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ASSESSMENT OF EARLY RESULTS OF LUMBAR STENOSIS SURGERY IN TRA VINH GENERAL HOSPITAL
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Abstract
Purpose: The study aimed to determine the percentage of clinical symptoms, imaging results and post-operative results of lumbar spinal stenosis at Tra Vinh General Hospital. Methods: We conducted a prospective study, describing a series of cases on 33 patients with lumbar spinal stenosis undergoing surgery in 2020. Surveying the clinical symptoms of preoperative patients, assessing the size of the lumbar spine on MRI film, investigating post-operative pain relief results by NRS index, assessing patient recovery by JOA index at discharge, 1 month and 3 months. Results: In 33 cases in the study group there were 19 males and 14 females. The mean age is 58 (32-81). 81.8% of patients hospitalized for back pain and intermittent travel; the average number of days hospitalized was 18 days (8-41); clinical results: back pain (100%), root pain (87.9%), Lasegue (+) (90.9%), sensory disturbances (78.8%), sphincter disturbances (36.4%), recuperation (97%), muscle atrophy (54.5%); sizes of spinal canal on MRI: front and back diameter (9mm), transverse diameter (7.24mm), lateral spine height (1.17mm), spinal canal area (0.74cm2), golden ligament thickness (3.7mm) ; causes of spinal stenosis: disc herniation (90.9%), enlargement of the joint surface (84.8%), thick yellow ligament (97%); treatment results: NRS scale: before surgery (8.45), postoperative (3.85), 01 month (2.27), 03 months (0.88); JOA index: preoperative (6.15), postoperative (10.06), 01 month (12.48), 03 months (15.21). Rehabilitation: very good (48.5%), good (36.4%) and average (15.2%). Conclusion: Surgical treatment of lumbar spinal stenosis gives very good postoperative pain relief and rehabilitation
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Keywords
Lumbar spinal stenosis
References
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