Can a non-surgical approach be used to treat postoperative spine infections? If so, what factors predict a successful outcome?

Author: Claus Simpfendorfer

RECOMMENDATION: Postoperative spine infections should be treated with irrigation and debridement (with or without implant removal) followed by appropriate antibiotic therapy. Antibiotic suppression without surgical intervention should be attempted in cases where the patient is not a surgical candidate, or in attempt to achieve spinal fusion prior to implant removal.

LEVEL OF EVIDENCE: Strong

DELEGATE VOTE: Agree: 80%, Disagree: 7%, Abstain: 13% (Super Majority, Strong Consensus)

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