ĐẶC ĐIỂM DỊCH TỄ HỌC VÀ LÂM SÀNG BỆNH NHÂN BỆNH LÝ HẸP ỐNG SỐNG CỔ ĐƠN TẦNG DO THOÁI HÓA CÓ KÈM THEO PHÙ TỦY

Abstract

Objectives: To describe the preoperative epidemiological and clinical characteristics of patients with degenerative cervical myelopathy resulting in single-level spinal stenosis and concomitant intramedullary signal hyperintensity on magnetic resonance imaging. Methods: A retrospective descriptive study was conducted to analyze the epidemiological and clinical characteristics of 37 patients with degenerative cervical myelopathy resulting in single-level spinal stenosis and concomitant intramedullary signal hyperintensity on magnetic resonance imaging. All patients underwent single-level anterior cervical discectomy and fusion (ACDF) at the corresponding cervical level at Bach Mai Hospital between January 2022 and December 2023. Results: The mean age of the study cohort was 56.29±1.62 years, with the 51−60 age group showing the highest prevalence (32.43%). Males predominated, representing 62.16% of the patients compared to 37.84% of females. A majority of the patients (75.68%) were engaged in heavy labor, while 51.4% were classified as overweight or obese. A history of smoking was reported by nearly half of the patients (45.9%). The mean duration of symptoms from initial onset to surgery was 4.66±3.66 months. The most common presenting symptom was arm numbness (59.5%). Most patients (86.5%) were admitted with a cervical myelopathy syndrome. The mean preoperative mJOA (modified Japanese Orthopaedic Association score) was 10.56±2.07, with 67.6% of patients categorized as having severe myelopathy. Conclusion: The condition is commonly observed in middle-aged males with a history of heavy labor, overweight status, and smoking. The majority of patients were admitted with severe myelopathic symptoms; however, the correlation between demographic and clinical characteristics and the severity of myelopathy did not meet statistical significance.