How minimally invasive surgery treats lumbar spine tuberculosis and degenerative lumbar spine disease

Minimally invasive surgery is the future development trend of surgery, but as far as the current minimally invasive instruments and techniques are concerned, their indications must be strictly grasped. Minimally invasive surgical treatment for patients with indications for minimally invasive surgery can achieve good results, specifically in terms of fewer intraoperative appearances, less postoperative drainage and faster postoperative recovery. Lumbar spine disorders with previous indications for surgical internal fixation, such as lumbar tuberculosis, lumbar spondylolisthesis, lumbar disc herniation, and lumbar spinal stenosis, require extensive stripping of the sacrospinous muscle attached to the vertebral plate and removal of the vertebral plate during surgery. Extensive stripping of the muscle can lead to loss of innervation of the sacrospinous muscle after surgery, producing symptoms of low back pain, while laminectomy can lead to the formation of epidural scarring, resulting in nerve adhesions and neurological symptoms. Access-assisted lumbar spine surgery is performed along the multifidus and longest muscle gaps, eliminating the need for muscle stripping and removing only a limited number of laminae or synapses, effectively avoiding the occurrence of postoperative low back pain and epidural adhesions. In view of the advantages of this technology, the treatment of lumbar tuberculosis, lumbar spondylolisthesis, lumbar disc herniation, lumbar spinal stenosis and other diseases with indications for internal fixation surgery are mostly treated by minimally invasive surgery with the aid of access, and satisfactory results have been achieved. Lumbar disc herniation