KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT BỆNH NHÂN CHẤN THƯƠNG CỘT SỐNG CỔ CAO BẰNG PHƯƠNG PHÁP NẸP CỔ CHẨM

Abstract

Objective: To evaluate the results of surgical treatment with upper cervical spine trauma patients by occipitocervical fusion method. Methods: This is a descriptive, retrospective and prospective study of 31 patients. Results: The percentage of patients who muscle pain decreased from 100% to 27.5% and the percentage of muscle spasms decreased from 61.3% to 27.5% (with p=0.005). Before surgery, the dysaesthesia rate was 37.9% and it reduced to 24.1% at the time of re-examination (p<0.005). The VAS point reduced from 5.4 ± 1.4 at preoperative time to 2.01 ± 1.3 at postoperative time (with p<0.005). The JOA index improved from 13.2 ± 3.6 before surgery to 15.6 ± 1.9 after surgery (p<0.005). The percentage of bone knitting and the patient satisfaction were 96.6% and 81%, respectively. Conclusion: After surgery by occipitocervical fusion method, the parents have good recovery of functional symptoms and dysaesthesia. The percentage of bone knitting and the patient satisfaction were high.