Article Sidebar

PDF
Date Published: 07/03/2023
Abstract Views: 331
Views PDF: 180
DOI: https://doi.org/10.51298/vmj.v523i2.4498
Issue
Vol. 523 No. 2 (2023)
Section
Các bài báo
How to Cite
Nguyễn, V. V. ., & Nguyễn, H. L. . (2023). CLINICAL, SUBCLINICAL CHARACTERISTICS OF PATIENTS WITH LUMBAR SPONDYLOLISTHESIS WITH OSTEOPOROSIS. Vietnam Medical Journal, 523(2). https://doi.org/10.51298/vmj.v523i2.4498

CLINICAL, SUBCLINICAL CHARACTERISTICS OF PATIENTS WITH LUMBAR SPONDYLOLISTHESIS WITH OSTEOPOROSIS

Văn Vượng Nguyễn1,, Hoàng Long Nguyễn2
1 Hanoi medical university
2 Viet Duc hospital

Main Article Content

Abstract

Objective: To describe the clinical and subclinical characteristics of patients with lumbar spondylolisthesis with osteoporosis. Method: a retrospective descriptive study on 32 patients confirmed diagnosis lumbar spondylolisthesis with bone mineral density in the lumbar spine: T-Score ≤-2,5 at Viet Duc Friendship Hospital from 01/2021 to 12/2021. Results and conclusion: 100% of patients had leg pain, no circular muscle disorder. The average VAS pain score was 6,75± 0,84. 31,3% of patients had step sign, 81,25% of patients had possitive Lasègue. 100% of patients have sensory disorders, in which numbness and paresthesia account for 78,1%. 75% of patients had one level, 53,1% L4-L5 spondylolisthesis. 53,1% of patients had isthmic spondylolisthesis. Injuries associated with spondylolisthesis were mainly lumbar intervertebral dics degeneration (100%), thickening of the yellow ligament (93,75%), spinal stenosis (68,75%), and intervertebral foramen stenosis (46,88%).

Article Details

Keywords

lumbar spondylolisthesis, osteoporosis

References

1. Herman M.J., Pizzutillo P.D. (2012). Spondylolysis and spondylolisthesis in children and adolescents. Orthopaedic Knowleage update: Spine, 4:477-488.
2. Ho-Pham Lan T, Uyen DT Nguyen, Hoa N Pham, et al. (2011) “Reference ranges for bone mineral density and prevalence of osteoporosis in Vietnamese men and women”. BMC musculoskeletal disorders, 12 (1), p.182.
3. Halvorson TL, Kelley LA, Thomas KA, Whitecloud TS, III, Cook SD. Effects of bone mineral density on pedicle screw fixation. Spine. 1994;19(21):2415–20.
4. Patel V, Issever AS, Burghardt A, Laib A, Ries M, Majumdar S. MicroCT evaluation of normal and osteoarthritic bone structure in human knee specimens. J Orthop Res. 2003;21(1):6–13.
5. Nguyễn Vũ (2015). Nghiên cứu điều trị trượt đốt sống thắt lưng bằng phương pháp cố định cột sống qua cuống kết hợp hàn xương liên thân đốt. Luận án tiến sĩ Y học, Đại học Y Hà Nội.
6. Phan Trọng Hậu. Nghiên cứu chẩn đoán và điều trị phẫu thuật bệnh trượt đốt sống thắt lưng do hở eo ở người trưởng thành. Học Viện Quân Y. Published online 2006.
7. Dai F, Liu Y, Zhang F, et al. Surgical treatment of the osteoporotic spine with bone cement-injectable cannulated pedicle screw fixation: technical description and preliminary application in 43 patients. Clinics (Sao Paulo). 2015;70(2):114-119
8. 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 Hà Nội.
9. Standaert C.J., Herring S.A. (2000). Spondylolysis: a critical review. Br J Sports Med., 34:415-422.