TRIỆU CHỨNG LÂM SÀNG, HÌNH ẢNH TRƯỢT ĐỐT SỐNG THẮT LƯNG DO THOÁI HÓA Ở BỆNH NHÂN BỊ ĐÁI THÁO ĐƯỜNG TYPE II

Abstract

Introductions: In Vietnam, to the best our knowledge, there are very few studies about clinical and imaging characteristics of degenerative lumbar spondylolisthesis in patients with type II diabetes.The objective of this study is to describe both clinical and imaged features of such patients. Material and methods: Retrospective study was performed in 40 patients with diabetes type II who were diagnosed degenerative lumbar spondylolistheis at out-patient department of 108th Military Central Hospital, from 6/2018 to 6/2020. Results: The mean age of the patients was 63.3 ± 7.1, with 60% females. 100% of the patients had low back pain with meam VAS was 6.0 ± 1.5 and 92.5% of patients had radicular pain of lower extremities, 87.5% had intermittent neurogenic claudication; Patients had motor deficit of the lower extremities in 17.5%, bladder disorder in 4 patients (10%), positive lasègue test in 16 patients (40%), decreased or absent tendon reflexes of lower extremities in 19 patients (47.5%). 100% of patients were grade I of spondylolisthesis, the most common level was L4-5 accounting for 37.5%, 11 patients had lumbar spinal scoliosis. All patients had grade V disc degeneration according to Pfirmann’s classification. 100% of patients have disc degeneration at level V according to Pfirrmann's classification on magnetic resonance imaging. The group of patients had diabetes type II from 1 to 5 years accounted for the highest proportion with 40% (16 patients), the mean duration was 4.4 ± 2.7 years. Conclusions: Type II diabetic patients with degenerative lumbar spondylolisthesis were usually at an advanced age, all have symptoms of low back pain and or symptoms of nerve compression. On X-ray, all patients had grade I of spondylolisthesis, could be seen lumbar scoliosis on X-ray. magnetic resonance imaging showed severe disc degeneration.