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Abstract
Background: Thoracic and lumbar spine injuries are common and account for the majority of spinal trauma cases. The thoracolumbar junction is particularly vulnerable to injury due to biomechanical stress concentration at this transition zone. Objective: To evaluate the surgical outcomes of thoracolumbar junction fracture treatment using transpedicular screw fixation at Bac Ninh Provincial General Hospital from January 2021 to September 2023. Methods: A cross-sectional descriptive study was conducted on 60 patients with thoracolumbar junction fractures who underwent posterior pedicle screw fixation. Clinical characteristics, imaging findings, neurological status, and postoperative outcomes were analyzed. Neurological function was assessed using the Frankel classification, and radiological evaluation included kyphotic angle and vertebral body height measurements. Results: The mean age of patients was 48.5 ± 10.6 years. Males accounted for 73.3% and females for 26.7%. Occupational accidents were the most common cause of injury (45%). The most frequently injured vertebra was L1 (67.2%). According to the Dennis classification, compression fractures accounted for 85%, burst fractures for 13.3%, and fracture-dislocations for 1.7%. Postoperative kyphotic angles showed significant improvement. Treatment outcomes were good in 96.6% of cases, fair in 1.7%, and average in 1.7%. Conclusion: Posterior transpedicular screw fixation provides favorable clinical and radiological outcomes in the treatment of thoracolumbar junction fractures. Compression fractures demonstrated better prognoses compared with other fracture types.
| Published | 2025-12-31 | |
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| Issue | Vol. 4 No. 5 (2025) | |
| Section | Original article | |
| DOI | 10.66517/jstmp.2025.5.2 | |
| Keywords | Spinal injury, Thoracolumbar junction, Pedicle screw fixation Chấn thương cột sống, Bản lề ngực - thắt lưng, Nẹp vít qua cuống |
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