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Abstract
Objective. To evaluate the significance of clinical, neurological, and radiological criteria in selecting the surgical treatment method for thoracic spine injuries and to develop an optimal treatment strategy.
Materials and Methods. The study included 43 patients treated for thoracic spine injuries. Of these, 31 (72.1%) were male and 12 (27.9%) were female. The patients ranged in age from 18 to 60 years, with the majority (29 patients, 67.4%) aged 25–45 years. All patients underwent clinical, neurological, radiographic, multislice computed tomography (MSCT), and magnetic resonance imaging (MRI) examinations. Depending on the characteristics of the injury, 17 patients underwent percutaneous vertebroplasty, while 26 patients received transpedicular fixation with ligamentotaxis.
Results. The findings demonstrated that the choice of surgical technique should be based not only on the severity of the fracture but also on the degree of vertebral body height loss, kyphotic deformity, posterior wall integrity, neurological status, and the condition of the ligamentous structures. Percutaneous vertebroplasty yielded favorable outcomes in stable Grade II compression fractures, whereas transpedicular fixation provided superior spinal stabilization in unstable injuries and those associated with neurological deficits.
Conclusion. A differential approach to selecting the surgical method for thoracic spine injuries improves functional outcomes, reduces the incidence of complications, and facilitates early patient rehabilitation.
References
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