RESUMO
OBJECTIVE: As a minimally invasive intervertebral fusion technique popularized in recent years, extreme lateral interbody fusion (XLIF) has various advantages. In this study, we describe the application and efficacy of XLIF for the treatment of thoracic tuberculosis (TB), as this may be an emerging treatment option for thoracic TB in the future. METHODS: We present the case of a 75-year-old man who had suffered from chest and back pain for 1 month. Imaging studies showed destruction of the T12 and L1 vertebral bodies and the T12-L1 intervertebral disc, accompanied by formation of a paravertebral abscess. After 2 weeks of standard anti-TB treatment, the patient underwent debridement of the lesions, XLIF, and percutaneous pedicle screw fixation. RESULTS: The patient's chest and back pain were significantly alleviated after the operation. The patient recovered well, and as of the most recent follow-up had no obvious limitation in thoracolumbar spine function. CONCLUSIONS: XLIF combined with percutaneous pedicle screw fixation for the treatment of thoracic TB can allow for TB lesion debridement, discectomy, and interbody fusion under direct visualization, and can effectively improve patient prognosis.
Assuntos
Dor nas Costas/etiologia , Degeneração do Disco Intervertebral/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Fusão Vertebral/métodos , Tuberculose da Coluna Vertebral/cirurgia , Idoso , Dor nas Costas/sangue , Dor nas Costas/cirurgia , Sedimentação Sanguínea , Proteína C-Reativa/análise , Estudos de Viabilidade , Humanos , Fixadores Internos , Disco Intervertebral/diagnóstico por imagem , Disco Intervertebral/cirurgia , Degeneração do Disco Intervertebral/sangue , Degeneração do Disco Intervertebral/diagnóstico , Degeneração do Disco Intervertebral/etiologia , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação , Parafusos Pediculares , Fusão Vertebral/instrumentação , Vértebras Torácicas/diagnóstico por imagem , Vértebras Torácicas/cirurgia , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Tuberculose da Coluna Vertebral/sangue , Tuberculose da Coluna Vertebral/complicações , Tuberculose da Coluna Vertebral/diagnósticoAssuntos
Pé Diabético/cirurgia , Procedimentos Ortopédicos/métodos , Impressão Tridimensional , Cirurgia Assistida por Computador/métodos , Tíbia/cirurgia , Pé Diabético/diagnóstico por imagem , Pé Diabético/patologia , Humanos , Imageamento Tridimensional , Masculino , Pessoa de Meia-Idade , Osteotomia/métodosRESUMO
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