KẾT QUẢ TẠO HÌNH THÂN ĐỐT SỐNG BẰNG BƠM CEMENT SINH HỌC TRÊN BỆNH NHÂN BỊ XẸP ĐỐT SỐNG DO LOÃNG XƯƠNG TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objective: Describe clinical and paraclinical characteristics and evaluate the results of treatment of vertebral subsidence with osteoporosis by bone cement at Viet Duc General Hospital. Method: Cross-sectional descriptive study, collecting prospective data, convenient sampling of 32 patients with vertebral collapse at the Department of General Surgery, Viet Duc General Hospital from June 2022 to November 2023. Results: Most patients with vertebral collapse due to osteoporosis are often female and elderly, especially patients >70 years old. All patients have clinical symptoms of back pain with an average VAS score of 7 points and limited mobility. Most vertebral collapse occurs in patients with osteoporosis and after spinal trauma. Vertebroplasty with cement injection is a safe treatment method and we have not recorded any complications in the study. The amount of cement injected into each vertebra is on average 8 ml (6-10 ml) and depends on the cause of vertebral collapse and the degree of vertebral collapse. The treatment is very effective, 100% of patients have pain relief immediately after injection, VAS scores are significantly reduced before and after injection. Conclusion: Percutaneous cement injection is a minimally invasive method, bringing high efficiency with 100% of patients having pain relief immediately after injection.