ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN GÃY LÚN ĐỐT SỐNG THẮT LƯNG DO LOÃNG XƯƠNG TẠI BỆNH VIỆN ĐA KHOA TỈNH KIÊN GIANG NĂM 2021-2022

Abstract

Background: Vertebral compression fractures are a common complication of osteoporosis. Compared with other fractures, vertebrae compression is less fatal for the patient, but often causes permanent disability and affect patient's quality of life. Objectives: 1). Description of clinical features in patients with lumbar vertebrae compression fracture due to osteoporosis 2). Description of subclinical features in patients with lumbar vertebrae compression fracture due to osteoporosis. Materials and methods: A cross-sectional descriptive study on 37 patients with lumbar vertebrae compression fracture due to osteoporosis undergoing inpatient treatment at Kien Giang General Hospital from April 4/2021 to April 5/2022. Results: 100% of patients had pain symptoms (94.7% of low back pain and 15.8% of nerve root pain) and 10.5% of patients had pain relief posture; 100% of the patients had gait disturbance, 100% had pain at the edge of the spine, 31.6% had a positive bell sign and 55.3% had a positive Lasegue sign. Patients with increased radioluminescence on Xray accounted for 97.4%, vertebral body deformity was 5.3% and 21.1% patients decreased cortical thickness. Patients with injury to the L3 vertebra accounted for the highest rate of 36.8%, followed by the L4 vertebra accounting for 34.2%. The majority of patients injured 1 vertebra accounted for 57.8%. Conclusions: The patient's mean T-score was - 4.36±1.39; 31.6% had a positive bell sign and 55.3% had a positive Lasegue sign. Patients with increased radioluminescence on Xray accounted for 97.4%.