ĐẶC ĐIỂM LÂM SÀNG, CHẨN ĐOÁN HÌNH ẢNH CỦA CÁC BỆNH NHÂN GÙ CỘT SỐNG ĐOẠN BẢN LỀ NGỰC- THẮT LƯNG SAU CHẤN THƯƠNG

Abstract

Objective: To describe the clinical, subclinical characteristic of posttraumatic thoracolumbar kyphosis patients. Subjects and methods: 31 patients diagnosed posttraumatic thoracolumbar kyphosis at Spinal department of Viet Duc University Hospital from May 2020 to May 2021 Results: 31 patients were diagnosed posttraumatic thoracolumbar kyphosis the mean age was 59,8±2,2; patients with the age group over 60 years old accounted for the highest propotion with 52,9%. The number of female patients accounted for 73,5%. The time from the onset of symptoms to the going the hospital for surgery is 6,9±4,3 months; the group of 3-6 months accounted for the highest propotion with 52,9%. 17,7% of patients had symptoms of neurological function injury AIS grade D. The mean VAS and ODI preoperative scores are 7,47±0,86 and 63,53%±2,8; the group of IV-ODI grade accounted for the highest propotion with52,9%. The mean preoperative regional angel was 34,4°±1,3. The mean correction angel was 28,2°±1,4. On MRI: 85,3% of patients had edema of vertebral, 20,6% of patients had interspinous ligament and supraspinous ligament injury, 23,5% of patients had compressed spinal canal.  Conclusion: The disease mainly affects people age over 60 years old and more common in female. The main onset clinical symptom is thoracolumbar spine pain, limited spine movement maybe neurological function injury.