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KẾT QUẢ CỦA PHƯƠNG PHÁP TẠO HÌNH ĐỐT SỐNG NGỰC QUA DA Ở NHỮNG BỆNH NHÂN XẸP CẤP THÂN ĐỐT SỐNG DO LOÃNG XƯƠNG
Main Article Content
Abstract
Objective: Report results of percutaneous vertebroplasty for
treatment of osteoporotic compression fractures in the thoracic spine
Methods: There is a retrospective combined prospective study in
40 patients who had fractured thoracic vertebrae due to osteoporosis were
performed vertebroplasty at Bach Mai Radiology Center from January
2018 to March 2019. Patient’s pain status was rated with Visual Analogue
Scale (VAS) score and Macnab system, pre- and post-operative vertebral
heights and Cobb’s angles were measured and complications were noted
1 week, 1 month, 3 months after surgery.
Results:40 patients with 56 fractured vertebraes show that there
are no complications in the process of puncture needle and system
complications, 12,5% cases of cement leakages into peri-vertebrae
there is no case of cement cause pulmonary embolism, 5% case of pain
post- operative. VAS scores were significantly reduced from 6.95 to
1.72, 86,95% has good and excellent, Cobb angle slightreduced from
14.4±9.1 to 13.2±8.5, the anteriorvertebral height slight increased from
18.5±4.3mm to 19.1±4.1mm, the middle vertebral height increases from
16.7±4.3mm to 17.4±4.3mmwith p<0.05, there is no significant changing
in the post vertebral height after 3 months of intervention with p>0, 05.
Conclusion: Percutaneous vertebroplasty thoracic spine is a safe
and effective method in order to provide rapid pain relief, but is less
significant in improving the Cobb angle and vertebral body height.
Article Details
Keywords
Percutaneous vertebroplasty thoracic spine, treatment of Thoracic Fracture, pain reduction, change vertebral height
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