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Minimally invasive surgery for paravertebral or psoas abscess with spinal tuberculosis — A long-term retrospective study of 106 cases

BMC Musculoskeletal Disorders Jun 11, 2020

Zhang Z, Hao Y, Wang X, et al. - This study was undertaken to investigate the effectiveness of minimally invasive surgery (MIS) for paravertebral or psoas abscess (PA) with spinal tuberculosis (ST) combined with anti-tuberculous chemotherapy. Researchers enrolled a sum of 106 consecutive patients who had undergone MIS for ST with PA from January 2002 to Oct 2012. They assessed clinical outcomes based on the changes observed on preoperative and postoperative physical examination, inflammatory marker testing, and MRI. The data shows that MIS carries benefits in terms of less invasiveness, precise drainage, and enhanced local drug concentration. Its use in addition to conservative chemotherapy and open debridement and instrumental fixation may be recommended for patients with ST and PA, while the technique has not been fully characterized and clinically prove.

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