ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHÂN TRƯỢT ĐỐT SỐNG BẢN LỀ THẮT LƯNG CÙNG ĐƯỢC ĐIỀU TRỊ PHẪU THUẬT

Abstract

Objective: Describing the clinical features and paraclinical characteristics of patients with lumbar spondylolisthesis undergoing surgery at Viet Duc Hospital. Objects and Methods: Our study was conducted using a retrospective descriptive research method. Medical records of patients undergoing surgery from June 2021 to June 2022 were reviewed. All clinical symptoms and signs were collected and evaluated. Regarding imaging diagnosis, we assessed parameters on X-ray and magnetic resonance imaging (MRI). Results: There were 73 patients in our study group, with a male-to-female ratio of 1:2 (male: 32.9%, female: 67.1%). Patients aged 50-59 years accounted for the highest proportion at 27.4%. Prominent clinical symptoms included radicular leg pain (95.9%) and claudication (71.2%). The mean VAS scores for back and leg pain were 6.11±0.74 and 4.55±1.5, respectively. The Oswestry Disability Index (ODI) revealed that 60.3% of patients had moderate to severe functional impairment. Physical signs included paraspinal muscle spasm (97.3%), with only 8 out of 73 patients exhibiting motor disorders, dysesthesia, or sensory deficits, most commonly sensory disturbances (57.5%). X-ray showed predominantly isthmic spondylolisthesis in 65.8% of patients, while MRI demonstrated degenerative disc disease at level V in 69.9%. Conclusion: The prominent clinical symptoms of lumbar spondylolisthesis are back pain, radicular leg pain, and neurogenic claudication. X-ray accurately evaluates the spondylolisthesis status, while MRI assesses soft tissue and neural foraminal stenosis.