KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT CHẤN THƯƠNG CỘT SỐNG NGỰC CAO TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: Evaluate the results of surgical treatment of upper thoracic spine injuries at Viet Duc University Hospital. Methods: Research patients diagnosed with spinal injuries from T1 to T5 at the spine surgery department of Viet Duc university hospital from 6/2018 to 6/2021. Results: Average surgery time was 128.1 ± 40.3 minutes, blood loss during and after surgery: 404.4 ± 428 ml. Complications: pressure sores in 5 patients (21.7%), surgical wound infection in 1 patient (4.3%); There were 03 patients who died 1 year or more after surgery. Neurological recovery according to AIS, evaluating the recovery of 52.17% of patients with neurological recovery according to AIS for 6 months or more, of which 2/14 patients (14.3%) recovered from AIS A to AIS B, 1/14 patients (7.1%) recovered from AIS A to AIS C, 6/23 patients (26.1%) patients with injury levels AIS B, AIS C, AIS D all recovered. converted to AIS E. General results according to Macnab criterial: 47.8% of patients after surgery had good results, 34.8% excellent results, 13% poor results, 4.3% fair results. On x-ray, the kyphosis angle of the vertebral body and the kyphosis angle of the injured area are improved before and after surgery. Vertebral kyphosis angle: before surgery it was 12.78⁰, after surgery it was 7.94⁰. There was an improvement in the kyphosis angle before and after surgery. Kyphosis angle in the injured area: before surgery it was 22.7⁰, after surgery it was 17.35⁰. Conclusion: Surgical treatment of upper thoracic spine injuries gives certain feasible results in nerve damage recovery and post-operative care in patients.