With two goals: Description of surgical injury characteristics and deformation on the image diagnosis, survey of TLICS and LSC values in lower thoracic and lumbar spinal injury. Evaluate the results of surgery for the treatment of lower thoracic and lumbar spinal fractures with posterior splints and screws. | 1 BACKGROUND A thoracic and lumbar spinal injuries account for the majority about 90 of spinal injuries. In which thoracolumbar spine hinge vertebra T11 L2 and lower lumbar L3 L5 account for about 84 mainly with the indirect mechanism. Classification emphasizes on the form of injury integrity of the posterior ligamentous complex and nerve damage. The role of the posterior ligamentous system in the stable spinal structure is confirmed and appreciated by many authors. This is an issue that needs to be paid more attention to in the diagnosis and treatment of spinal injury in Vietnam when no previous research has specifically and fully mentioned before. For surgical indication the authors based on the loss of steadiness of the injured spinal vertebra on the basis of the morphologic damage nerve damage and posterior ligamentous complex. However each indication has its own advantages and disadvantages. Recent studies have been made on the validity and reliability of Vaccaro AR s TLICS thoracolumbar injury classification and severity score and indicate cases where scores of 1 to 4 had to undergo surgery late after a conservative treatment period or narrow scope of application in the multiple vertebral fracture group under the indication of McCormack and Wood KB. Posterior approaches for treatment of thoracic spinal injury is becoming more and more popular effective and dominant. The efficiency of multiple vertebral fracture surgery has been enhanced and demonstrated in studies by Smith JS Ataka H. Kaminski A. The findings of Greenberg MS about degenerative joint diseaserequired for early surgery after 3 years in long band fixations 4 bands after 8 to 9 years in short band fixations 2 to 3 bands . Therefore from these issues we carry out the topic Study on surgical injury characteristics and results of surgery for treatment of the lower thoracic and 2 lumbar spinal fractures due to traumatic injury by splints and screws with two goals 1. Description of surgical injury .
