KẾT QUẢ PHẪU THUẬT THAY ĐĨA ĐỆM NHÂN TẠO (TDR) CHO BỆNH NHÂN THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG CỔ TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objective: To evaluate the surgical outcomes of artificial disc replacement (TDR) for patients with cervical disc herniation at Viet Duc Hospital. Methods: A prospective descriptive study with 58 patients who underwent artificial disc replacement (TDR) for cervical disc herniation at Viet Duc Hospital from January 2023 to January 2024. Results: In our study, 58 patients had an average age of 43.2 ± 8.21 years, predominantly female, accounting for 63.8%. MRI results showed that single-level disc herniation was the most common, making up 58.6% of cases, with the C5-6 level being the most frequently affected at 56.8%. Lateral disc herniation predominated with 54.5%. The surgery primarily involved single-level disc replacement (67.2%). The average surgery time was 62.26 ± 15.24 minutes, with an average blood loss of 82.28 ± 29.24 ml, and the average hospital stay was 5.12 ± 1.01 days. Intraoperative complications included one case of recurrent laryngeal nerve injury. Postoperative complications included one patient with swallowing difficulty and one patient with hoarseness. The VAS, NDI, and mJOA scores showed significant improvement at 1 month and 6 months post-surgery. Range of motion improved significantly compared to before surgery, with only 2 patients experiencing adjacent segment disease, accounting for 3.4%. Conclusion: Total disc replacement (TDR) surgery for patients with cervical disc herniation is a safe procedure with a low complication rate, providing significant clinical benefits for patients.