# Minimally invasive management of deep incisional infection following posterior spinal surgery: a case report

## TL;DR

This case report shows that ultrasound-guided drainage is an effective and minimally invasive treatment for deep infections after spinal surgery.

## Contribution

The study highlights the clinical value of ultrasound-guided percutaneous catheter drainage for managing post-spinal surgery infections.

## Key findings

- Ultrasound-guided drainage reduced abscess volume and normalized inflammatory markers.
- The approach avoided the need for open debridement and maintained spinal stability.
- No infection recurrence was observed during a 12-month follow-up.

## Abstract

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.

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.

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.

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.