NHẬN XÉT KẾT QUẢ PHẪU THUẬT TẠO HÌNH THÂN ĐỐT SỐNG BẰNG BƠM CEMENT SINH HỌC Ở BỆNH NHÂN XẸP ĐỐT SỐNG TẠI BỆNH VIỆN ĐA KHOA TỈNH BẮC GIANG

Abstract

Objectives: Give comments on results of plastic surgery of vertebral body by Bio-Cement pump method to treat vertebral collapse based on the improvement of spinal pain symptoms according to the VAS scale. Research method: A descriptive cross-sectional study with 45 patients with vertebral collapse due to osteoporosis who were treated with Bio-Cement pump for vertebral reconstruction at Bac Giang Provincial General Hospital from August 2019 to December 2020. Results: Female patients accounted for 75.6% of patients in our study, and the most common age group was > 70 years old, accounting for 68.9%. Patients with pain in the spine area are discovered in 100 percent of cases, and this is the most common reason for patients to be admitted to the hospital for treatment. Before surgery, the average VAS score for back pain was 8.31 points; after surgery, the average VAS score was 1.91  1.22 points. With 24.5 percent of patients having two lesions and intervention at the same time, the highest vertebral location operated on was D12, and the lowest was L3. Vertebral reconstruction by Cement pump is a safe treatment method with a low complication rate 4.4% spilled over the vertebral body's anterior border, 8.9% came into the disc, 2.2% spilled into the spinal canal and left no sequelae. Depending on the degree of vertebral collapse, vertebra size, and osteoporosis condition, the average amount of Cement pumped into each vertebra is 5.5  1.6 ml. Immediately after Cement pump, very good results accounted for 57.8%, good results accounted for 33.3%, average results accounted for 8.9%. Conclusion: Vertebral reconstruction by Bio-Cement pump in the treatment of vertebral collapse due to osteoporosis is a minimally invasive surgical method, with good analgesic effect, and few complications