How many intraoperative tissue samples should be sent for culture in suspected spinal surgery infection?

How many intraoperative tissue samples should be sent for culture in suspected spinal surgery infection?

Authors: Chad Craig, Michael Steinhaus

RECOMMENDATION: With the currently-available evidence, it is recommended that at least three to five tissue samples be sent for culture in cases of suspected spinal infection. In the setting of instrumentation, we recommend additional techniques, such as vortexing and sonification, to increase the yield of culture samples.

LEVEL OF EVIDENCE: Limited

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

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