KẾT QUẢ BƠM XI MĂNG KHÔNG BÓNG QUA DA ĐIỀU TRỊ XẸP THÂN ĐỐT SỐNG NGỰC, THẮT LƯNG DO LOÃNG XƯƠNG TẠI BỆNH VIỆN ĐA KHOA ĐÔNG ANH

Abstract

Introduction: Vertebroplasty has been widely used to treat thoraco-lumbar vertebrae cpmpression fractures caused by osteoporosis. Objective: This article aims to evalute the outcomes of restoring the body height of the thoraco-lumbar vertebrae compression patients due to osteoporosis in those undergoing vertebroplasty in terms of technical effciency and pain relief of the technique. Subjects and Methods: This is a descriptive study of 148 patients (229 vertebral bodies) with thoraco-lumbar vertebrae compression due to osteoposis propectively who were treated with vertebroplasty at Orthopedics Departement,  Dong Anh genaral hospital between January 2020 to March 2023. Results: Mean age: 74.86±8.20 (64-93), mainly 70-79 years old (69.12%). Female/male: 3.6/1, 100% osteoporosis with T score ≤-2.5. Pain due to osteoporosis alone 21.09%, with trauma factor accounted for 78.91%. 100% of patients experience pain relief on the first day after the produce. The average VAS score decreased significantly from 8.22±1.17 before surgery to 2.67±0.57,  after 24 hours and 0.86±0.16 after 3 months. After 3 months, according to modified  MacNab criteria, the excellent and good results in 132/148 patients (89.19%), moderate results in 16/148 patients (10.81%), no patients have poor results. The symdorms is surgery were the percentage of patients who were  lateral fistula 23/229 (10.04%) and disc leakage 13/229 (5.68%). Conclusions: Vertebroplasty is safe and minimally invasive procedure that provides a good methods for pain relief in patients with vertebral body compression fracture caused by osteoporosis.