NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH CỘNG HƯỞNG TỪ VÀ SỰ THAY ĐỔI CHẤT LƯỢNG CUỘC SỐNG BẰNG THANG ĐIỂM OSWESTRY Ở BỆNH NHÂN THOÁI HÓA CỘT SỐNG THẮT LƯNG TỪ 40 TUỔI NHẬP VIỆN BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ NĂM 2022- 2023

Abstract

Background: Chronic degenerative lumbar spinal stenosis is a progressive disease that worsens over time and causes many complications that significantly impact the patient's quality of life. Objective: To describe clinical characteristics, MRI findings, and evaluating the changes in quality of life in patients over 40 years old with lumbar spine osteoarthritis after one month of internal medical treatment using the Oswestry Disability Index at Can Tho City General Hospital in 2022-2023. Materials and methods: A cross-sectional descriptive study on 71 patients diagnosed with lumbar spondylosis. Results: Patients with lumbar spine degeneration admitted to the hospital with complications of nerve compression accounted for 88.7%, with the degree of nerve compression on clinical symptoms being level 1 (34.9%), level 2 (63.5%), and level 3 (1.6%). Magnetic resonance imaging (MRI) recorded lumbar spine degeneration according to Modic classification: Modic 1 (20.6%), Modic 2 (69.8%), and Modic 3 (9.5%. The level of severity at hospital admission according to the Oswestry scale was mainly grade 3 (76.1%), grade 4 (21.1%), and grade 5 (2.8%). The Oswestry mean score (%) was 53.43 ± 10.12. After 1 month of treatment, the results according to the Oswestry scale were grade 1 (74.6%) and grade 2 (25.4%). The Oswestry mean score (%) was 17.5 ± 7.39. Conclusion: Patients with lumbar spine degeneration mainly experience complications of nerve compression upon admission.