TRƯỢT ĐỐT SỐNG THẮT LƯNG DO THOÁI HÓA: MỐI LIÊN QUAN GIỮA HÌNH ẢNH CỘNG HƯỞNG TỪ VÀ TRIỆU CHỨNG LÂM SÀNG

Abstract

Objectives: To determine the clinical relationship with magnetic resonance imaging (MRI) characteristics of patients with degenerative lumbar spondylolisthesis (DLS). Methods: A cross-sectional descriptive study on 79 patients diagnosed with DLS from December 2022 to June 2023. All patients underwent lumbar MRI and measured and evaluated the indices, including Lumbar intervertebral disc degeneration and lumbar central canal stenosis; lumbar foraminal stenosis; measured indices such as Spinal canal cross-sectional area, flavum ligament thickening, and sliding distance. Clinical symptoms were assessed by the Oswestry Disability Index (ODI). Results: There was no statistically significant difference in the sliding distance and flavum ligament thickening with the groups ODI (mild, moderate, severe, and very severe). No correlation was found between ODI and the sliding distance flavum ligament thickening. There were significant differences in the spinal canal cross-sectional area among the groups of ODI (mild, moderate, severe, and very severe). There is a negative correlation between the spinal canal cross-sectional area and the ODI score (correlation coefficient r = -0.231). Conclusion: Reduced lumbar spinal cross-sectional area may lead to a reduction in the ODI score in patients with degenerative spondylolisthesis.