Thoracolumbar spinal tuberculosis lesion removal

Thoracolumbar spinal tuberculosis refers to 11th thoracolumbar spine to 2nd lumbar spinal tuberculosis. This segment is located at the junction of the lumbar and thoracic segments. After tuberculosis, in addition to the abscesses that occur next to the vertebrae, it can still flow down the psoas muscle into a popliteal abscess. Therefore, it is often necessary to remove the lesion through a combined dorsal and abdominal incision. If the patient has a lumbar abscess on both sides, the surgery needs to be performed in two phases: in the first phase, the lesion on the larger side of the abscess is removed first; if it is completely removed, the patient's condition can be immediately changed to the supine position, and the lower abdomen on the opposite side is made smaller. An oblique incision removes the abscess. If the lesion on the other side of the vertebral body is not completely removed, the contralateral lesion should be cleared in two stages after 4 to 6 weeks. For the eleventh and twelfth thoracic vertebrae structures that are not combined with psoas abscess, the ribs and transverse processes can be removed in a single operation.

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