QUALITY OF LIFE IN PATIENTS WITH THORACIC AND LUMBAR SPINAL INJURY TREATED WITH PERCUTANEOUS PEDICLE SCREW FIXATION

Vũ Nguyễn, Linh Trần Thị Thùy

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Abstract

Introduction: Thoracic and lumbar spinal injury could lead to serious long-term consequences  if not treated promptly and appropriately Surgical intervention is indicated when patients experience spinal instability and/or neurological compression significantly affecting their quality of life. Minimally invasive surgery was a method that shortens hospital stays, reduces pain, and minimizes surgical complications. Subjects and methods: Descriptive research of 112 patients with unstable thoracic and lumbar spinal injuries without nerve compression underwent surgery using percutaneous screw fixation method at Hanoi Medical University Hospital for 4 years (1/2019 - 12/2022). The PROMIS questionnaire is used to evaluate a patient’s quality of life. Result: Retrospective study was conducted on 112 patients (67 male, 45 female), the mean age was 51.5±11.44 (21 - 83). Quality of life in patients after surgery was significantly improved, with a decrease in VAS score of back pain from 4,7±0,9 to 2,04±0,45; The percentage of patients reporting good physical and mental health increased from 20.4% and 52.8% to 53.7% and 95.6%, respectively. Combination injury and multiple vertebral fractures were  factors related to quality of life after surgery (p<0.05). Conclusion: Percutaneous Pedicle Screw Fixation Method was a safe, effective method that reduced pain and improved quality of life in patients with spinal injuries requiring surgery.

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References

1. Barile JP, Reeve BB, Smith AW, et al. (2013). Monitoring population health for Healthy People 2020: evaluation of the NIH PROMIS® Global Health, CDC Healthy Days, and satisfaction with life instruments. Qual Life Res, 22(6):1201-1211.
2. Chen X, Song Q, Wang K, et al. Robot- Assisted Minimally Invasive Transforaminal Lumbar Interbody Fusion versus Open Transforaminal Lumbar Interbody Fusion: A Retrospective Matched-Control Analysis for Clinical and Quality-of-Life Outcomes. J Comp Eff Res. 2021;10(10):845-856.
3. Đinh Mạnh Hải. Nghiên Cứu Kết Quả Điều Trị Trượt Đốt Sống Thắt Lưng Bằng Phẫu Thuật Lối Sau Sử Dụng Robot Định vị. Luận Văn Tiến Sỹ y Học, Đại Học Y Hà Nội. 2018; 85.
4. Nygaard OP, Kloster R, Solberg T. Nygaard O.P, Kloster R, Solberg T. Duration of Leg Pain as a Predictor of Outcome after Surgery for Lumbar Disc Herniation: A Prospective Cohort Study with 1-Year Follow up. Journal of Neurosurgery. 2000. J Neurosurg. 2000;92(2 Suppl):131- 134.
5. Pokorny G, Amaral R, Marcelino F, et al. Minimally Invasive versus Open Surgery for Degenerative Lumbar Pathologies:A Systematic Review and Meta-Analysis. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2022;31(10):2502-2526.
6. Prabhu MC, et al, (2022), History and Evolution of the Minimally Invasive Transforaminal Lumbar Interbody Fusion. Neurospine 2022;19(3):479-491.
7. Phạm Hồng Huyên. Đánh Giá Chất Lượng Cuộc Sống Người Bệnh Sau Phẫu Thuật Thoát vị Đĩa Đệm Cột Sống Thắt Lưng Tại Bệnh Viện Đại Học Y Hà Nội Năm 2019. Luận Văn Thạc Sĩ; Đại Học Y Hà Nội 2020.
8. Silverplats K, Lind B, Zoëga B, et al. Silverplats Katarina, Lind B, Zoëga B, et al. Clinical Factors of Importance for Outcome after Lumbar Disc Herniation Surgery: Long- Term Follow-up. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2010. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2010;19(9):1459-1467.