifu anaerobic medium agar plates. Results.: No patient developed surgical-site infection. The culture was positive in specimen (S) 1 in 25 patients (31.3%), S2 in 20 (25%), S3 in 25 (31.3%), S4 in 26 (32.5%), S5 in 6 (7.5%), and S6 in 7 (8.8%). Bacterial species included Propionibacterium acnes in 15 specimens, Propionibacterium species in 9, and others in 10. Of the 25 patients with a positive culture in S1 and 55 patients without, 22 (88%) and 26 (47.3%), respectively, demonstrated a positive culture in specimens obtained during surgery. Conclusion.: The culture was more frequently positive in specimens obtained immediately before wound closure than in those harvested immediately after exposure and isolated from the surgical field. The results suggest that bacterial contamination of the operating field may originate from the skin of the patient during surgery.

Original languageEnglish
Pages (from-to)523-526
Number of pages4
JournalSpine
Volume37
Issue number6
DOIs
Publication statusPublished - 15-03-2012
Externally publishedYes

Fingerprint

Infertility
Spine
Surgical Wound Infection
Agar
Propionibacterium
Povidone-Iodine
S 6
Propionibacterium acnes
Skin
Wounds and Injuries
Bone and Bones
Growth

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Shiono, Y., Watanabe, K., Hosogane, N., Tsuji, T., Ishii, K., Nakamura, M., ... Matsumoto, M. (2012). Sterility of posterior elements of the spine in posterior correction surgery. Spine, 37(6), 523-526. https://doi.org/10.1097/BRS.0b013e318224d7b2
Shiono, Yuta ; Watanabe, Kota ; Hosogane, Naobumi ; Tsuji, Takashi ; Ishii, Ken ; Nakamura, Masaya ; Toyama, Yoshiaki ; Chiba, Kazuhiro ; Matsumoto, Morio. / Sterility of posterior elements of the spine in posterior correction surgery. In: Spine. 2012 ; Vol. 37, No. 6. pp. 523-526.
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abstract = "Study Design.: Prospective clinical series. Objective.: To investigate the sterility of the posterior elements of the spine during posterior correction surgery. Summary of Background Data.: Bacterial growth in the operating field is considered one of the causes of surgical-site infection. Methods.: A total of 80 consecutive patients (mean age = 19.5 years) who underwent posterior correction surgery for spinal deformities were included in the study. During surgery, specimens for bacterial culture were obtained by swabs from (1) the skin after cleansing using povidone-iodine scrub solution but before draping, (2) laminae immediately after exposure, (3) laminae immediately after screw placement, (4) laminae immediately before wound closure, (5) a small piece of bone obtained from the spinous process immediately after exposure and placed on a sterile dish during surgery as a control, kept covered, and (6) a similar sample as (5), kept uncovered. The culture was conducted on both blood agar and Gifu anaerobic medium agar plates. Results.: No patient developed surgical-site infection. The culture was positive in specimen (S) 1 in 25 patients (31.3{\%}), S2 in 20 (25{\%}), S3 in 25 (31.3{\%}), S4 in 26 (32.5{\%}), S5 in 6 (7.5{\%}), and S6 in 7 (8.8{\%}). Bacterial species included Propionibacterium acnes in 15 specimens, Propionibacterium species in 9, and others in 10. Of the 25 patients with a positive culture in S1 and 55 patients without, 22 (88{\%}) and 26 (47.3{\%}), respectively, demonstrated a positive culture in specimens obtained during surgery. Conclusion.: The culture was more frequently positive in specimens obtained immediately before wound closure than in those harvested immediately after exposure and isolated from the surgical field. The results suggest that bacterial contamination of the operating field may originate from the skin of the patient during surgery.",
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Shiono, Y, Watanabe, K, Hosogane, N, Tsuji, T, Ishii, K, Nakamura, M, Toyama, Y, Chiba, K & Matsumoto, M 2012, 'Sterility of posterior elements of the spine in posterior correction surgery', Spine, vol. 37, no. 6, pp. 523-526. https://doi.org/10.1097/BRS.0b013e318224d7b2

Sterility of posterior elements of the spine in posterior correction surgery. / Shiono, Yuta; Watanabe, Kota; Hosogane, Naobumi; Tsuji, Takashi; Ishii, Ken; Nakamura, Masaya; Toyama, Yoshiaki; Chiba, Kazuhiro; Matsumoto, Morio.

In: Spine, Vol. 37, No. 6, 15.03.2012, p. 523-526.

Research output: Contribution to journalArticle

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Shiono Y, Watanabe K, Hosogane N, Tsuji T, Ishii K, Nakamura M et al. Sterility of posterior elements of the spine in posterior correction surgery. Spine. 2012 Mar 15;37(6):523-526. https://doi.org/10.1097/BRS.0b013e318224d7b2