Application of negative pressure wound therapy in the treatment of pyoinflammatory complications after spinal surgery

Abstract

Objective. To analyze the first experience of negative pressure wound therapy in the treatment of patients with infectious complications after surgical interventions on the spine. Material and Methods. Clinical cases of negative pressure wound therapy (NPWT) in patients with peri-implant infection developed after decompression and stabilization interventions for degenerative disease (n = 2), and injury (n = 1) of the spine are presented. Results. Good results were achieved in all three patients. Average length of hospital stay was 33 days. Implants were successfully preserved in two patients. The average time of wound closure before cutaneous suturing was 10.3 days. Conclusions. The use of NPWT objectively reduces the number of surgical debridements and shortens drainage and healing of the wound.

Keywords

• spine
• discitis
• spondylitis
• paravertebral abscess
• vacuum dressing
• npwt
• vac-therapy
• tlif