Hiệu quả cải thiện chiều cao thân đốt sống của phương pháp tạo hình đốt sống qua da trong điều trị xẹp đốt sống do loãng xương

Abstract

Objective: To evaluate the effectiveness of improving vertebral body height of percutaneous vertebroplasty in the treatment of vertebral body collapse due to osteoporosis. Subject and method: Intervention study and longitudinal follow-up on 150 patients with vertebral collapse due to osteoporosis undergoing percutaneous vertebroplasty (THDQD) at Friendship Hospital from January 2017 to January 2024. Result: Among 150 patients, women accounted for the majority with 86 patients (57.3%). The average age of the study group was 78.4 ± 8.9 years old. The majority of patients received 1 vertebra intervention, 85.3%. Of the 182 vertebral bodies that were performed, most were lumbar vertebrae with 67%, 160 vertebrae (87.9%) were accessed through a pedicle and 69.8% of vertebrae had >5ml of cement injected. Comparing the vertebral height before intervention with immediately after intervention and 1 year after intervention, vertebral body height improved in both the anterior wall, middle wall, and posterior wall (p<0.01). The difference in vertebral body height immediately after intervention and after 1 year was no difference (p>0.05). Conclusion: THDSQD treatment method helps improve the height of the collapsed vertebral body immediately after intervention and maintains it for at least 1 year after intervention.