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Peer-reviewedCC BYFrontiers in Surgery

Management of a purulent-necrotic surgical site infection following instrumented scoliosis correction: a case report

  • Madina Rashova1
  • Madina Rashova2
  • Elmir Jamaleddinov1
  • Konstantin Vasilyev1
  • Berik Tuleubayev1
  • Amina Koshanova1
  • Zufar Bilalov1
  1. 1Department of Traumatology and Neurosurgery, Karaganda Medical University, Karaganda, Kazakhstan
  2. 2Department of Molecular Biology, Biochemistry and Microbiology, Karaganda Medical University, Karaganda, Kazakhstan
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Abstract

Purulent–necrotic infections of the surgical wound following instrumented correction of thoracolumbar scoliosis remain among the most serious complications in spinal surgery, because they often require implant removal, prolonged disability, and recurrence. In adult patients undergoing surgery at a mature age for scoliosis deformity (traditionally corrected in childhood or adolescence), such complications occur less frequently and have specific clinical features. The presented clinical case of a 46-year-old patient with a postoperative wound infection in the form of purulent–necrotic phlegmon after correction of the thoracic spine illustrates successful preservation of spinal instrumentation after six revision and debridement procedures, followed by installation of a vacuum-assisted closure (VAC) system and two VAC system replacements with complete wound closure. This case suggests the potential value of repeated surgical debridement combined with vacuum-assisted therapy as an effective approach to implant salvage even in severe purulent-necrotic processes, which is of significant importance for clinical practice.

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Cite

BibTeXRIS
BibTeX
@article{rashova2026management,
  title = {{Management of a purulent-necrotic surgical site infection following instrumented scoliosis correction: a case report}},
  author = {Madina Rashova and Madina Rashova and Elmir Jamaleddinov and Konstantin Vasilyev and Berik Tuleubayev and Amina Koshanova and Zufar Bilalov},
  journal = {Frontiers in Surgery},
  year = {2026},
  month = oct,
  doi = {10.3389/fsurg.2026.1859490},
  url = {https://doi.org/10.3389/fsurg.2026.1859490},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Management of a purulent-necrotic surgical site infection following instrumented scoliosis correction: a case report
AU  - Madina Rashova
AU  - Madina Rashova
AU  - Elmir Jamaleddinov
AU  - Konstantin Vasilyev
AU  - Berik Tuleubayev
AU  - Amina Koshanova
AU  - Zufar Bilalov
PY  - 2026
DA  - 2026/10/26
JO  - Frontiers in Surgery
DO  - 10.3389/fsurg.2026.1859490
UR  - https://doi.org/10.3389/fsurg.2026.1859490
AB  - Purulent–necrotic infections of the surgical wound following instrumented correction of thoracolumbar scoliosis remain among the most serious complications in spinal surgery, because they often require implant removal, prolonged disability, and recurrence. In adult patients undergoing surgery at a mature age for scoliosis deformity (traditionally corrected in childhood or adolescence), such complications occur less frequently and have specific clinical features. The presented clinical case of a 46-year-old patient with a postoperative wound infection in the form of purulent–necrotic phlegmon after correction of the thoracic spine illustrates successful preservation of spinal instrumentation after six revision and debridement procedures, followed by installation of a vacuum-assisted closure (VAC) system and two VAC system replacements with complete wound closure. This case suggests the potential value of repeated surgical debridement combined with vacuum-assisted therapy as an effective approach to implant salvage even in severe purulent-necrotic processes, which is of significant importance for clinical practice.
SN  - 2296-875X
ER  -