Our Summary

This research paper aimed to understand whether giving patients who have had spinal surgery antibiotics before or after surgery is more effective in preventing surgical site infections (SSIs). SSIs are a major issue that can occur after surgery and can cause further health complications. For this study, the researchers looked at various previous studies, analysed their data, and found that, overall, there was no significant difference in the rate of SSIs between the group given antibiotics before surgery and the group given antibiotics after surgery. So, it seems that both methods are equally effective. However, they also pointed out that the quality of evidence in this area is not very high, so there’s still room for further research. Until more concrete evidence is available, it’s up to the surgeon to decide the best course of treatment based on each patient’s individual needs and risks.

FAQs

  1. What was the main aim of this research paper on spinal surgery?
  2. Did the study find a significant difference in the rate of SSIs between patients given antibiotics before surgery versus after surgery?
  3. Is there a definitive answer on when to administer antibiotics to prevent SSIs in spinal surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about spinal surgery is to follow post-operative instructions carefully, including taking prescribed medications, attending follow-up appointments, and avoiding activities that could strain the surgical site. It’s important to communicate any unusual symptoms or concerns to your healthcare provider promptly to ensure proper healing and prevent complications. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help support the healing process and prevent future issues with the spine.

Suitable For

Patients who are typically recommended spinal surgery include those with:

  1. Degenerative disc disease: This condition occurs when the discs between the vertebrae in the spine break down, causing pain and discomfort.

  2. Herniated disc: A herniated disc occurs when the soft inner core of a disc in the spine bulges out through a tear in the outer shell, causing pain and nerve compression.

  3. Spinal stenosis: Spinal stenosis is a narrowing of the spinal canal that puts pressure on the spinal cord and nerves, leading to pain, numbness, and weakness.

  4. Scoliosis: Scoliosis is a condition in which the spine curves sideways, leading to back pain and potential complications with breathing and other bodily functions.

  5. Spinal fractures: Fractures in the vertebrae can result from trauma or osteoporosis, and may require surgery to stabilize the spine and relieve pain.

  6. Spinal tumors: Tumors in the spine can be either benign or malignant, and surgery may be necessary to remove them and prevent further damage to the spinal cord.

  7. Failed back surgery syndrome: This condition occurs when previous spinal surgery has not provided relief from pain or has led to new complications, necessitating further surgical intervention.

It is important for patients to consult with a spine specialist to determine if surgery is the best course of treatment for their specific condition and to discuss the potential risks and benefits of surgery.

Timeline

Before spinal surgery:

  • Patient undergoes a consultation with a spinal surgeon to discuss their condition and treatment options
  • Patient may undergo various pre-operative tests and screenings to assess their overall health and suitability for surgery
  • Patient may be advised to stop certain medications or make lifestyle changes in preparation for surgery
  • Patient may attend pre-operative education sessions to learn about the procedure and what to expect during recovery

After spinal surgery:

  • Patient is closely monitored in the post-operative recovery area for any immediate complications
  • Patient may be given pain medication to manage discomfort
  • Patient may be advised to gradually start moving and walking to aid in recovery
  • Patient may be discharged from the hospital once stable, with instructions on wound care, medication management, and follow-up appointments
  • Patient undergoes physical therapy and rehabilitation to regain strength and mobility in the spine

Overall, the timeline of a patient’s experience before and after spinal surgery involves thorough preparation, careful monitoring, and ongoing support to ensure a successful recovery and optimal outcomes.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with spinal surgery?

  2. What is the success rate of this specific type of spinal surgery?

  3. How long is the recovery process expected to be?

  4. What are the alternatives to surgery for my condition?

  5. Will I need physical therapy or rehabilitation after surgery?

  6. What is the expected outcome of the surgery in terms of pain relief and improved function?

  7. How many times have you performed this specific type of spinal surgery?

  8. What is your experience and success rate with this type of surgery?

  9. Are there any specific pre-operative or post-operative instructions I need to follow?

  10. How long will I need to stay in the hospital after the surgery?

  11. What type of anesthesia will be used for the surgery?

  12. What can I expect in terms of pain management after the surgery?

  13. Are there any long-term effects or risks associated with this surgery?

  14. What is the likelihood of needing additional surgeries in the future?

  15. Are there any lifestyle changes or modifications I will need to make after the surgery?

Reference

Authors: Phillips BT, Sheldon ES, Orhurhu V, Ravinsky RA, Freiser ME, Asgarzadeh M, Viswanath O, Kaye AD, Roguski M. Journal: Adv Ther. 2020 Jun;37(6):2710-2733. doi: 10.1007/s12325-020-01371-5. Epub 2020 May 15. PMID: 32415484