Yuan YF, Ren ZX, Zhang C, Li GJ, Liu BZ, Li XD, Miao J, Li JF. Multitrack and multianchor point screw technique combined with the Wiltse approach for lesion debridement for lumbar tuberculosis. World J Clin Cases 2023; 11(14): 3167-3175 [PMID: 37274032 DOI: 10.12998/wjcc.v11.i14.3167]
Corresponding Author of This Article
Jie Miao, MD, Chief Doctor, Department of Orthopedic Surgery, Handan Central Hospital, No. 15 Zhonghua South Street, Handan 056001, Hebei Province, China. yangxue19851207@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 16, 2023; 11(14): 3167-3175 Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3167
Multitrack and multianchor point screw technique combined with the Wiltse approach for lesion debridement for lumbar tuberculosis
Yu-Fei Yuan, Zhi-Xin Ren, Cun Zhang, Guan-Jun Li, Bing-Zhi Liu, Xiao-Dong Li, Jie Miao, Jian-Fei Li
Yu-Fei Yuan, Zhi-Xin Ren, Cun Zhang, Guan-Jun Li, Bing-Zhi Liu, Xiao-Dong Li, Department of Orthopadics, Handan Center Hospital, Handan 056001, Hebei Provence, China
Jie Miao, Department of Orthopedic Surgery, Handan Central Hospital, Handan 056001, Hebei Province, China
Jian-Fei Li, Department of CT, Handan Central Hospital, Handan 056001, Hebei Province, China
Author contributions: Miao J contributed to the conception and design of this study; Yuan YF wrote the main manuscript text; Ren ZX and Li JF prepared Figure; Zhang C followed up the patients and collected the relevant data; Li GJ performed the statistical analysis; Li XD and Liu BZ prepared Tables; and all authors reviewed and approved the final manuscript.
Supported by2023 Hebei Province Medical Science Research Project Plan, No. 20231958.
Institutional review board statement: Our research project was approved by the Ethics Committee of Handan Central Hospital.
Informed consent statement: All study participants or their legal guardian provided informed written consent for personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Miao, MD, Chief Doctor, Department of Orthopedic Surgery, Handan Central Hospital, No. 15 Zhonghua South Street, Handan 056001, Hebei Province, China. yangxue19851207@126.com
Received: January 17, 2023 Peer-review started: January 17, 2023 First decision: March 24, 2023 Revised: April 1, 2023 Accepted: April 10, 2023 Article in press: April 10, 2023 Published online: May 16, 2023 Processing time: 118 Days and 22.2 Hours
Abstract
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.
Core Tip: Pedicle screw combined with cortical bone trajectory screw+ contralateral Wiltse approach is safe and effective in the treatment of lumbar tuberculosis and suitable for the case of heavier lesion on one side and no large or flow abscesses in front of the lumbar spine.
