KẾT QUẢ PHẪU THUẬT CHẤN THƯƠNG CỘT SỐNG ĐOẠN BẢN LỀ NGỰC – THẮT LƯNG KHÔNG LIỆT TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objectives: To describe the clinical characteristics, imaging diagnosis of spinal cord injury in the thoracic-lumbar hinge segment and evaluate the surgical results of the above group of patients by posterior surgical method. Subjects and methods: Retrospective descriptive study of 66 patients diagnosed with thoracic-lumbar spine injury without paralysis and operated at the neurosurgery department of the hospital. Thai Binh Provincial General Hospital from January 2020 to the end of December 2020. Results: The age group from 40 to under 60 years old accounted for 62.1%, the lowest was 22 years old, the highest was 65 years old, the mean age was 45.69 ± 10.34 years old. Causes of daily-life accidents (48.5%). 100% of patients admitted to the hospital have low back pain. Subclinical images on X-ray and Computed tomography (CT) of vertebrae damaged L1 (62.3%), Denis type fracture (72.7%). Postoperative hunchback angle surgery results improved preoperatively to 38.5 degrees, the lowest was 2 degrees. The hunchback angle improved from the maximum 32 degrees after surgery to the smallest 0 degrees. After discharge from hospital, 78.8% of patients had complete pain relief. Overall results: good 59 patients (89.4%), good: 5 patients (7.6%%), moderate: 2 patients (3%), bad: none. Conclusion: Injury to the spine in the thoracic-lumbar hinge segment was the main cause of injury due to daily-life accidents (48.5%). The vertebral body hunchback angle and regional hunchback angle improved much after surgery. After discharge from hospital, 78.8% of patients had complete pain relief. Overall results: good 59 patients (89.4%), good: 5 patients (7,6%), average: 2 patients (3%), bad: (0%)