Negative Pressure Wound Therapy in Infected Wound following Posterior Spinal Instrumentation using Simple Self-assembled System: A Case Report
- Author:
CW Chang
;
HZ Chan
;
SW Lim
;
EH Khoo
;
Zulkiflee O
- Publication Type:Case Reports
- Keywords:
vacuum assisted closure;
infection;
instrumentation;
spine
- MeSH:
Negative-Pressure Wound Therapy
- From:Malaysian Orthopaedic Journal
2014;8(2):49-51
- CountryMalaysia
- Language:English
-
Abstract:
Postoperative wound infection in an instrumented spine
patient is often disastrous. Management includes implant
removal leading to spine instability. Negative pressure
wound therapy (NPWT) applied to the spine surgical
wound is one of the wound care technique with successful
results. We report a case of a man who sustained Chance
fracture of Lumbar 1 (L1) vertebra treated with long
segment posterior instrumentation, who unfortunately
developed Extended-spectrum beta-lactamase (ESBL)
positive E. coli infection one month after the operation.
After careful debridement of the wound, the implant
became exposed. Three cycles of NPWT were applied
and the wound healed with granulation tissue completely
covering the implant, and thus negating the need to remove
the implant. In conclusion, the NPWT is a good alternative
in postoperative wound management especially in an
instrumented spine patient
- Full text:P020150525424568733619.pdf
