Minimally Invasive Surgical Approach for the Management of Lumbosacral Tuberculosis with Huge Presacral Abscess: A Case Report

Min Ouyang, Shilang Xiong, Peng Qiu, Linghua Din, Zhisheng Long, Jianhua Zeng, Xiaodong Cai and Long Xiong

Department of Orthopedics, Second Affiliated Hospital of Nanchang University, China Department of Orthopedics, The First Affiliated Hospital of Nanchang University, China Department of Orthopedics, Jinhua Peoples Hospital, China Department of Orthopedics, People's Hospital Affiliated to Nanchang University, China Department of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, China Department of Orthopedics, Xingang Central Hospital, China These authors contributed equally to this work

^*Correspondance to: Long Xiong 

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Abstract:

The surgical management of lumbosacral tuberculosis with presacral abscess is challenging. Here, we described a case of lumbosacral tuberculosis with a huge abscess in the anterior sacral margin complicated with radicular nerve symptoms treated by minimally invasive procedures. Firstly, the lumbar intervertebral disc was removed by using a spinal endoscope via the posterolateral approach, the nerve decompression was performed, and a drainage tube was inserted. In the second stage procedure, the tuberculosis lesion was removed by using the spinal endoscope via the presacral approach, with the further placement of a drainage tube in the presacral abscess cavity. In the presence of both the front and rear drainage tubes, irrigation and drainage of the infected cavity could be performed regularly. With anti-tuberculosis treatment onboard, the patient recovered well eventually. Our minimally invasive strategy via the anterior presacral space approach combined with a lateral approach minimally invasive surgical approach for the management of complex lumbosacral tuberculosis with huge presacral abscess show cases an alternative but effective treatment for an otherwise challenging disorder to treat surgically.

Keywords:

Lumbosacral tuberculosis; Surgical approach; Minimally invasive; Spinal tuberculosis

Cite the Article:

Ouyang M, Xiong S, Qiu P, Din L, Long Z, Zeng J, et al. Minimally Invasive Surgical Approach for the Management of Lumbosacral Tuberculosis with Huge Presacral Abscess: A Case Report. World J Surg Surgical Res. 2022; 5: 1382..