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Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 59
March 26-28, 2018
Vienna, Austria
JOINT EVENT
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t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
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t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
T
he purpose of this study is to investigate the relationship
between percutaneous procedures (nerve block and
kyphoplasty) or open surgeries and spinal infections using the
5-year large unit national dataset. This study used disease codes
(ICD-10: International Classification of Disease) and operation
fee codes (national medical insurance) registered in the National
Health Insurance Review & Assessment Service for the 5 years
from January 1, 2007 to December 31, 2011. Using the above
disease codes, the number of each percutaneous procedure,
open surgery, and the number of lumbar infections were
investigated by regional and national units, and the relationship
between procedures or open surgeries and lumbar infection was
compared statistically. Lumbar infection showed a gradually
growing annual trend, with a 3-fold increase in 2011 compared
to 2007. Percutaneous procedures (nerve blocks) increased by
approximately 2.6 times over 4 years. Kyphoplasty tended to
decrease each year. Open surgeries (posterior fusion, discectomy,
and laminectomy) were at a similar level each year. Lumbar
infection and percutaneous procedureswere positively correlated,
and a negative correlation was observed between kyphoplasty
and open surgeries. The incidence of lumbar infection was
higher in large cities than provinces and increased 2-3 times in
2011 compared to 2007 in all regions. There was no significant
difference in the number of open surgeries for the 5 years studied,
but the number of percutaneous procedures (nerve blocks)
increased each year, showing an approximate 4-fold increase
in 4 years. Lumbar infection showed a positive correlation with
percutaneous procedures, and kyphoplasty and open surgeries
were negatively correlated. Therefore, since selective nerve block
procedure is also considered an important factor affecting the
growing trend of lumbar infections, attention should be given to
prevent spinal infections when performing selective nerve root
block procedures by updating axenic conditions, environment and
disinfectant materials.
Biography
Kwang Bok Lee has completed his MD from Chonbuk National University
Medical School and Hospital, South Korea. He has worked as a Professor at
the same university. He has published more than 88 papers in reputed jour-
nals and has been serving as a Director in the Department of Orthopaedic
Surgery at Chonbuk National University Hospital.
osdr2815@naver.comRelationship between percutaneous procedures (nerve
block, kyphoplasty) and spinal infection
Kwang Bok Lee
Chonbuk National University, South Korea
Kwang Bok Lee, Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003