KẾT QUẢ NẸP VÍT QUA CUỐNG ĐIỀU TRỊ GÃY CỘT SỐNG ĐOẠN BẢN LỀ NGỰC THẮT LƯNG MẤT VỮNG TẠI BỆNH VIỆN ĐA KHOA TỈNH NINH BÌNH

Abstract

Objectives: To evaluate the outcomes of transpedicular screw fixation in the treatment of unstable thoracolumbar vertebral fractures at Ninh Binh General Hospital.  Methods: A cross-sectional descriptive study was conducted among 112 patients with unstable thoracolumbar vertebral fractures without neurological deficits. Results: 112 patients (53 males, 59 females);  median age was 52.2 (from 15 to 71 years old);  Clinical manifestations: back pain accounted for 100%;  swelling 55.4%;  hematoma 15.2%; paraspinal muscle spasm 34.8%; The most common site of injuries was L1: 47.9%; Fractures were seen on CT: Vertebral body 100%; pedicle: 8.9%; lamina: 28.6%; Spinous process: 7.1% transverse process: 10.7%;  The effectiveness of spinal fracture reduction: The local and segmental kyphotic angle of injured segment were significantly reduced (p<0.001) in the pre and postoperarive comparison statistically. The average reduction rate of local kyphotic angle reached 72.6%; The rate of surgical site infection accounted for 1.8%.  The outcomes at 6 month postoperatively according to the Denis pain and work scale attained good level. Conclusion: Transpedicular screw fixation of unstable thoracolumbar vertebral fractures gives patients high efficiency of spinal correction and good recovery.