Orthoracle › Forums › Spine › AIS posterior instrumented scoliosis correction and fusion › Reply To: AIS posterior instrumented scoliosis correction and fusion
Whilst frustrating these things do happen. The bugs seems to be difficult to isolate too sometimes with pseudomonas etc presenting even later than this.
A colleague had a not too dissimilar case not so long ago – we ended up removing just one side of the construct as there was no discernible tracking to the other side (on pre-op imaging and intra-operative findings). This gave us some comfort around preserving the correction whilst trying to treat the infection.
I agree that biofilms present an issue and that metalwork probably should be removed or replaced but we also know that stability is going to help the eventual fusion and help with treating the infection.
This does also depend on the causative organism – S.Aureus seems to lead to fusion eventually whilst E.Coli does not (a simplification perhaps?)
Do you think you would treat different organisms differently?