化脓性腰椎间盘炎(pyogenic spondylodiscitis)是指椎间盘、软骨终板及相邻椎体的感染性病变。手术治疗腰椎间盘炎的方法主要包括前路和后路两种。前路手术的优势包括直视下病灶清创,能够充分清除坏死组织,有效保护腰椎前方大血管等重要结构,同时后柱完整性的保留有利于脊柱术后稳定性。但前路手术的缺点是创伤较大,并发症发生率高。我们既往的经验提示,采用腹膜后腔镜技术治疗腰椎间盘炎能有效减少腰椎前路手术的创伤,提 Pyogenic spondylodiscitis refers to the infectious lesions of the disc, cartilage endplate, and adjacent vertebral bodies. Surgical treatment of lumbar discitis mainly includes two ways of anterior and posterior. The advantages of anterior surgery include debridement under direct vision, sufficient removal of necrotic tissue, and effective protection of important structures such as the anterior lumbar vertebra, while preservation of posterior column integrity contributes to postoperative stability. But the disadvantage of anterior surgery is trauma, complications and high incidence. Our past experience suggests that the use of retroperitoneal laparoscopic treatment of lumbar discitis can effectively reduce the trauma of anterior lumbar surgery