KẾT QUẢ GIẢM ĐAU VÀ PHỤC HỒI CHỨC NĂNG CỘT SỐNG Ở NGƯỜI BỆNH TRƯỢT ĐỐT SỐNG HAI TẦNG ĐIỀU TRỊ BẰNG PHẪU THUẬT ÍT XÂM LẤN CỐ ĐỊNH CỘT SỐNG QUA VÀ GHÉP XƯƠNG LIÊN THÂN ĐỐT QUA LỖ LIÊN HỢP

Abstract

Over the past decade, the minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) has increasingly been used as a routine replacement for traditional open surgery methods. Lumbar spondylolisthesis is a leading cause of spinal instability and spinal canal stenosis, with two main symptoms: back pain and nerve root compression. Among these, patients with two-level spondylolisthesis are rare but often lead to spinal deformity and significantly impact spinal function. To assess the effectiveness in pain reduction and spinal function limitation after surgery, our study was conducted on 22 patients with two-level spondylolisthesis who underwent minimally invasive surgery between 2019 and 2023. These patients were evaluated and data were collected from medical records before and after surgery, at the time of discharge. Our study shows that 63.6% of the patients were aged 50 and above, with 72.7% being female, which is 2.67 times the number of male patients. The patients from provinces made up double the number of patients from Hanoi, accounting for 63.6%. The average pain score based on the VAS for back pain, leg pain, both before and after surgery, showed a statistically significant correlation with P<0.05. The minimally invasive surgical method proved effective in reducing post-surgical pain, with a greater degree of spondylolisthesis resulting in higher preoperative pain levels. Additionally, the number of surgical levels performed, the extent of the injury, and the degree of slippage were related to higher spinal function limitation scores, with a statistically significant correlation (P<0.05).