ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG NGƯỜI BỆNH XẸP ĐỐT SỐNG THẮT LƯNG THẤP CÓ LOÃNG XƯƠNG NẶNG ĐIỀU TRỊ BẰNG PHƯƠNG PHÁP BƠM CEMENT SINH HỌC CÓ BÓNG

Abstract

Objectives: Analyzing clinical, subclinical features of the patients was  diagnosed lower lumbar osteoporotic vertebral compression fractures (LLOVCFs) was treated by percutaneous kyphoplasty (KP). Methods:  Cross-sectional descriptive prospective study of 45 LLOCFs underwent KP  in Viet Duc hospital from 7/2022 to 6/2023. Result: The female-male ratio is 4 with mean age of 71.3 (44-93 years old), the ratio of old compression fracture is 44.4%, 28.9% of patients have spondylolisthesis, 82.2% of patients have degenerative spine. The patients frequently presented with sudden or gradual onset of pain in proportion to VCFs because of light trauma or natural happening with decreasing of spinal mobility because of pain, the mean of VAS score is 7.1, L3 is the most in 52 new injuried segments (31 segments), fracture type: flat-type fratures is the highest ratio (50%), mean T-Score is -3.5. Conclusion: Lower lumbar osteoporotic vertebral compression fracture freaquently present in elder woman underwent a light injury or have not reason, frequently prolonged pain and severe osteoporosis. The ratio of old compression fracture, spondylolisthesis and degenerative spine are high.