{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T16:23:38Z","timestamp":1754151818088,"version":"3.41.2"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2025.1606535","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T05:22:55Z","timestamp":1753075375000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimally invasive management of deep incisional infection following posterior spinal surgery: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Hongbin","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lanlan","family":"Pang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luyue","family":"Bai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xutao","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1097\/BRS.0000000000003218","article-title":"Incidence of surgical site infection after spine surgery: a systematic review and meta-analysis","volume":"45","author":"Zhou","year":"2020","journal-title":"Spine (Phila Pa 1976)."},{"key":"B2","doi-asserted-by":"publisher","first-page":"1089","DOI":"10.1097\/BRS.0000000000002542","article-title":"Do preoperative corticosteroid injections increase the risk for infections or wound healing problems after spine surgery?","volume":"43","author":"Farshad","year":"2018","journal-title":"Spine (Phila Pa 1976)"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1380","DOI":"10.3390\/jcm12041380","article-title":"Kamieniak P. Diagnosis and management of neuropathic pain in spine diseases","volume":"12","author":"Bielewicz","year":"2023","journal-title":"J Clin Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1097\/BSD.0000000000000855","article-title":"Consensus on implants in infections after spine surgery","volume":"33","author":"Divi","year":"2020","journal-title":"Clin Spine Surg."},{"key":"B5","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1055\/s-0036-1571285","article-title":"The effects of smoking and smoking cessation on spine surgery: a systematic review of the literature","volume":"6","author":"Jackson KL","year":"2016","journal-title":"Global Spine J"},{"key":"B6","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1186\/s12893-018-0458-4","article-title":"Management of late-onset deep surgical site infection after instrumented spinal surgery","volume":"18","author":"Yin","year":"2018","journal-title":"BMC Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1093\/neuros\/nyz405","article-title":"Persistent postoperative hyperglycemia as a risk factor for operative treatment of deep wound infection after spine surgery","volume":"87","author":"Pennington","year":"2020","journal-title":"Neurosurgery"},{"key":"B8","doi-asserted-by":"publisher","first-page":"2262837","DOI":"10.1155\/2021\/2262837","article-title":"Postoperative management strategy of surgical site infection following lumbar dynesys dynamic internal fixation","volume":"2021","author":"Liu","year":"2021","journal-title":"Pain Res Manag"},{"key":"B9","doi-asserted-by":"publisher","first-page":"621","DOI":"10.3109\/02688697.2010.546902","article-title":"Retrospective study of deep surgical site infections following spinal surgery and the effectiveness of continuous irrigation","volume":"25","author":"Chikawa","year":"2011","journal-title":"Br J Neurosurg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"95","DOI":"10.13107\/jocr.2250-0685.706","article-title":"Vacuum-assisted closure in patients with post-operative infections after instrumented spine surgery: a series of 12 cases","volume":"7","author":"Kale","year":"2017","journal-title":"J Orthop Case Rep"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1018","DOI":"10.1177\/00031348211054527","article-title":"Clinical application of vacuum sealing drainage for the treatment of deep burn wounds","volume":"89","author":"Sun","year":"2023","journal-title":"Am Surg"},{"key":"B12","first-page":"75","article-title":"The use of negative pressure wound therapy with an automated, volumetric fluid administration: an advancement in wound care","volume":"25","author":"Wolvos","year":"2013","journal-title":"Wounds."},{"key":"B13","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.jtv.2019.12.004","article-title":"et al. Pressure distribution and flow characteristics during negative pressure wound therapy","volume":"29","author":"Biermann","year":"2020","journal-title":"J Tissue Viability"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1606535\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T05:22:56Z","timestamp":1753075376000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1606535\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,21]]},"references-count":13,"alternative-id":["10.3389\/fmed.2025.1606535"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1606535","relation":{},"ISSN":["2296-858X"],"issn-type":[{"type":"electronic","value":"2296-858X"}],"subject":[],"published":{"date-parts":[[2025,7,21]]},"article-number":"1606535"}}