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Unrecognised contamination of the implants and instruments used in Surgery are being investigated to be a potential source of complications such as pseudoarthrosis, infections, implant breakage and unexplained pain from surgeries. Often we take for granted that CSSD process ensures sterility but it is not absolute or complete; not to mention its poor reliability and costs/impact of environmental damage involved in the process
Coauthors discuss new research that avoiding reprocessing altogether and shielding pedicle screws intraoperatively with an impermeable guard can prevent or reduce the degree of contamination and resulting SSIs.