Dehiscence and deep wound infection after spinal cord stimulator implant managed without explantation: A case report
Wang HC, Auyeung A, Aijaz T, Candido KD, Knezevic NN. Dehiscence and Deep Wound Infection After Spinal Cord Stimulator Implant Managed Without Explantation: A Case Report. A A Pract. 2022;16(9):e01623. Published 2022 Sep 21. doi:10.1213/XAA.0000000000001623
Deep infections of spinal cord stimulator devices usually result in explantation, as recommended by some professional societies. However, alternative options should be explored to avoid potential complications that are associated with explantation, and possibly additional procedures required in consideration of reimplantation. In this case, the patient presented with wound dehiscence after implantation. There was suspicion for deep wound infection based on a wound culture that was positive for Staphylococcus aureus, but no purulent material was noted on further inspection. The patient was treated with standard wound-care management and oral antibiotics without removing the device, and recovered while preserving the original system.
Advocate Illinois Masonic Medical Center