KẾT QUẢ PHẪU THUẬT TẠO HÌNH THÂN ĐỐT SỐNG BẰNG BƠM CEMENT CÓ BÓNG ĐIỀU TRỊ XẸP ĐỐT SỐNG DO LOÃNG XƯƠNG TẠI BỆNH VIỆN BẠCH MAI

Abstract

Background: Kyphoplasty treatment of osteoporotic vertebral fractures help to relieve early pain, restore height, and reduce complications. The study was carried out to evaluate the results of shiny cement at Bach Mai hospital. Material and methods: A descriptive, non-controlled study of 60 osteoporotic fractures patients who were treated by kyphoplasty at the Department of Orthopedics and Spine Surgery - Bach Mai Hospital from January 2019 to February 2020. Evaluation of characteristics of age, limits, VAS score, landmarks, collapse angle, spinal angle, Cobb angle before and after pumping, T-score, variable early and 6 months after pumping.  Results: Female patients 76.7%, male patients 23.3%; Average VAS before surgery 6.6 ± 0.8 points; Mean T-score measured at the spine -3.5 ± 0.7. There was a significant difference in the VAS improvement system, the collapsing angles, the cobb angle and the dynamic spine were all reduced compared to pre-pump (p <0.001). Accidents spilled cement across the vertebral anterior is 8.3%; cement spilled onto the disc is 2.7% and the ball burst is 2.7%. After 6 months, the MacNab score: 88.5% of patients have a good and very good quality of life; 11.5% average quality of life. Conclusion: Kyphoplasty treatment of osteoporotic vertebral fractures on 60 patients at the Department of Orthopedics and Spine Surgery gave good results, improved pain level, high safety, fewer complications, and efficiency.