Comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitis
ObjectiveThis study aims to evaluate the clinical effectiveness of minimally invasive versus conventional open posterior methods for the excision of brucellosis lesions in the context of spondylitis treatment. The findings are intended to inform and guide clinical practice.MethodsForty-three patient...
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Frontiers Media S.A.
2025-07-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1573347/full |
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| author | Sikandaer Siyiti Lin Hang Lin Hang Adila Siyiti Sui Jiangtao |
| author_facet | Sikandaer Siyiti Lin Hang Lin Hang Adila Siyiti Sui Jiangtao |
| author_sort | Sikandaer Siyiti |
| collection | DOAJ |
| description | ObjectiveThis study aims to evaluate the clinical effectiveness of minimally invasive versus conventional open posterior methods for the excision of brucellosis lesions in the context of spondylitis treatment. The findings are intended to inform and guide clinical practice.MethodsForty-three patients with brucellosis spondylitis who attended our hospital from January 2020 to June 2023 were selected and divided into minimally invasive endoscopic brucellosis lesion removal (group A) n = 18 and traditional open lesion removal group (group B) n = 25 according to the operation type. All patients were given antibiotic treatment before operation. Analyze the relevant clinical indicators.Results① There were no statistically significant differences (p > 0.05) between the two groups in terms of age, gender, body mass index (BMI), medical history, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), procalcitonin (PCT), D-dimer, hemoglobin (Hb), visual analog scale (VAS) score, Oswestry Disability Index (ODI) score and recurrence rate. ② The operation time (p < 0.012), intraoperative blood loss (p < 0.012), and postoperative hospital stay (p < 0.012) in group A were significantly shorter than those in group B, and the differences between the two groups were statistically significant (p < 0.05). No significant differences were observed in the remaining outcome measures.ConclusionThe results of this study showed that minimally invasive endoscopic brucellosis lesion removal could achieve the same efficacy as compared with traditional open posterior lesion removal, but minimally invasive surgery has the advantages of shorter operative time, lower intraoperative hemorrhage and more obvious advantages in postoperative rehabilitation, etc., which makes it clinically feasible and effective procedure. |
| format | Article |
| id | doaj-art-df685d3bf80449428154cc2e6a4d6e3b |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-df685d3bf80449428154cc2e6a4d6e3b2025-08-20T03:29:31ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.15733471573347Comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitisSikandaer Siyiti0Lin Hang1Lin Hang2Adila Siyiti3Sui Jiangtao4Spinal Surgery, Sixth Afliated Hospital of Xinjiang Medical University, Xinjiang, ChinaSpinal Surgery, Sixth Afliated Hospital of Xinjiang Medical University, Xinjiang, ChinaThe Sixth Clinical Medical College, Xinjiang Medical University, Xinjiang, ChinaPathology Department, Affiliated Cancer Hospital of Xinjiang Medical University, Xinjiang, ChinaSpinal Surgery, Sixth Afliated Hospital of Xinjiang Medical University, Xinjiang, ChinaObjectiveThis study aims to evaluate the clinical effectiveness of minimally invasive versus conventional open posterior methods for the excision of brucellosis lesions in the context of spondylitis treatment. The findings are intended to inform and guide clinical practice.MethodsForty-three patients with brucellosis spondylitis who attended our hospital from January 2020 to June 2023 were selected and divided into minimally invasive endoscopic brucellosis lesion removal (group A) n = 18 and traditional open lesion removal group (group B) n = 25 according to the operation type. All patients were given antibiotic treatment before operation. Analyze the relevant clinical indicators.Results① There were no statistically significant differences (p > 0.05) between the two groups in terms of age, gender, body mass index (BMI), medical history, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), procalcitonin (PCT), D-dimer, hemoglobin (Hb), visual analog scale (VAS) score, Oswestry Disability Index (ODI) score and recurrence rate. ② The operation time (p < 0.012), intraoperative blood loss (p < 0.012), and postoperative hospital stay (p < 0.012) in group A were significantly shorter than those in group B, and the differences between the two groups were statistically significant (p < 0.05). No significant differences were observed in the remaining outcome measures.ConclusionThe results of this study showed that minimally invasive endoscopic brucellosis lesion removal could achieve the same efficacy as compared with traditional open posterior lesion removal, but minimally invasive surgery has the advantages of shorter operative time, lower intraoperative hemorrhage and more obvious advantages in postoperative rehabilitation, etc., which makes it clinically feasible and effective procedure.https://www.frontiersin.org/articles/10.3389/fmed.2025.1573347/fullbrucellosisbrucellosis spondylitislesion removalendoscopyminimally invasive |
| spellingShingle | Sikandaer Siyiti Lin Hang Lin Hang Adila Siyiti Sui Jiangtao Comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitis Frontiers in Medicine brucellosis brucellosis spondylitis lesion removal endoscopy minimally invasive |
| title | Comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitis |
| title_full | Comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitis |
| title_fullStr | Comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitis |
| title_full_unstemmed | Comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitis |
| title_short | Comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitis |
| title_sort | comparative analysis of minimally invasive endoscopic versus conventional open posterior brucellosis lesion removal in the treatment of brucellosis spondylitis |
| topic | brucellosis brucellosis spondylitis lesion removal endoscopy minimally invasive |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1573347/full |
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