ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHÂN THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG CỔ ĐƯỢC PHẪU THUẬT THAY ĐĨA ĐỆM NHÂN TẠO (TDR) ĐƠN TẦNG TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objective: To describe the clinical and paraclinical characteristics of cervical disc herniation patients undergoing single-level total disc replacement (TDR) at Viet Duc Hospital. Methods: A prospective descriptive study involving 78 patients with cervical disc herniation who underwent single-level artificial disc replacement (TDR) at Viet Duc Hospital from January 2021 to January 2024. Results: Among the 78 patients in our study, the majority were female, accounting for 73.5%, with an average age of 42.8 ± 9.34 years. Clinical characteristics of the patients: The onset of symptoms primarily ranged from 3 to 12 months, accounting for 47.4%. Most patients experienced neck and shoulder pain (89.7%) and radicular pain (75.6%). The average VAS (Visual Analog Scale) score for cervical spine pain was 6.4 ± 1.2, and for arm pain, it was 6.3 ± 2.1. The average NDI score was 58.2% ± 14.8%. The average mJOA score was 14.2 ± 2.2. On MRI, most cases of cervical disc herniation were of the central and paracentral type, accounting for 59.0%, with the most common location being at the C5-6 level, representing 53.8%. Conclusion: The prominent clinical symptom of patients with cervical disc herniation is radiating pain from the spine down to the arm, which may be accompanied by spinal cord damage, primarily of mild to moderate severity. On MRI, the herniation is mainly of the central paracentral type, with the most common location being at the C5-6 level.