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RESULTS OF POSTERIOR SURGERY FOR TREATMENT OF THOROACTURAL AND LUMBAR SPINE FRACTURES AT VIETDUC UNIVERSITY HOSPITAL
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Abstract
Objective: To evaluate the results of posterior surgery for treatment of thoracolumbar spine fractures at VietDuc University Hospital. Subjects and methods: A cross-sectional descriptive study on 61 patients diagnosed with thoracolumbar spine fractures treated by posterior surgery at VietDuc University Hospital from October 2022 to October 2025. Results: In the study, males (73.8%); females (26.2%). The most common age group was 40–59 years (49.1%). Regarding sphincter dysfunction, the rate of patients with sphincter dysfunction due to nerve damage in trauma was 65.6%, remaining at this level until 1 month, decreasing to 60.7% after 3 months and 42.6% after 6 months. Assessment of sensory function showed that before surgery, 67.2% of patients had loss of sensation, 31.1% had decrease and 1.6% were normal. After 6 months, the rate of loss of sensation decreased to 45.9%, decrease of sensation 19.7%, while recovery of normal sensation increased to 31.1%. According to the preoperative ASIA classification, patients with level A accounted for the majority (65.6%), followed by C (14.8%), D (14.8%) and B (4.9%). Six months after surgery, the ASIA A rate decreased to 54.1%, while group E (normal) increased to 29.5%; levels B, C and D accounted for 6.6%, 1.6% and 4.9%, respectively. Regarding complications, 57.4% of patients experienced postoperative complications, of which urinary tract infection was the most common (45.9%). No cases of surgical site infection were recorded. Conclusion: Posterior surgery significantly improves sensory-motor function, reduces sphincter dysfunction and re-establishes spinal stability, however, the rate of complete recovery is still limited, urinary complications are still high and mortality is recorded in patients with advanced age, combined injuries, and late surgery. The results emphasize the role of early surgical intervention, active prevention of complications and comprehensive postoperative rehabilitation. It is necessary to implement a continuous management program from the hospital to the post-hospital stage to improve the quality of life and long-term prognosis of patients.
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Keywords
posterior surgery, trauma, thoracolumbar spine, treatment
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