KẾT QUẢ TẠO HÌNH THÂN ĐỐT SỐNG BẰNG BƠM CEMENT SINH HỌC CÓ BÓNG QUA CUỐNG Ở BỆNH NHÂN XẸP ĐỐT SỐNG DO LOÃNG XƯƠNG TẠI BỆNH VIỆN HỮU NGHỊ

Abstract

Objective: Kyphoplasty treatment in patients with osteroporotic vertebral compression fractures helps achieve early pain relief, restoration of vertebral body height, effective kyphosis correction and reduction of cement leakage. This study was conducted to evaluate the surgical outcomes of transpedicular kyphoplasty at the Department of Nerosurgery ­ Orthoppedics, Huu Nghi Hospital. Subjects and Method: A prospective, non-controlled study was conducted on 46 patients with osteoporotic vertebral compression fractures (46 vertebrae) who were treated by transpedicular kyphoplasty at the Department of Neurosurgery ­ Orthopedics, Huu Nghi Hospital, from June 2024 to March 2025. Result: Mean age 80.4 ± 7.4 years; 82.6% were older than 75 years; female ratio 71.7%; male ratio 28.3%; 95.7% cases had trauma fractures correlated; the average VAS before surgery was 7.8 ± 1.5; 67.4% of collapsed vertebrae are located in the thoracolumbar junction (T11 ­ L1), 30.4% at the thoracic spine (L2 ­ L4) and 2.2% at the thoracic spine (T10). The average VAS after surgery 24 hours was 1.5 ± 1.3 and 0.4 ± 0.9 at 3 months; showing sigificant improvement (p < 0.001). Vertebral body height, kyphotic angle, Cobb angle improved significantly after surrgery (p < 0.001). Restoration of vertebral height was rated good and very good in 87%; Kyphosis correction was rated good and very good in 67.4%. Cement leakage was observed in 17.4% anterior vertebral body, 2.2% intervertebral dise and 2.2% paravertebral veins. Complications: vertebral fractures after surgery 4.3%. After 3 months, MacNab score: 93.5% of patients have a good and very good quality of life; 6.5% average quality of life. Conclusion: Kyphoplasty treatment in patients with osteoporotic vertebral compression fracture provided effective pain relief, restoration of vertebral body height, kyphosis correction and low complications.