ĐÁNH GIÁ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN ĐAU DO NGUYÊN NHÂN THẦN KINH THEO THANG ĐIỂM LANSS Ở BỆNH NHÂN THOÁI HÓA CỘT SỐNG THẮT LƯNG TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: To assess factors related to neuropathic pain in patients with lumbar disc degenerative disease. Study Subjects: Conducted a study on 102 patients diagnosed with spondylolisthesis (degenerative vertebral column) experiencing spine pain with a Visual Analog Scale (VAS) score ≥ 3, treated at the Centre for Rheumatology from October 2022 to October 2023. Research Method: Cross-sectional descriptive analysis. Results: There was a correlation between neuropathic pain, assessed by LANSS and factors: age, the risk was 5.18 times higher in the age group ≥ 70. Overweight and obese patients (BMI ≥ 23) had a 5.02 times higher risk of neuropathic pain. The group with a history of lumbar spine surgery had a 2.95 times higher risk of neuropathic pain. The high pain intensity group (VAS ≥ 7) had a 6.48 times higher risk of neuropathic pain. The risk of neuropathic pain in the X-ray group with disc space narrowing and foraminal stenosis was higher, with odds ratios of 3.78 and 16.15, respectively. The group with ≥ 4 degenerated lumbar vertebrae had a 6.62 times higher risk of neuropathic pain. There was no statistically significant difference in the risk of neuropathic pain related to gender, duration of lumbar spine pain, X-ray evidence of lumbar lordosis loss, bone spurs, or subchondral sclerosis. Conclusion: The risk of neuropathic pain assessed by LANSS increased in the older age group (≥ 70), overweight/obese individuals, those with a history of lumbar spine surgery, higher pain intensity (VAS ≥ 7), X-ray evidence of disc space narrowing and foraminal stenosis, and a greater number of degenerated lumbar vertebrae (≥ 4), with odds ratios of 5.18, 5.02, 2.95, 6.48, 3.78, 16.15, and 6.62.