Trinidad and Tobago finished behind Jamaica with 109 of its students finishing in the top 10 in the region.
CSEC is administered by the Caribbean Examinations Council (CXC) and is mostly done by grade 11 students.
Jamaican student Nile Anderson of Manning's School has won the CXC regional award for the Most Outstanding Candidate in the Sciences. He achieved grade one in 13 subjects and grade two in three others.
Meanwhile, students from Trinidad and Tobago have dominated the regional rankings in the Caribbean Advanced Proficiency Examination (CAPE).
This almost doubled the number of Jamaican students in top 10 positions.
However, two Jamaican students have achieved regional awards in CAPE.
Romario White of Campion College has won the Natural Science Award with grade one in nine units, while Jozelle Dixon of Wolmer's Girls' School has been selected for the Humanities Award. She achieved grade one in seven units.
Meanwhile, Education Minister Ronnie Thwaites says tributes should be paid to students, teachers and parents who are responsible for the outstanding performances.
He says the Ministry is particularly pleased with the performances in technical and vocational subjects.
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