tailieunhanh - Đánh giá kết quả điều trị trượt đốt sống ở bệnh nhân loãng xương

Bài viết trình bày đánh giá kết quả điều trị trượt đốt sống ở bệnh nhân loãng xương có chèn ép thần kinh được phẫu thuật cố định cột sống và hàn xương liên thân đốt lối sau kết hợp bơm xi măng qua vis rỗng. | Vietnam Journal of Community Medicine Vol. 65 No. 2 292-297 INSTITUTE OF COMMUNITY HEALTH ASSESSMENT OF THE RESULTS OF TREATMENT OF SPONDYLOLITHESIS IN OSTEOPOROTIC PATIENTS Le Ba Tung1 Vo Thanh Toan1 Duong Dai Ha2 Le Duc Tam2 Le Tuong Kha3 1 Thong Nhat Hospital - 1 Ly Thuong Kiet Ward 7 Tan Binh Ho Chi Minh City Vietnam Hanoi Medical University - No. 1 Ton That Tung Kim Lien Dong Da Hanoi Vietnam 2 3 Cho Ray Hospital - 201B Nguyen Chi Thanh Ward 12 District 5 Ho Chi Minh City Vietnam Received 05 01 2024 Revised 27 01 2024 Accepted 24 02 2024 ABSTRACT Objective Evaluate the results of treatment of spondylolisthesis in osteoporotic patients with nerve compression by spinal fixation surgery and posterior interbody fusion combined with injectable hollow pedicle screws with PMMA. Subjects and methods Retrospective study describing a series of cases of spondylolisthesis with instability and osteoporosis who were operated by posterior interbody fusion and spinal fixation by hollow pedicle screws with biocement injection PMMA at the Neurosurgery Department of Thong Nhat Hospital Ho Chi Minh City from December 2016 to December 2021. Results In 69 patients who had surgery to treat spondylolisthesis and osteoporosis by cement injection in hollow pedicle screws we obtained preoperative clinical symptoms such as back pain scored on the VAS scale decreased from points to points p lt and nerve root pain decreased from points to points p lt neurogenic claudication decreased 68 12 to p lt . The level of recovery according to JOA at the preoperative time from up to at the postoperative time p lt with great improvement in patients had 1 or 2 levels of lesions. Complications recorded at low rates include cement leakage surgical wound infection and dural tear. Conclusion Treatment of spondylolisthesis in osteoporosis patients is improved with posterior interbody fusion surgery with cement injection in hollow pedicle .