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Updated: Jul 27, 2025
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Multitrack and multianchor point screw technique combined with the Wiltse approach for lesion debridement for lumbar
Yu-Fei Yuan1, Zhi-Xin Ren1, Cun Zhang1
1Department of Orthopadics, Handan Center Hospital, Handan 056001, Hebei Provence, China.
Background:
The incidence of lumbar tuberculosis is high worldwide, and effective treatment is a continuing problem.
Aim:
To study the safety and efficacy of the multitrack and multianchor point screw technique combined with the contralateral Wiltse approach for lesion debridement to treat lumbar tuberculosis.
Methods:
The C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR), visual analogue scale (VAS) score, oswestry disability index (ODI) and American Spinal Injury Association (ASIA) grade were recorded and analysed pre- and postoperatively.
Results:
The CRP level and ESR returned to normal, and the VAS score and ODI were decreased at 3 mo postoperatively, with significant differences compared with the preoperative values (P < 0.01). Neurological dysfunction was relieved, and the ASIA grade increased, with no adverse events.
Conclusion:
The multitrack, multianchor point screw fixation technique combined with the contralateral Wiltse approach for debridement is an effective and safe method for the treatment of lumbar tuberculosis.
