Should bone graft be removed in patients with postoperative spine infection? If yes, should a distinction be made between allograft and autograft?

Author: Wesley Bronson

RECOMMENDATION: Bone graft need not be routinely removed following irrigation and debridement, especially if partially incorporated. However, loose or purulent graft should be considered for removal. Retained allograft may increase the risk for requiring repeat debridement compared to autograft.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 87%, Disagree: 0%, Abstain: 13% (Super Majority, Strong Consensus)

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