ĐẶC ĐIỂM LÂM SÀNG, CHẨN ĐOÁN HÌNH ẢNH CHẤN THƯƠNG CỘT SỐNG NGỰC CAO ĐIỀU TRỊ PHẪU THUẬT TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To describe the clinical, subclinical of patients with upper thoracic spine fractures at the Spinal Surgery Department- Viet Duc University Hospital. Subjects and methods: 23 patients were diagnosed upper thoracic spine fractures at Sipnal Surgery Department- Viet Duc University Hospital from June 2018 to June 2021. Results: 23 patients were diagnosed upper thoracic spine fractures who underwent decompression and pedicle screw surgery at the Spine surgery department the mean age was 33.96 ± 14.62, most common in the working age group (from 20 to 60) accounting for 78.3%. The main cause is traffic accidents, accounting for 69.6%. The ratio in men is higher than in women with a ratio of ~ 4.75/1. Clinical symptoms: all patients had pain in the traumatic spine area with an average VAS of 5.52 ± 1.34; Neurological damage according to AIS when entering the hospital is 60.8% AIS A, AIS B accounts for 13%, AIS C accounts for 8.7%, AIS D accounts for 4.3%. In terms of subclinical, the most common lesion location is T4 with 15 segments, followed by T3 with 12 segments; 47.8% of patients had damage to 2 vertebrae, 4.3% of patients had damage to 3 vertebrae, 47.3% of patients had damage to 1 vertebra. Conclusion: The disease mainly occurs in working age people, mainly due to traffic accidents. The clinical symptoms of all patients include pain in the traumatic spine area with nerve damage.