KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ VẸO THOÁI HÓA CỘT SỐNG THẮT LƯNG BẰNG KỸ THUẬT BẮT VÍT QUA CUỐNG TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objectives: Evaluate the improvement of clinical manifestation via preoperative and postoperative VAS, and ODI scores of lumbar spine region, and radiographical parameters of entire spinopelvic axis on full-length radiographs of Degenerative Lumbar Scoliosis (DLS) Patients treated with posterior lumbar fusion. Methods: A retrospective cross-sectional study was conducted on 36 patients diagnosed with DLS, surgically treated by posterior spinal fusion over a 5-year period (between 1/2017 and 12/2022) at Bach Mai Orthopedic and Spinal Department. Results: The mean age of the patients was 64,08 ± 7,6 years old. 81% of patients were female (29/36), and the male comprises of 19%. The pre-operative and post-operative scoliosis Cobb angles were 22,73 ± 6,5° and 2.92 ± 2.53°, respectively. The mean preoperative and postoperative lumbar lordosis (LL) on X-ray films were 21,4° and 2.92 ± 2.53°, in turns. Average VAS scores and ODI were significantly improved at final follow-up compared with baseline, differences were statistically significant. Conclusion: Posterior spinal fusion provides good outcomes in term of sagittal balance on Radiographical parameters and improvement in ODI.