Abstract
Background
Biportal endoscopy and percutaneous screw fixation are promising techniques that can be applied to treat various degenerative spinal diseases. However, these techniques for spinal tuberculosis have not been reported.
Method
Using the biportal endoscopic technique, bilateral decompression, tissue biopsy, and granulation tissue removal were performed using the screw insertion site. Using the percutaneous fixation screw technique, posterior stabilization and sagittal angle restoration were achieved. Paraplegia and radiating pain improved neurologically. Kyphosis was radiologically restored. Spinal tuberculosis (Potts’s disease) was histopathologically diagnosed.
Conclusion
Minimally invasive endoscopic and percutaneous screw technique can aid the diagnosis and treatment of spinal tuberculosis.
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This study did not receive grants or other financial and material support.
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S. Kim performed most of the technical details and wrote the manuscript. M. Alaraj performed data curation. H. Yang performed conceptualization. M. Jundi performed histologic diagnosis and supervision. All authors read and approved the final manuscript.
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This study was approved by the study-site institutional review board. (UHS-HERC-051-10032021). Informed consent was obtained from the patient.
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The authors declare no competing interests.
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This article is part of the Topical Collection on Infection
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Kim, SK., Alarj, M., Yang, H. et al. Biportal endoscopic debridement and percutaneous screw fixation technique for spinal tuberculosis: how I do it. Acta Neurochir 163, 3021–3025 (2021). https://doi.org/10.1007/s00701-021-04820-4
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DOI: https://doi.org/10.1007/s00701-021-04820-4