Table 1 Summary of the clinical data of cervical patients
From: Experience in the management of post-operative spinal infection
| Â | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age/sex | 54/male | 50/male | 62/female | 69/male | 22/Male | 45/female | 64/female | 76/male | 34/male | 55/male | 63/female | 44/male | 57/female |
Pre-operative risk factors | Diabetic | Obesity (BMI 44) | Obesity + hypertension (BMI 41) | No | Traffic accident, quadriplegic | Corticosteroids | Obesity + diabetic (BMI 47) | Diabetic | Traffic accident | Renal failure | Obesity (BMI 42), diabetic | No | Rheumatoid |
Primary lesion | Cervical disc | Cervical disc | Cervical stenosis | 2 cervical discs | Cervical fracture | Cervical disc | Cervical disc | Cervical stenosis | Cervical fracture | Cervical disc | Cervical neurofibroma | Cervical disc | Cervical disc |
Duration + type of operation | 80 min discectomy | 90 min discectomy | 65 min cervical laminectomy | 100 min discectomy | 110 min | 75 min discectomy | 85 min discectomy | 90 min cervical laminectomy | 130 min fixation | 80 min discectomy | 100 min. | 75 min | 90 min discectomy |
Intra-operative complication | No | Durotomy | No | No | No | No | No | No | no | No | No | No | No |
Foreign body implantation | Cage | Cage | No | 2 cages | Plat and screws | Cage | Cage | No | Plate and screws | Cage | No | Cage | Cage |
Post-operative complications | No | CSF leakage | Epidural haematoma (evacuated 2nd day post-operative) | No | Esophageal perforation after tracheostomy | No | Haematoma (evacuated immediately) + stridor | No | Esophageal perforation | No | CSF leakage | No | No |
Lucid interval | 7 days | 5 days | 8 days | 3 weeks | 18 days | 9 days | 7 days | 7 days | 10 days | 2 weeks | 17 days | 8 days | 20 days |
Type of infection | Superficial | Superficial | Epidural abscess (organ space infection) | Discitis (organ space infection) | Superficial followed by deep infection | Superficial | Superficial and deep | Superficial | Deep | Deep | Superficial + deep | Superficial | Deep |
Management | Conservative | Conservative + continuous lumbar drain | Surgical evacuation of the abscess + Insertion of suction − irrigation system | Surgical insertion of suction − irrigation system | Surgical removal of plat + total parenteral nutrition followed by feeding gastrostomy. | Conservative | Surgical insertion of suction − irrigation system | Conservative | Direct repair of esophagus + suction irrigation system | Insertion of suction irrigation system | Insertion of suction − irrigation system | Conservative | Insertion of suction − irrigation system |
Re-hospitalization stay | 2 weeks | 20 days | 17 days | 4 weeks | 3 months | 2 weeks | 4 weeks | 18 days | 25 days | 3 weeks | 4 weeks | 10 days | 5 weeks |
Fate | Healed | Healed | Healed | Healed | Death | Healed | Healed | Healed | Healed | Healed | Healed | Healed | Healed |