ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA NGƯỜI BỆNH XẸP ĐỐT SỐNG THẮT LƯNG THẤP CÓ LOĀNG XƯƠNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: Describe the clinical and paraclinical characteristics of patients with low lumbar vertebrae collapse and severe osteoporosis at Viet Duc Univercity Hospital. Methods: The study included 45 patients with collapsed low lumbar vertebrae and severe osteoporosis at the Department of Spine Surgery, Viet Duc Univercity Hospital from July 2022 - June 2023. Results: Female/male ratio = 3.5/1. The disease occurs mainly in the elderly, with an average age of 72.3 ± 10.1 years. Patients with collapsed low lumbar vertebrae have severe osteoporosis without accompanying traumatic factors, accounting for the highest rate of 73.3%. Average VAS 7.1 ± 1.5; All patients have limited motor function: 24.4% of patients cannot walk, 26.7% cannot stand and 48.9% cannot sit. The rate of collapsed vertebrae with grade I rotation is 47.9%, grade 2 rotation is 16.7%. L3 vertebrae collapse is the most common (56.3%). Patients with low lumbar vertebrae collapse often have very severe osteoporosis, the average T-score is -4.3 ± 0.8. Conclusion: Low lumbar vertebrae collapse is common in patients with severe osteoporosis, accompanied by spondylolisthesis, disc herniation, spinal stenosis, and scoliosis.