NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG TRÊN BỆNH NHÂN ĐAU VÙNG CỔ GÁY TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Neck pain is a multifactorial disease and a major problem in modern society. Objectives: To describe clinical and paraclinical characteristics of patients with neck pain coming for examination and treatment at Can Tho Central General Hospital in 2023-2024. Materials and methods: Prospective, cross-sectional study with analysis of 153 patients with neck pain who came for examination and treatment at the clinic and neurology department of Can Tho Central General Hospital from May June 2023 to June 2024. Results: The level of neck pain according to the VAS scale recorded 40.52% moderate pain, 35.95% mild pain and the lowest 23.53% severe pain, with 15.03% chronic neck pain. X-rays (111case) recorded: loss of physiological curve at 55.86%, bone spurs at 54.05%, subchondral bone thickening at 49.55% and joint space narrowing at 14.52%. Cervical spine MRI (42 cases) recorded: mobic type1 at 45.24%, mobic type 2 at 19.05%, disc degeneration at 66.67%, disc herniation at 16.67%, nerve root damage, foraminal stenosis, central stenosis, facet joint inflammation and arthritis. Conclusion: The majority of patients with neck pain were due to degeneration of the cervical spine with or without nerve root compression. Patients presenting with cervical pain were mainly in the acute phase with moderate pain. The main paraclinical was X-ray or MRI of the cervical spine that records bone spurs, subchondral bone density, mobic type 1, mobic type 2, and disc herniation as the main symptoms of cervical spondylosis.