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References in periodicals archive ?
Patient was left on intravenous antibiotics for several months after removal of hardware but was later switched to oral antibiotics and ultimately weaned off.
Procedures performed included spinal fusion (N = 873), removal of hardware (N = 120), growth rod procedure (N = 23), osteotomy (N = 162), decompression (N = 3), and vertebral column resection/hemivertebra excision (N = 32).
The following variables were found to be significantly correlated with deep infection: increasing age, increasing BMI, psychiatric comorbidity, gastrointestinal or endocrine comorbidity, neurological comorbidity, rheumatologic or musculoskeletal comorbidity, total number of comorbidities, neuromuscular scoliosis, Lenke 3/4 curve types, a removal of hardware procedure, increasing EBL, and an all screw construct (Table 3).
Removal of hardware should be strongly considered to avoid the potential complication of tendon rupture requiring tendon transfer.
The patient has continued to refuse removal of hardware despite having full knowledge of the risks of retained broken K-wires and cerclage wires.
(5) Although the current literature regarding refracture rates does not support either retention or removal of hardware, there appears to be no increased risk of fracture when hardware is retained.
For the removal of hardware procedure, the pathological examination charge was $50 at our institution for private payers and $20.95 per report on the 2006 Medicare fee schedule, with reimbursement from the private sector coming in at a range of 60% to 100% at our institution during 2006-2007.
Helm and colleagues (8) reported that 82% of patients in their series needed removal of hardware following tension band wiring.