ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY LÚN CỘT SỐNG DO LOÃNG XƯƠNG BẰNG PHƯƠNG PHÁP BƠM XI MĂNG TẠO HÌNH THÂN SỐNG TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ

Abstract

Background: Fractures of the vertebral body due to osteoporosis cause pain, limit activities, movement and cause other problems such as increased osteoporosis, pneumonia, ulcers... for the patient. Spinal cement injection helps improve symptoms and limit the above consequences. Wishing to evaluate the effectiveness of treating spinal fractures caused by osteoporosis using biological cement injection at Can Tho University of Medicine and Pharmacy hospital, we conducted the project. Objectives: To evaluate the results of treatment of lumbar spine fractures due to osteoporosis using cement injection to shape the vertebral body Materials and methods: A cross-sectional study was conducted on 34 patients diagnosed with lumbar spine fractures due to osteoporosis and had spinal fusion cement surgery at Can Tho University of Medicine and Pharmacy Hospital in 2021 and 2022. Results: The patient's average preoperative VAS pain scale score was 6.21 ± 1.225. Vertebral body collapse angle was 12.38⁰ ± 3.84⁰. Kyphosis angle was 9.44⁰ ± 2.93⁰. The location of fracture subsidence appears high in the thoracolumbar hinge vertebrae (T12 29.4% and L1 23.5%). The average volume of cement injected into the vertebral body was 4.1 ± 0.79 ml. Postoperative assessment of symptoms of pain, movement, kyphosis angle, and vertebral body collapse angle all improved well. Conclusions: Biocement injection method to shape the vertebral body gives good results in clinical improvement in patients with vertebral fractures due to osteoporosis.