RESUMEN
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.
Asunto(s)
Dolor de Espalda/etiología , Degeneración del Disco Intervertebral/cirugía , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Fusión Vertebral/métodos , Tuberculosis de la Columna Vertebral/cirugía , Anciano , Dolor de Espalda/sangre , Dolor de Espalda/cirugía , Sedimentación Sanguínea , Proteína C-Reactiva/análisis , Estudios de Factibilidad , Humanos , Fijadores Internos , Disco Intervertebral/diagnóstico por imagen , Disco Intervertebral/cirugía , Degeneración del Disco Intervertebral/sangre , Degeneración del Disco Intervertebral/diagnóstico , Degeneración del Disco Intervertebral/etiología , Masculino , Procedimientos Quirúrgicos Mínimamente Invasivos/instrumentación , Tornillos Pediculares , Fusión Vertebral/instrumentación , Vértebras Torácicas/diagnóstico por imagen , Vértebras Torácicas/cirugía , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Tuberculosis de la Columna Vertebral/sangre , Tuberculosis de la Columna Vertebral/complicaciones , Tuberculosis de la Columna Vertebral/diagnósticoAsunto(s)
Pie Diabético/cirugía , Procedimientos Ortopédicos/métodos , Impresión Tridimensional , Cirugía Asistida por Computador/métodos , Tibia/cirugía , Pie Diabético/diagnóstico por imagen , Pie Diabético/patología , Humanos , Imagenología Tridimensional , Masculino , Persona de Mediana Edad , Osteotomía/métodosRESUMEN
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