Utilization, Utility, and Variability in Usage of Adjunctive Hyperbaric Oxygen Therapy in Spinal Management: A Review of the Literature.
Publication/Presentation Date
1-1-2021
Abstract
The objective of this review was to understand the clinical utilization, utility, and variability in the usage of adjunctive hyperbaric oxygen therapy (HBOT). Surgical site infection is associated with high morbidity and mortality, increased health care expenditure, and decreased quality of life. With the increasing prevalence of adult spinal deformity and spinal fusion surgery, it is imperative to understand the potential benefits of adjunctive treatments. HBOT is a safe and common procedure indicated to treat various medical conditions. We conducted a literature search across 3 databases for English articles published between December 1, 2019 and December 1, 2000. Thirteen studies were included. HBOT may lessen the duration of antimicrobial therapy and mitigate instrument removal and revision surgery. The current usage indications for HBOT are supported by level III evidence for chronic osteomyelitis and level IV evidence for osteoradionecrosis. However, the same level of evidence exists to support the beneficial use of adjunctive HBOT for noncomplicated spinal infections within 2 months after surgery. When cultured, the most common organisms were Staphylococcus aureus and other low-virulence organisms. The most common treatment protocol consists of 90-minute sessions of 100% Fio
Volume
145
First Page
492
Last Page
499
ISSN
1878-8769
Published In/Presented At
Mao, J. Z., Laird, P. S., Imperato, N. S., Knepley, K. D., Khan, A., Agyei, J. O., O'Connor, T. E., Pollina, J., & Mullin, J. P. (2021). Utilization, Utility, and Variability in Usage of Adjunctive Hyperbaric Oxygen Therapy in Spinal Management: A Review of the Literature. World neurosurgery, 145, 492–499.e2. https://doi.org/10.1016/j.wneu.2020.08.075
Disciplines
Medicine and Health Sciences
PubMedID
32889196
Department(s)
Department of Emergency Medicine
Document Type
Article