KẾT QUẢ BƠM XI MĂNG CÓ BÓNG ĐIỀU TRỊ BỆNH XẸP ĐỘT SỐNG CÓ LOÃNG XƯƠNG VÙNG BẢN LỀ NGỰC -THẮT LƯNG TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objectives: To investigate the clinical results of balloon kyphoplasty in the correction of vertebral deformity (VCFs) due to osteoporosis. Methods: A prospective study was conducted on 60 patients diagnosed with VCFs at T12-L1 segment due to osteoporosis who were treated by balloon kyphoplasty at Viet Duc Hospital. Results: Mean age: 69,8 ± 10,2 (52-92), mainly >60 years old (77.5%). Female/male: 3.7/1, 100% osteoporosis with T score ≤-2.5. 100% of patients experience pain relief on the first day after the produce. The average VAS score decreased significantly from 7.65±0.71 before surgery to 1.74 ± 0.47 after 24 hours and 1.89 ± 0,595 after 3 months. After 3 months, according to modified MacNab criteria, the excellent and good results in 72/80 patients (90%), moderate results in 8/80 patients (10%), no patients have poor results. Preoperative ODI and 3 months postoperative were 54,3% and 28,6± 5.6%, respectively. The effectiveness in height restoration of vertebral body from 76,84±11,27% preop to 83.33±6.30% post-op. The local kyphotic angle, and local Cobb angle improved after surgery were statistically significant and  maintained after 3 months of follow-up. Conclusions: Balloonkyphoplasty is safe and minimally invasive procedure that provides a good methods for pain relief in patients with vertebral body compression fracture caused by osteoporosis.