Intrawound Vancomycin Prophylaxis for Neural Stimulator

The implantable pulse generator (IPG) is a device that generates electrical current to stimulate the spine, heart, or brain for various chronic conditions. In neurosurgery, the IPG is implanted in a subcutaneous pocket under the collarbone. This pocket is highly avascular and thus, antibiotics administered intravenously cannot reach a potential surgical site infection (SSI). SSIs cause millions of health care dollars to be wasted due to repeat surgery and hospital re-admissions. The investigators hope to to determine the effects of \"intrawound vancomycin-saline and IV antibiotics\" compared to \"saline and IV antibiotics\" on the incidence of IPG SSI rates 6-months post-surgery.