Article Sidebar

PDF
Date Published: 21/06/2022
Abstract Views: 105
Views PDF: 91
DOI: https://doi.org/10.51298/vmj.v514i2.2587
Issue
Vol. 514 No. 2 (2022)
Section
Các bài báo
How to Cite
Gia Du, H. ., & Đức Hoàng, N. . (2022). CLINICAL CHARACTERISTICS, STANDARD IMAGE SEGMENTATION OF PATIENTS WITH LUMBAR SPONDYLOLISTHESIS OPERATED BY TLIF O-ARM. Vietnam Medical Journal, 514(2). https://doi.org/10.51298/vmj.v514i2.2587

CLINICAL CHARACTERISTICS, STANDARD IMAGE SEGMENTATION OF PATIENTS WITH LUMBAR SPONDYLOLISTHESIS OPERATED BY TLIF O-ARM

Hoàng Gia Du1,, Nguyễn Đức Hoàng1
1 Bach Mai Hospital

Main Article Content

Abstract

Objectives: We conducted this study to describe the clinical characteristics and diagnostic imaging of patients with lumbar spondylolisthesis (LS) before surgery. Methods: This cross-sectional study was conducted on 47 patients diagnosed with LS, surgically treated during the study period (1/2018-1/2019) at the Department of Orthopedic and Spinal Trauma - Bach Mai Hospital. We extracted all subject information from the patient's medical record. Results: Of the 47 enrolled in the study, the mean age of the patients was 56.97 ± 1.75 years old (15 - 77 years). Regarding functional clinical symptoms, the mean back VAS score of the patients in my study was 6 ± 1.68, and the average leg VAS score was: 5.6 ± 1.64 points. The average ODI score is 55.28 ± 13.18 points. Regarding physical symptoms, 38 patients (80.9%) had signs of nerve root irritation (positive Lasègue test). In this study, 36 patients (76.6%) had symptoms of paraspinal muscle spasticity. The expected results of the image segment through the lateral X-ray film showed that most of the patients had grade 1 slip (66%). Magnetic resonance imaging results showed that in our study, 70.2% of patients had stenosis of the foramen, nerve roots were compressed in the foramen, more than 2/3 of patients had representative joint hypertrophy, and the yellow ligament caused compression. Conclusion: The control study has provided information on clinical symptoms and diagnostic imaging of patients with LS before surgery.

Article Details

Keywords

lumbar spondylolisthesis, clinical symptoms, diagnostic imaging

References

1. Phan Trọng Hậu (2006), Nghiên cứu chuẩn đoán và điều trị phẫu thuật trượt đốt sống thắt lưng do hở eo ở người trưởng thành, Học Viện Quân Y.
2. Phụng Bích Hậu (2000), Điều trị phẫu thuật hẹp ống sống thắt lưng do trượt đốt sống khuyết eo cung sau, Luận án Chuyên khoa cấp II, Đại học Y Dược TP Hồ Chí Minh.
3. Nguyễn Bá Hậu (2009), Đánh giá kết quả điều trị trượt đốt sống thắt lưng bằng cố định cột sống lối sau và ghép xương liên thân đốt, Luận văn thạc sỹ, Đại học Y Hà Nội.
4. Võ Văn Thanh (2014), Kết quả điều trị trượt đốt sống thắt lưng L4-L5 bằng phẫu thuật lấy đĩa đệm, cố định cột sống, ghép xương liên thân đốt, Luận văn tốt nghiệp Bác sỹ nội trú, Trường Đại học y HN.
5. 51. Refaat, M.I. (2014). Management of Single Level Lumbar Degenerative Spondylolisthesis: Decompression Alone or Decompression and Fusion. Egyptian Journal of Neurosurgery, 29(4), 51–56.
6. Parker S.L., Adogwa O., Paul A.R. và cộng sự. (2011). Utility of minimum clinically important difference in assessing pain, disability, and health state after transforaminal lumbar interbody fusion for degenerative lumbar spondylolisthesis. J Neurosurg Spine, 14(5), 598–604.
7. El-Soufy M., El-Adawy A.M., Al-Agamy S. và cộng sự. (2015). Clinical and Radiological Outcomes of Transforaminal Lumbar Interbody Fusion in Low- Grade Spondylolisthesis. Spine & Neurosurgery, 2015.
8. Alijani B., Emamhadi M., Behzadnia H. và cộng sự. (2015). Posterior lumbar interbody fusion and posterolateral fusion: Analogous procedures in decreasing the index of disability in patients with spondylolisthesis. Asian J Neurosurg, 10(1), 51.