Association between vertebral bone quality score and residual back pain following percutaneous vertebroplasty for osteoporotic vertebral compression fractures.
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引用次数: 0
Abstract
Background: Residual back pain (RBP) is one of the complications following percutaneous vertebroplasty (PVP) in older people with osteoporotic vertebral compression fractures (OVCFs). The vertebral bone quality (VBQ) score obtained from magnetic resonance imaging (MRI) can be used to evaluate bone quality. The objective of this study aimed to explore the potential relationship between the VBQ score and RBP after PVP.
Methods: From January 2018 to January 2022, patients with OVCFs who underwent PVP in our hospital were retrospectively reviewed. Each patient's lumbar VBQ score was recorded. The RBP was defined as a visual analog scale (VAS) score ≥ 4 for back pain postoperatively. Other variables included demographic, clinical, radiological, and surgical data. The univariate and multivariate logistic regression analyses were used to determine the independent risk factors.
Results: The incidence of RBP was 8.0% among 598 patients. The results of the multivariate regression analysis showed that preoperative VBQ score (OR 3.295, P < 0.001), BMD (OR 0.545, P = 0.007), lumbodorsal fascia contusion (OR 4.297, P = 0.034), and cement distribution (OR 4.556, P = 0.006) were risk factors associated with RBP after PVP.
Conclusions: The preoperative high VBQ score was an independent risk factor associated with RBP after PVP. Moreover, other risk factors included low BMD, lumbodorsal fascia contusion, and cement distribution. The MRI-VBQ score may serve as a useful tool for assisting in evaluating patients at risk of RBP following PVP.
期刊介绍：
"European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts.
Official publication of EUROSPINE, The Spine Society of Europe
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