ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ MẤT VỮNG CỘT SỐNG THẮT LƯNG DO THOÁI HÓA BẰNG KỸ THUẬT HÀN XƯƠNG LIÊN THÂN ĐỐT QUA LỖ LIÊN HỢP TẠI BỆNH VIỆN QUÂN Y 7A

Hoàng Bùi Thanh; Trí Lê Quang

doi:10.59354/ydth175.2020.154

Abstract

Objectives: To evaluate clinical results and bone fusion, complications of Transforaminal lumbar interbody fusion (TLIP) technique for treatment of lumbar spine instability.

Methods: A prospective cohort study, consisting of 37 patients treated with Transforaminal lumbar interbody fusion. Assess blood loss, length of hospital stay and complications during and after surgery. Clinical results were assessed using VAS and Macnab scale. Bone fusion was assessed by X-ray and CT scan according to Bridwell.

Results: The average surgery time 160 ± 28 minutes. The amount of blood lost was 230 ± 109 ml. The average number of days hospitalized after surgery 8.67 ± 1.66 days. Significant analgesic pain after surgery VAS = 3.72 ± 1.04; after 1 year is 1.64 ± 1.28. Postoperative results at the time of good discharge accounted for 70.27%; After 1 year, the good and very good rate is 93.54%. The results of good bone fusion after 1 year were 93.34%.

Conclusion: Treatment of vertebral instability by transforaminal lumbar interbody fusion is a safe and effective method, achieving good clinical results, with high bone fusion rate.

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