| ISSN |
2218-5836 (online) |
| 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/ |
| Copyright |
© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
|
| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
|
| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Orthopedics |
| Manuscript Type |
Retrospective Study |
| Article Title |
Treatment of lumbar tuberculosis with minimally invasive anterior lesion clearance combined with posterior fixation
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Fei-Fei Pu, Xiang-Lin Peng, Fang-Zheng Zhou, Xiao-Long Zhao, Ling Yang, Jun-Qing Cao, Liu Wei, Jing Feng and Ping Xia |
| ORCID |
|
| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| Medical Research Project of Wuhan Municipal Health Commission |
WX21M02 |
|
| Corresponding Author |
Ping Xia, Chief Physician, Director, MD, PhD, Department of Orthopedics, Wuhan Fourth Hospital (Puai Hospital), No. 215 Zhongshan Road, Wuhan 430022, Hubei Province, China. xiapingfm@163.com |
| Key Words |
Lumbar tuberculosis; Pedicle screw fixation; Minimally surgery; Lesion removal |
| Core Tip |
This study demonstrates that posterior pedicle screw fixation combined with minimally invasive anterior lesion clearance and bone graft fusion is an effective and safe treatment for lumbar tuberculosis. Clinical outcomes showed significant improvements in Cobb angle, pain relief (visual analog scale score), and neurological function (Frankel classification), with a high rate of first-stage wound healing (22/24 cases) and successful bone fusion (average: 5.2 months). While complications were rare (one case of incisional sinus tract and one recurrence), the combined approach offers minimally invasive advantages, including reduced soft tissue damage, faster recovery, and stable spinal reconstruction. These findings support its use as a viable surgical strategy for lumbar tuberculosis, balancing radical debridement, deformity correction, and functional restoration while minimizing morbidity. Further studies with larger cohorts are warranted to validate long-term efficacy. |
| Publish Date |
2025-07-17 08:43 |
| Citation |
<p>Pu FF, Peng XL, Zhou FZ, Zhao XL, Yang L, Cao JQ, Wei L, Feng J, Xia P. Treatment of lumbar tuberculosis with minimally invasive anterior lesion clearance combined with posterior fixation. <i>World J Orthop</i> 2025; 16(7): 106041</p> |
| URL |
https://www.wjgnet.com/2218-5836/full/v16/i7/106041.htm |
| DOI |
https://dx.doi.org/10.5312/wjo.v16.i7.106041 |
