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Date Published: 05/02/2025
Abstract Views: 284
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DOI: https://doi.org/10.51298/vmj.v546i3.12736
Issue
Vol. 546 No. 3 (2025)
Section
Các bài báo
How to Cite
Đỗ, M. H., & Vũ, V. C. (2025). CLINICAL FEATURES AND IMAGING DIAGNOSIS IN PATIENTS WITH OSTEOPOROTIC LUMBAR SPONDYLOLITHESIS TREATED WITH TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) AT VIET DUC HOSPITAL. Vietnam Medical Journal, 546(3). https://doi.org/10.51298/vmj.v546i3.12736

CLINICAL FEATURES AND IMAGING DIAGNOSIS IN PATIENTS WITH OSTEOPOROTIC LUMBAR SPONDYLOLITHESIS TREATED WITH TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) AT VIET DUC HOSPITAL

Mạnh Hùng Đỗ, Văn Cường Vũ

Main Article Content

Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with lumbar spondylolisthesis and osteoporosis undergoing transforaminal lumbar interbody fusion (TLIF) surgery at Viet Duc Hospital. Methods: A Prospective Descriptive Study with 80 Patients with Lumbar Spondylolisthesis and Osteoporosis Undergoing Transforaminal Lumbar Interbody Fusion (TLIF) Surgery at Viet Duc University Hospital from January 2022 to January 2024. Results: Our study included 80 patients, predominantly female (66.8%), with an average age of 63.8±7.7 years. Clinical characteristics of the patients: The majority of patients experienced lumbar spine pain (90.0%), intermittent neurogenic claudication (47.5%), and radiating pain down the leg (90.0%). The Lasègue sign was present in 70% of patients, and the step-off sign was found in 26.2% of patients. The average Visual Analog Scale (VAS) score for lumbar spine pain was 6.8 ± 1.9, and for leg pain, it was 6.4 ± 2.6. The average Oswestry Disability Index (ODI) score was 59.8% ± 11.2%, with the majority of patients (86.2%) experiencing moderate to severe functional impairment of the spine. Radiological findings: On X-ray, most patients had Grade I spondylolisthesis (67.5%) and Grade II spondylolisthesis (28.8%), predominantly at L4-L5 (46.8%) and L5-S1 (30.7%) levels, with a spondylolysis rate of 40.0%. MRI findings revealed that all patients had disc degeneration, with 77.8% having spinal canal stenosis, 47.5% having foraminal stenosis, and 73.8% showing thickening of the ligamentum flavum. Conclusion: The prominent clinical symptoms of patients with lumbar spondylolisthesis and osteoporosis include lumbar spine pain radiating down the leg and intermittent neurogenic claudication. On X-ray, varying degrees of spondylolisthesis can be observed, predominantly at Grade I and Grade II, most commonly found at the L4-L5 and L5-S1 levels.

Article Details

Keywords

Lumbar spondylolithesis, osteoporotic, transforaminal lumbar interbody fusion (TLIF).

References

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