Mohammadreza Emamhadi, Shervin Ghadarjani, Hadi Nozari Golsefid,
Volume 4, Issue 1 (Winter 2018)
Abstract
Background and Aim: Surgical site infection is an important complication after spinal surgery. Prevention and treatment of this complication requires more and reliable information. In this article, we investigated the epidemiology, pathogenesis, diagnosis and treatment of post-operative infection in spine procedures by reviewing previous related studies.
Methods and Materials/Patients: In this paper, original articles available in PubMed and Scopus published between 1991 and 2017 were reviewed and studied.
Results: Organisms resistant to antibiotics have increased and made treatment harder, especially in patients with instrumentation of spine. The frequency of surgical site infection depends on surgical technique, anatomical location, and duration of surgery.
Conclusion: Prevention is the best way to reduce the frequency of post-spinal surgical infection. Excessive use of antibiotics increases the risk of infection with bacteria resistant to treatment.
Shervin Ghadarjani, Babak Alijani, Amin Naseri, Arman Hamzei,
Volume 4, Issue 3 (Summer 2018)
Abstract
Background and Aim: Conus medullaris dermoid cysts are benign lesions, usually observed in the lumbosacral region of the spinal canal. Such lesions are often associated with congenital dermal sinus tracts and spinal dysraphism.
Case Presentation: We reported a 37-year-old man with progressive paralysis distal part of the left lower limb presented to our clinic. The MRI of the lumbar spine, as a modality of choice, has revealed a well-defined sausage-shaped lesion, a multilobular cyst, and the heterogeneous contrast enhancement of an intra- and extra-medullary lesion in the conus medullaris region.
Conclusion: Subtotal microsurgical resection was performed on the lesion. The result of histopathological examination confirmed the dermoid cyst, as well. After conducting the subtotal resection, an appropriate clinical result was achieved in the patient.