ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BẢO TỒN CHẤN THƯƠNG CỘT SỐNG NGỰC THẮT LƯNG TRONG PHÂN LOẠI A3, A4 THEO AO SPINE TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC Trần Đình Toản1 ,Vũ

Abstract

Background: Treatment of thoracolumbar spine injuries (T11 – L2) types A3, A4 according to the AO Spine classification without neurological damage is still controversial. Conservative treatment with a spinal orthosis is a reasonable treatment option. Objectives: Evaluate the results of conservation of thoracolumbar spine injuries in the A3 and A4 classification according to AO Spine. Subjects and methods: Retrospective and prospective description of 45 patients with thoracolumbar spinal cord injury (from T11 to L2) in classification A3, A4 according to AO Spine and treated conservatively at the Department of Spinal Surgery - Viet Duc Hospital from April 2023 to April 2024. Results: Mean age was 41.3 ± 11.4 years old, male/female ratio was 1.8/1. After 6 months of follow-up, there was a significant improvement in pain level (VAS: 0.93 ± 0.84 points), function (ODI: 12.5 ± 12.9%), and quality of life (SF- 36). The vertebral body kyphosis angle and regional kyphosis angle after conservative treatment did not change significantly. Conclutions: Conservative treatment is a safe option and produces positive results.