Crucial Insights: Post-Op Spinal Infections in Lumbar Fusion


  • Ameer Majeed Kareem Kurdistan Ministry of Health, Erbil Health Department, Erbil Teaching Hospital, Erbil
  • Salim Mardan Omer Ministry of Higher Education and Scientific Research, Kirkuk University, College of Medicine, Kirkuk
  • Ahmed Abduljabbar Omar Department of Surgery, College of Medicine, Hawler Medical University, Erbil
  • Ali Qais Abdulkafi Iraqi Ministry of Health, Kirkuk Health Department, Kirkuk Teaching Hospital, Kirkuk



Spinal fusion, Posterior lumbar interbody fusion (PLIF), Surgical site infection, Risk factors, Treatment outcomes


Postoperative spinal infections following lumbar fusion with posterior lumbar interbody fusion (PLIF) are a concerning complication, particularly in cases of degenerative spinal disease. However, factors contributing to infection risk remain unclear. This retrospective study analyzed data from 124 adults who underwent instrumented fusion for degenerative spinal conditions between 2015 and 2020. Multivariate proportional hazards regression identified risk factors associated with surgical site infections (SSI). Results revealed a 16.9% incidence of SSI, with 92.4% of cases showing positive microbiological cultures. Prolonged hospital stay, prior surgeries, advanced age, diabetes, and obesity were correlated with infection risk. Notably, 95% of infected patients were successfully treated with surgical intervention or antibiotics without hardware removal. This underscores the importance of early identification and intervention in managing postoperative spinal infections, mitigating the need for hardware removal and improving patient outcomes.


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How to Cite

Kareem, A. M., Omer, S. M., Omar, A. A., & Abdulkafi, A. Q. (2024). Crucial Insights: Post-Op Spinal Infections in Lumbar Fusion. INTERNATIONAL JOURNAL OF HEALTH SYSTEMS AND MEDICAL SCIENCES, 3(3), 135–144.




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