ANALYSIS OF EARLY INFECTIOUS COMPLICATIONS IN PATIENTS AFTER SPINAL SURGERY

Objective. To assess the incidence of early infectious complications after spine surgery and to study the structure of risk factors in patients with surgical site infections. Material and Methods. Early infectious complications after spine surgery were evaluated in 77 patients. The underlying pathology, comorbidities and surgical factors that caused the infection were analyzed. Results. Over the 10-year observation period, the frequency of early postoperative infectious complications was 1.4 %. The main micro-organisms causing infectious complication after spine surgery are methicillin-resistant S. aureus and S. epidermidis strains. The study revealed a direct correlation between obesity and surgical site infections. Such surgical factors as metal fixation, duration of operation and spinal fusion also contributed to the development of the inflam-matory process in the early postoperative period. Conclusion. Difficulties with the arrest of the infectious process require the development of methods for predicting the risk of complications and measures to reduce it. For this it is necessary to con-duct comparative analysis of the frequency of occurrence of various risk factors in groups of patients with surgical site infections and of those with normal course of the postoperative period.