PKP治疗骨质疏松性椎体压缩骨折早期疼痛缓解不佳相关因素分析

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Abstract Objective To explore the risk factors related to poor relief of back pain after percutaneous kyphoplasty (PKP) operation in the treatment of osteoporotic vertebral compression fractures.Methods 136 patients aged over 60 (36 male，100 female) with osteoporotic vertebral compression fractures (OVCF) were treated by PKP operation from December 2016 to December 2019 in our hospital.The mean age of the patients was (81.0±8.1) years (60~94 years).The data of age，gender，history of trauma，medical comorbidities (hypertension，diabetes)，preoperative bone mineral density(BMD)，position of fracture vertebral body，vertebral compression degree，operation time，visual analogue scale，volume of cement injection，cement leakage，cement distribution，whether combined with fascia injury of the patients were collected.According to the early postoperative visual analogue scale (VAS)，the patients were divided into poor pain relief group (VAS>4) and satisfactory pain relief group (VAS≤4).The data of the two groups were analyzed.Results Univariate analysis showed that there were significant difference between the two groups in preoperative bone mineral density，degree of fracture compression，distribution of cement and whether combined with fascia injury (P＜0.05).Multivariate Logistic regression analysis showed that low preoperative bone mineral density，fracture compression Ⅲ (Genant semiquantitative)，poor cement distribution，and combined with thoracolumbar fascia injury were risk factors for poor relief of back pain after PKP.
Conclusion PKP is an effective procedure for the treatment of OVCF.Low preoperative bone mineral density，obvious loss of vertebral body height，combined with thoracolumbar fascia injury，and poor cement distribution are the main factors associated with poor relief of back pain after PKP.

Key words： thoracolumbar osteoporotic vertebral compression fracture percutaneous kyphoplasty pain

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	Li Yuan
	Li Liping
	Li Qiang

Cite this article:

Li Yuan,Li Liping,Li Qiang. Analysis of Risk Factors Related to Poor Relief of Back Pain After PKP Operation in the Treatment of Osteoporotic Vertebral Compression Fractures[J]. sygkzz, 2023, 29(5): 390-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I5/390

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