| Popis: |
Backgroud: To study the safety and efficacy of the multitrack and anchor point screw technique combined with the Wiltse approach for lesion debridement in the treatment of lumbar tuberculosis. Methods: We retrospectively enrolled 13 patients with lumbar spinal tuberculosis in our department from October 2014 to January 2021 who underwent unilateral multitrack multianchor screw fixation combined with contralateral Wiltse approach lesion debridement. Preoperative and final follow-up C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), preoperative, 3 months after operation, final follow-up low back pain visual analogue scale (VAS), and Oswestry disability index (ODI) were used for statistical analysis. The American Spinal Injury Association (ASIA) grades were recorded before surgery, 3 months after surgery, and at the final follow-up for all patients to evaluate the clinical effect of the surgery. Results: The average age of the 13 patients was 60.15±10.31 years old, the average operation time was 150.92±37.32 minutes, and the average blood loss was 415.39±151.91 mL; CRP (3.05±1.82 mg/L) and ESR (5.57±3.70 mm/h) returned to normal, and the difference was statistically significant compared with those before the operation (PConclusion: The multitrack multianchor point screw fixation technique combined with contralateral Wiltse approach debridement is an effective and safe method for the treatment of lumbar tuberculosis. |
