Background: Removal of hardware with irrigation and debridement in patients with surgical site infections (SSIs) is performed commonly. However, the removal of hardware from patients with SSIs after spinal procedures is controversial. Moreover, primary spinal infections such as spondylodiscitis may require instrumentation along with surgical debridement. The purpose of this article was to evaluate critically and summarize the available evidence related to retention of hardware in patients with deep SSIs, and the use of instrumentation in surgical treatment of primary spinal infections.

中文翻译：

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脊髓感染的硬件命运。

背景：外科手术部位感染（SSI）患者通常通过冲洗和清创术清除硬件。然而，脊柱手术后从SSI患者中移除硬件存在争议。此外，原发性脊柱感染如脊椎盘炎可能需要器械以及外科清创术。本文的目的是严格评估并总结与深部SSI患者硬件保留相关的可用证据，以及在外科手术治疗原发性脊柱感染中使用仪器的情况。