KẾT QUẢ BƠM XI MĂNG CÓ BÓNG QUA DA ĐIỀU TRỊ XẸP THÂN ĐỐT SỐNG NGỰC, THẮT LƯNG DO LOÃNG XƯƠNG TẠI BỆNH VIỆN ĐA KHOA ĐÔNG ANH

Abstract

Objective: This article aims to evalute the outcomes of restoring the body height of the thoraco-lumbar vertebrae compression patients due to osteoporosis in those undergoing balloon kyphoplasty at Dong Anh genaral hospital. Subjects and Methods: This is a descriptive study of 72 patients (97 vertebral bodies) with thoraco-lumbar vertebrae compression due to osteoposis propectively who were treated with balloon kyphoplasty at Orthopedics Departement,  Dong Anh genaral hospital between November 2020 and November 2021. Results: Mean age: 72.86±8.20 (60-93), mainly 70-79 years old (59.72%). Female/male: 3.2/1, 100% osteoporosis with T score ≤-2.5. Pain due to osteoporosis alone 13.89%, with trauma factor accounted for 86.11%. 100% of patients experience pain relief on the first day after the produce. The average VAS score decreased significantly from 7.72±1.17 before surgery to 1.36±0.71 after 24 hours and 1.36±0.71 after 3 months. After 3 months, according to modified  MacNab criteria, the excellent and good results in 64/72 patients (88.89%), moderate results in 8/72 patients (11.11%), no patients have poor results. Average Cobb angle before balloon kyphoplasty is 17.36± 8,450 and after procedure is 11.23±6.620. The symdorms is surgery were the percentage of patients who were  lateral fistula 9/97 (9,27%) and disc leakage 5/97 (5,15%).c Conclusions: Balloonkyphoplasty is safe and minimally invasive procedure that provides a good methods for pain relief in patients with vertebral body compression fracture caused by osteoporosis.