Evidence map›Paper›PMID 42024256›Full record

ArticleInternational orthopaedics2026

Evaluation of the efficacy of retroperitoneoscopic debridement for lumbar tuberculosis: a retrospective study and preliminary results.

Yongrui Yang, Wenkai Ruan, Jianlong Li, Rongpan Dang, Huigang An, Wentao Zhao, Yingxin Zhao, Liang Xu, Hongdong Tan

Abstract read
In one paragraph

Article in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yongrui YangDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China.
Wenkai RuanDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China.
Jianlong LiDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China.
Rongpan DangDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China.
Huigang AnDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China.
Wentao ZhaoDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China.
Yingxin ZhaoDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China.
Liang XuDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China.
Hongdong TanDepartment of Orthopedics, Shandong Public Health Clinical Center, Shandong University, Jinan, Shandong, China. Tanhd_1218@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLumbar tuberculosis (LTB) is a significant global health concern, often requiring surgical intervention when medical treatment is insufficient. Retroperitoneoscopic debridement offers a minimally invasive approach to manage LTB, potentially reducing complications and recovery time compared to traditional open surgery. However, its efficacy and safety remain understudied. This retrospective cohort study aims to evaluate the clinical outcomes, complication rates, and long-term effectiveness of retroperitoneoscopic debridement in patients with LTB.

methodsThis retrospective cohort study analyzed patients with LTB and treated with retroperitoneoscopic debridement at our institution from July 2022 to July 2023. Baseline patient characteristics, operative time, operative blood loss, changes in inflammatory markers (e.g., CRP, ESR), complication rates, the visual analog scale (VAS) scores of the back, Oswestry Disability Index (ODI) scores, kyphotic angle changes in infective level and radiological follow-up outcomes were recorded.

resultsTwenty patients with LTB were finally included. The mean operative time, operative blood loss, and postoperative drainage volume were 88.42 ± 7.07 min, 26.32 ± 10.61 ml, and 58.00 ± 11.31 ml, respectively. The mean follow-up time was 20.21 ± 1.41 months. During the follow-up, both VAS score and ODI score were significantly improved at one month, three months postoperative, and the final follow-up, compared with preoperative (P < 0.001). At the final follow-up, the kyphotic angle in the infective level remained good in all patients and no spinal instability was observed. Bone graft fusion rate at the final follow-up was 100%. Compared with preoperative, ESR and CRP were both showed significant decrease at one and three months postoperative (P < 0.001). One patient was found with postoperative complications, and cured after active treatment.

conclusionRetroperitoneoscopic debridement appears to be a safe and effective minimally invasive approach for treating LTB. However, long-term efficacy requires further validation through prospective studies with larger sample sizes and extended follow-up periods.

Indexed as

DebridementLaparoscopyLumbar VertebraeTuberculosis, SpinalAdultFemaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresOperative TimeRetroperitoneal SpaceRetrospective StudiesTreatment OutcomeEndoscopic technologyLumbar tuberculosisMinimally invasive surgeryRetroperitoneoscopic debridement

Identifiers

PMID42024256
PMCPMC13179930

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.