지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 66 - 70 (5page)
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초록· 키워드
오류제보하기
Objective: Serum C-reactive protein (CRP) concentrations and white blood cell (WBC) count are commonly used to identify postoperative wound infections. We investigated whether changes in serum CRP levels and WBC counts actually differed between patients undergoing revision spinal fusion surgery and those undergoing a primary fusion. Methods: Patients who underwent posterolateral fusion (PLF) surgery at Pusan National University Yangsan Hospital between October 2013 and April 2015 were considered for this study. Sixty-seven patients with primary lumbar PLF (pPLF) and 21 with revision PLF (rPLF) were enrolled. A retrospective assessment of preoperative and postoperative CRP levels and WBC count was undertaken. Also, we gathered peak CRP day, and CRP normalization days. Comorbidity data were also obtained to evaluate any effects on the course of CRP and WBC count postoperatively. Results: CRP levels peaked at 3 days after surgery. The maximum CRP values recorded for each group: 4.17 (standard deviation [SD], 4.18) mg/dL and 4.88 (SD, 3.03) mg/dL for pPLF and rPLF. This difference was not statistically significant (p=0.24). A rapid fall in CRP within 5-9 days was observed for both groups. Conclusion: Out of our expectation, changes in CRP levels after spinal fusion surgery follow the same course regardless of whether it is a revision operation or not. Because of this result, both the primary PLF surgery and revision PLF surgery should be monitored using CRP in the similar way and the antibiotic administration should be determined.
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참고문헌 (13)
참고문헌 신청
Codine P / 2005 / C-reactive protein, leukocyte count and D-dimer monitoring after orthopedic surgery: early diagnosis of infectious or thromboembolic complications. Part one: C-reactive protein and leukocyte count as an aid in diagnosing postoperative infection / Ann Readapt Med Phys 48:590~597
Eichholz KM / 2003 / Complications of revision spinal surgery / Neurosurg Focus 15:E1
Khan MH / 2006 / Serum C-reactive protein levels correlate with clinical response in patients treated with antibiotics for wound infections after spinal surgery / Spine J 6:311~315
Kraft CN / 2011 / CRP and leukocyte-count after lumbar spine surgery: fusion vs. nucleotomy / Acta Orthop 82:489~493
Mok JM / 2008 / Use of C-reactive protein after spinal surgery: comparison with erythrocyte sedimentation rate as predictor of early postoperative infectious complications / Spine (Phila Pa 1976) 33:415~421
Eichholz KM / 2003 / Complications of revision spinal surgery / Neurosurg Focus 15:E1
Khan MH / 2006 / Serum C-reactive protein levels correlate with clinical response in patients treated with antibiotics for wound infections after spinal surgery / Spine J 6:311~315
Kraft CN / 2011 / CRP and leukocyte-count after lumbar spine surgery: fusion vs. nucleotomy / Acta Orthop 82:489~493
Mok JM / 2008 / Use of C-reactive protein after spinal surgery: comparison with erythrocyte sedimentation rate as predictor of early postoperative infectious complications / Spine (Phila Pa 1976) 33:415~421
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