KẾT QUẢ TẠO HÌNH THÂN ĐỐT SỐNG BẰNG BƠM CEMENT SINH HỌC Ở BỆNH NHÂN XẸP ĐỐT SỐNG DO LOÃNG XƯƠNG TẠI BỆNH VIỆN E

Abstract

Objective: Evaluate pain relief results in patients with vertebral compression due to osteoporosis by ejecting cement. Subjects and methods: Retrospective study on 166 patients with 191 collapsed osteoporotic vertebral bodies underwent percutaneous vertebroplasties at Hospital E from January 2022 to December 2022. Clinical outcome were determined by comparison of preoperative and postoperative visual analog scale score. Review 6 months or more after surgery. Results: Female/male ratio :4.75/1. Mean age: 74,51 years (50-96). 100% cases had osteoporoses with T‐score <‐2.5. 59,64% cases of these had isolated osteoporoses and 40,36% cases had trauma fractures correlated. 83.73% of collapsed vertebrae are located in the thoracic-lumbar spine hinge area (D11-L2). The average VAS score before surgery was 8.8±1.2; 1 day after surgery VAS was 2.9±1.0. Complications encountered intraoperative were disc leakage (10.47%) and paravertebral leakage (3.66%). Conclusions: Percutaneous vertebroplasty for the treatment of osteoporotic vertebral collapse appears to be a safe, readily performed, minimally invasive procedure which provides significant reduction in pain; perform the procedures precisely and an intra‐operative electroluminescent screen is mandatory.