The treatment of lumbar spine tuberculosis with abscess for mobility problems includes systemic treatment and local treatment.
Effective systemic treatment should be carried out for lumbar spine tuberculosis, especially strict anti-tuberculosis treatment, which helps to control the lesion and reduce the difficulty of surgery. Other treatments include attention to rest, strengthen nutrition, and reasonable work and rest.
Localized treatment can start with orthopaedic treatment, such as wearing appropriate braces to limit spinal movement, relieve pain symptoms and avoid serious deformity. For larger abscesses, local injection of anti-tuberculosis drugs, such as isoniazid and rifampicin, can be performed after puncture and drainage.
Surgery should be considered if conservative treatment is not effective and the lesion progresses further, such as the formation of large abscesses, severe vertebral destruction or spinal deformity, and nerve compression symptoms. The principle of surgery is to completely remove the infection, relieve nerve compression, and restore or rebuild spinal stability. It is still necessary to complete standardized anti-tuberculosis treatment after surgery.
Lumbar spine tuberculosis with abscess has limited mobility, it is recommended that the patient go to the hospital as soon as possible, and ask the professional doctor to evaluate the condition and decide the follow-up treatment plan.