ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHÂN THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG CỔ ĐƯỢC PHẪU THUẬT THAY ĐĨA ĐỆM, GHÉP XƯƠNG LIÊN THÂN ĐỐT, CỐ ĐỊNH CỘT SỐNG CỔ TRƯỚC (ACDF) ĐƠN TẦNG TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with cervical disc herniation undergoing single-level anterior cervical discectomy and fusion (ACDF) with bone grafting and cervical spine fixation at Viet Duc Hospital. Methods: A prospective descriptive study involving 41 patients with cervical disc herniation who underwent single-level anterior cervical discectomy and fusion (ACDF) with bone grafting and cervical spine fixation at Viet Duc Hospital from January 2022 to January 2023. Results: Among Of the 41 patients in our study, the majority were female (56.1%), with an average age of 45.8 ± 7.68 years. Clinical characteristics of the patients: The onset of the disease was mainly between 3 to 12 months, accounting for 48.8%. All patients experienced neck and shoulder pain, with most showing symptoms of spinal cord compression, such as decreased hand dexterity (58.5%), weakness in all four limbs (75.6%), hyperreflexia (63.4%), and a positive Hoffmann's sign (68.2%). The average VAS score for the cervical spine was 6.9 ± 1.5, and for the arms, it was 7.1 ± 1.6. The average NDI score was 51.6% ± 11.3%. The average mJOA score was 9.8 ± 4.2. On X-ray, the rate of cervical spine instability was 34.1%. On MRI, cervical disc herniation was mostly central (63.4%), with the most common site being C5-6 (51.2%). Conclusion: The prominent clinical symptoms of patients with cervical disc herniation undergoing anterior cervical discectomy and fusion (ACDF) with bone grafting and cervical spine fixation are cervical spine pain accompanied by moderate to severe cervical spinal cord compression. On X-ray, cervical spine degeneration is the most common finding, often accompanied by spinal instability. On MRI, the herniation is primarily central, with the most frequent location being C5-6, often showing signs of cervical cord edema.