骨质疏松椎体压缩性骨折躯体牵涉痛的临床分型及治疗

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (625 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the clinical characteristics and clinical treatment effect of somatic referred pain of osteoporotic vertebral compression fracture(OVCF).Methods The clinical data of patients with OVCF hospitalized in our department from June 2013 to June 2017 were retrospectively analyzed.41 patients with somatic referred pain were enrolled this study.There were 8 males and 33 females，with an average age of (75.5±5.5)(range 64~91).The Type of somatic referred pain were classified into A~E types according to the pain distribution patterns.All patients underwent percutaneous kyphoplasty(PKP) ，the visual analog scale (VAS) and the Oswestry disability index (ODI) were recorded preoperatively and postoperatively to assess the pain and disability degree of patients.Results 41 patients were analyzed and types distribution were 20 cases of Type A，7 cases of Type B，6 cases of Type C，3 cases of Type D and 5 cases of Type E.The VAS and ODI significantly improved postoperatively and final follow-up in all patients(P＜0.05).There was no significant difference in VAS and ODI score preoperatively between the different types (P＞0.05)，but significant differences was found in VAS and ODI score during postoperative and final follow-up (P＜0.01).Conclusion Somatic referred pain is more common in patients with OVCF，Type A is the most common type，and Type D and Type E are relatively rare.PKP is an effective treatment for OCVF with somatic referred pain.

Key words： osteoporosis spinal fracture referred pain percutaneous kyphoplasty

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I3/201

［1］LIU R，CHAO A，WANG K，et al.Incidence and risk factors of medical complications and direct medical costs after osteoporotic fracture among patients in China［J］.Arch Osteoporos，2018，13(1)：12.
［2］Lyles KW，Gold DT，Shipp KM，et al.Association of osteoporotic vertebral compression fractures with impaired functional status［J］.Am J Med，1993，94(6)：595-601.
［3］Bogduk N.On the definitions and physiology of back pain，referred pain，and radicular pain［J］.Pain，2009，147(1-3)：17-19.
［4］Robinson JR.Lower extremity pain of lumbar spine origin：differentiating somatic referred and radicular pain［J］.J Man Manip Ther，2013，11(4)：223-234.
［5］Fukui S，Ohseto K，Shiotani M，et al.Distribution of referred pain from the lumbar zygapophyseal joints and dorsal rami［J］.Clin J Pain，1997，13(4)：303-307.
［6］Jung JH，Kim HI，Shin DA，et al.Usefulness of pain distribution pattern assessment in decision-making for the patients with lumbar zygapophyseal and sacroiliac joint arthropathy［J］.J Korean Med Sci，2007，22(6)：1048.
［7］O’Neill CW，Kurgansky ME，Derby R，et al.Discstimulation and patterns of referred pain［J］.Spine，2002，27(24)：2776-2781.
［8］Friedrich M，Gittler G，Pieler-Bruha E.Misleading history of pain location in 51 patients with osteoporotic vertebral fractures［J］.Eur Spine J，2006，15(12)：1797-1800.
［9］Doo TH，Shin DA，Kim HI，et al.Clinical relevance of pain patterns in osteoporotic vertebral compression fractures［J］.J Korean Med Sci，2008，23(6)：1005-1010.
［10］Yang YM，Ren ZW，Ma W，et al.Kyphoplasty for the treatment of pain distant to osteoporotic thoracolumbar compressive fractures［J］.Cell Biochem Biophys，2014，68(3)：523-527.
［11］刘宪义，李淳德，于峥嵘，等.胸腰段椎体压缩骨折后远隔部位疼痛的诊治［J］.中华医学杂志，2010，90(5)：346-348.
［12］Patel U，Skingle S，Campbell GA，et al.Clinicalprofile of acutevertebralcompressionfractures in osteoporosis［J］.Br J Rheumatol，1991，30(6)：418-421.
［13］单建林，张阳，单忠林，等.胸腰段椎体压缩性骨折中下腰痛症状观察及机制分析［J］.脊柱外科杂志，2015，13(1)：33-36.
［14］施荣茂，陈太邦，梁金龙，等.经皮椎体后凸成形术治疗有远隔部位疼痛的骨质疏松椎体压缩性骨折［J］.中华创伤骨科杂志，2018，20(2)：136-141.
［15］任志伟，尹思，王莹，等.经皮椎体后凸成形术治疗多节段骨质疏松性椎体压缩性骨折的疗效分析［J］.实用骨科杂志，2018，24(7)：633-637.
［16］Gibson JE，Pilgram TK，Gilula LA.Response of nonmidline pain to percutaneous vertebroplasty［J］.AJR Am J Roentgenol，2006，187(4)：869-872.
［17］王立，郭东明，侯之启.经皮椎体增强术治疗骨质疏松性压缩性骨折远处疼痛的价值［J］.中华创伤骨科杂志，2010，12(2)：122-125.