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Published: 2021-12-01
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DOI: https://doi.org/10.52852/tcncyh.v147i11.502
Issue
Vol. 147 No. 11 (2021)
Section
Các bài báo
How to Cite
Hùng, K. Đình, Vũ, N., Hải, Đinh M., Trung, T. Q. ., Kiên, T. T., & Tân, H. M. (2021). Treatment of spinal lumbar spondylolisthesis in Hanoi Medical Univesity Hospital. Journal of Medical Research, 147(11), 169-176. https://doi.org/10.52852/tcncyh.v147i11.502

Treatment of spinal lumbar spondylolisthesis in Hanoi Medical Univesity Hospital

Kiều Đình Hùng, Nguyễn Vũ, Đinh Mạnh Hải, Quang Trung Trần, Trần Trung Kiên, Hoàng Minh Tân

Main Article Content

Abstract

Transforaminal lumbar interbody fusion was the most popular surgery in the treatment of spinal lumbar spondylolisthesis. At Hanoi Medical University Hospital, two types of spondylolisthesis surgery have been implemented: open surgery to weld the intervertebral body through the foramen fusion (TLIF) and the surgery to weld the intervertebral body through the small joint invasive (MIS TLIF). This is a retrospective study of 85 patients with lumbar spondylolisthesis operated by TLIF (47 patients) or MIS TLIF (38 patients). The mean age in the study was 56.1 age, the mean VAS score for lumbar spine pain and radicular pain improved from 5.7 ± 0.8 and 6.3 ± 0.6 before surgery to 1.8 ± 0.7 and 0.8 ± 0.4 after surgery. The average ODI before surgery was 58.8 ± 6.2%, after surgery was 20.4 ± 1.3%. Disc height improved from 7.3 ± 2.4mm before surgery to 11.3 ± 0.6mm after surgery, statistically significant with p < 0.05. Most of the patients had spondylolisthesis grade I, II and 92% of the patients were fully corrected after surgery. The rate of bone healing was 100% after 6 months of follow-up. TLIF and MISTLIF surgery in the treatment of spondylolisthesis brought good clinical improvement, good slip correction and bone healing.

Article Details

Keywords

Lumbar spondylolisthesis, TLIF, MIS TLIF, intervertebral bone graft.

References

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