ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT HYBRID ĐIỀU TRỊ BỆNH LÝ ĐĨA ĐỆM CỘT SỐNG CỔ ĐA TẦNG

Abstract

Background: Currently, surgical approach for multilevel cervical disc disease (MCDD) are still widely controversial. Anterior cervical discectomy and fusion (ACDF) combined with cervical disc arthroplasty (CDA) has emerged as a new method with much promise. However, in Vietnam, there has been no research evaluating the results of this new technique. Object research: Including 20 patients diagnosed with multi-level cervical disc disease and Hybrid surgery at Gia An 115 General Hospital, from December 2024 to October 2025. Method research: Prospective study design, cross-sectional clinical description, longitudinal follow-up. Result and Disscussion: The average age is 60.4 ± 9.6; the main age group with the disease is 40-60 years old, mainly male (70%). The disease starts slowly, 80% lasts for more than 1 year. The main clinical features were pain and limited neck mobility, radicular syndrome (100%) and spinal syndrome (95%) and myelopathy syndrome (55%). The average NDI is 39.18%. The average mJOA: 15.45 ± 2.6. The average Cobb C2-C7 is 16.2±10.6, SVA is 1.88, the lowest is 0.43, the highest is 3.31. T1-Slope is 27.09±7.6. The main disc degeneration is grade III. C4, C5, C6 are the main pathological locations. The rate of postoperative spinal cord injury recovery was 79.3%. The postoperative VAS arm, VAS neck and mJOA were 2.35 ± 0.7, 2.55 ± 0.9, 17.15 ± 1.2, respectively. The mean postoperative Cobb was -22.9 ± 9.2 (p<0.05). T1-S and SVA had no significant difference. Postoperative satisfaction rate was 95%. Conclusion: Multi-level cervical disc disease occurs mainly in the elderly, predominantly in men. Hybrid surgery (HS) significantly improved VAS, mJOA, and cervical lordosis. These results indicate that hybrid surgery seems to be a promising, acceptable, and alternative surgical approach for the treatment of multi-level cervical disc disease.