Risk factors for low back pain following percutaneous vertebroplasty in patients with osteoporotic vertebral compression fracture
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View abstract on PubMed
Summary
This summary is machine-generated.Older age, multiple fractures, lumbar comorbidities, emotional status, fracture site, and fascial injury increase low back pain risk after percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures (OVCF).
Area Of Science
- Orthopedics
- Pain Management
- Geriatric Medicine
Background
- Osteoporotic vertebral compression fractures (OVCF) are a significant cause of morbidity.
- Percutaneous vertebroplasty (PVP) is a common treatment for OVCF.
- Postoperative low back pain after PVP can impact patient recovery and quality of life.
Purpose Of The Study
- To determine the incidence of low back pain following PVP in OVCF patients.
- To identify independent risk factors associated with low back pain post-PVP.
Main Methods
- Retrospective analysis of 148 OVCF patients treated between March 2020 and 2023.
- Logistic regression analysis to identify risk factors for low back pain.
- Receiver operating characteristic (ROC) curve analysis to assess predictive values.
Main Results
- Low back pain occurred in 22.97% of patients post-PVP.
- Significant risk factors included older age (>75), multiple fractured vertebrae (≥2), lumbar spine comorbidities, emotional status, fracture site, and preoperative fascial injury.
- ROC analysis indicated moderate predictive value for age, fracture number, comorbidities, and fracture site.
Conclusions
- Several factors significantly increase the risk of low back pain after PVP in OVCF patients.
- Identifying these risk factors is crucial for targeted pain management strategies.
- Findings offer insights for improving postoperative care and patient outcomes.
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