ĐẶC ĐIỂM GÃY XƯƠNG ĐỐT SỐNG TRÊN XQUANG Ở BỆNH NHÂN LOÃNG XƯƠNG NGUYÊN PHÁT CÓ ĐAU CỘT SỐNG TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: To evaluate the characteristics of vertebral fractures on X-ray in patients with primary osteoporosis with spinal pain at Bach Mai Hospital. Study population: The research was conducted on 75 patients diagnosed with primary osteoporosis according to the WHO 1994 criteria, experiencing spine pain with a VAS pain score ≥ 3 points, and having at least one vertebral fracture confirmed by X-ray. The study was conducted at the Centre for Rheumatology and Outpatient Clinic, Bach Mai Hospital, from August 2022 to November 2023. Research method: Cross-sectional descriptive study. Results: Most patients were female (92.0%), aged> 70 accounted for 64%. The majority of patients had limited spinal mobility (90.7%) and spinal deformities (77.3%). X-ray characteristics of the spine: most patients had fractures of ≥ 2 vertebrae, with the most fracture locations at L1 (49.3%), L2 (41.3%), and D12 (37.3%). According to Genant’s classification of vertebral fractures, 60% of patients had one type of vertebral fracture (of the 3 types: wedge, biconcave, and crush deformities), with the highest rate being wedge deformity (53.5%). Additionally, 40% of patients had grade 3 vertebral fractures, and 38.2% had grade 1 vertebral fractures. Conclusion: Most patients had fractures of ≥ 2 vertebrae, with fractures predominantly located at hinge points. Most patients with vertebral fractures according to Genant’s classification have one type of fracture, mainly wedge fractures, most have grade 1 and 3 vertebral fractures.