Abstract:Treatment of spinal tuberculosis with paraspinal or epidural abscesses is a challenge for orthopedic surgeons. The classical surgical method of spinal tuberculosis, such as open debridement and spinal internal fixation, consumed longer operation time, with high risk, great iatrogenic trauma and certain impact on the immunity of patients, which is unacceptable for the patients with poor general condi- tions. With the development of technique and equipment, endoscopic spinal surgery is becoming more and more popular. In this paper, we reported a case of lumbar tuberculosis with psoas major muscle and spinal canal abscess treated endoscopically in our department, and re- viewed literatures on minimally invasive surgery for lumbar tuberculosis accompanied with psoas major and spinal canal abscess to provide a reference for orthopaedic clinicians.