RT Journal Article
SR Electronic
T1 Implant Surface Technologies to Prevent Surgical Site Infections in Spine Surgery
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP S75
OP S85
DO 10.14444/8563
VO 17
IS S3
A1 Houssam Bouloussa
A1 Mohsin Mirza
A1 Brant Ansley
A1 Bharadwaj Jilakara
A1 James J. Yue
YR 2023
UL http://ijssurgery.com//content/17/S3/S75.abstract
AB Spine surgeries are occurring more frequently worldwide. Spinal implant infections are one of the most common complications of spine surgery, with a rate of 0.7% to 11.9%. These implant-related infections are a consequence of surface polymicrobial biofilm formation. New technologies to combat implant-related infections are being developed as their burden increases; however, none have reached the market stage in spine surgery. Conferring antimicrobial properties to biomaterials relies on either surface coating (physical, chemical, or combined) or surface modification (physical, chemical, or combined). Such treatment can also result in toxicity and the progression of antimicrobial resistance. This narrative review will discuss “late-stage” antimicrobial technologies (mostly validated in vivo) that use these techniques and may be incorporated onto spine implants to decrease the burden of implant-related health care–acquired infections (HAIs). Successfully reducing this burden will greatly improve the quality of life in spine surgery. Familiarity with upcoming surface technologies will help spine surgeons understand the anti-infective strategies designed to address the rapidly worsening challenge of implant-related health care–acquired infections.