KẾT QUẢ PHẪU THUẬT GHÉP XƯƠNG LIÊN THÂN ĐỐT ĐƯỜNG BÊN VÀ CỐ ĐỊNH CỘT SỐNG LỐI SAU ĐIỀU TRỊ BỆNH LÝ VẸO CỘT SỐNG THẮT LƯNG DO THOÁI HOÁ

Abstract

Objective: Describe the outcomes of lateral lumbar interbody fusion and posterior spinal fusion surgery for the treatment of degenerative lumbar scoliosis. Subjects and methods: A descriptive study of 54 cases of patients with degenerative lumbar scoliosis received lateral lumbar interbody fusion and posterior fusion at Viet Duc Hospital. Results: 54 patients (36 females, 18 males) with a mean age of 57.47 ± 10.32. The postoperative outcomes were evaluated using the Macnab criteria at the 12-month follow-up with all 54 patients (100%) attending the follow-up visit: excellent: 50 (92.6%), good: 3 (5.55%), fair: 1 (1.85%), poor: 0 (0.0%). The improvement in clinical symptoms at the final follow-up visit was assessed using the Visual Analog Scale (VAS) for back pain and leg pain before the surgery and at the 12-month postoperative period, with scores of 1.20 ± 1.00 and 1.15 ± 1.15, respectively. The functional assessment using the Oswestry Disability Index (ODI) before the surgery and at the 12-month postoperative period was 6.08 ± 4.61. The postoperative radiographic evaluation at the 12-month follow-up showed that the average scoliosis angle before the surgery and at the 12-month postoperative period was 4.24 ± 1.56, and the average kyphosis angle before the surgery and at the 12-month postoperative period was 20.58 ± 5.74. According to the Bridwell criteria, the fusion rate at the 12-month follow-up was 96.3% for Grade I fusion and 3.7% for Grade II fusion. Conclusion: Lateral lumbar interbody fusion and posterior fusion surgery is a safe and effective method for treating degenerative lumbar scoliosis.