CASE REPORT article
Front. Med.
Sec. Infectious Diseases: Pathogenesis and Therapy
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1606535
Minimally Invasive Management of Deep Incisional Infection Following Posterior Spinal Surgery: A Case Report
Provisionally accepted
- 1Jining Medical University, Jining, China
- 2Affiliated Hospital of Jining Medical University, jining, China
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AbstractBackground: In recent years, innovations in spinal surgical techniques have significantly improved clinical outcomes and quality of life for patients with spinal diseases. However, the risk of deep surgical site infection (SSI) following posterior approaches remains a significant concern. Through analysis of a representative case, this study systematically explores the clinical value of ultrasound-guided percutaneous catheter drainage (PCD) in managing deep incisional infections following posterior spinal surgery, this approach offers an innovative solution for postoperative deep infections. Methods: A patient with cervical hyperextension injury caused by drowning underwent posterior cervical expansive open-door laminoplasty with internal fixation. Postoperative deep incisional infection occurred and was treated with ultrasound-guided PCD combined with systemic antibiotic therapy. The infected cavity was irrigated twice daily with saline and maintained under continuous negative-pressure suction. Infection-related biomarkers and abscess size were closely monitored to evaluate the efficacy of this approach. Results:The patient exhibited symptomatic relief, significant reduction in abscess volume, and normalization of inflammatory markers, successfully avoiding secondary open debridement. This approach minimized surgical trauma and nursing challenges. A 12-month follow-up confirmed no infection recurrence and maintained cervical stability. Conclusion:Ultrasound-guided percutaneous drainage, with its advantages of minimal invasiveness, safety, and real-time visualization, represents a promising first-line therapeutic option for deep incisional infections following posterior spinal surgery.
Keywords: posterior cervical surgery, Postoperative infection, Ultrasound-guided, Catheter drainage, Minimally invasive therapy
Received: 07 Apr 2025; Accepted: 26 Jun 2025.
Copyright: © 2025 Wang, Xu, Pang, Bai and Fan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Xutao Fan, Affiliated Hospital of Jining Medical University, jining, China
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