Objective:To analyze the influencing factors of low back pain after percutaneous vertebroplasty(PVP)in patients with osteoporotic vertebral compression fracture(OVCF).Methods:A total of 157 patients with OVCF who were treated in Wuhan Orthopedic Hospital of Integrated Chinese and Western Medicine from April 2021 to April 2023 were retrospectively analyzed.According to whether postoperative low back pain was existed,the patients were divided into pain group(n=33)and non-pain group(n=124).Univariate and multivariate Logistic analysis were used to study the influencing factors of postoperative low back pain in OVCF patients.Results:The results of univariate analysis showed that there were statistically significant differences in bone mineral density(BMD),thoracolumbar fascia injury,bone cement leakage,vertebral fissure signs and self-energy efficiency between the two groups(all P＜0.05).Multivariate Logistic regression analysis showed that BMD＜-3.50 g/cm3(OR=5.046,95％CI:1.869,13.624),vertebral fissure(OR=6.764,95％CI:2.501,18.289),thoracolumbar fascia injury(OR=2.935,95％CI:1.121,7.687),bone cement leakage(OR=3.289,95％CI:1.264,8.559)and low sense of self-energy efficiency(OR=4.140,95％CI:1.499,11.436)were independent risk factors for postoperative low back pain in OVCF patients(all P＜0.05).Conclusion:BMD＜-3.50 g/cm3,complicated thoracolumbar fascia injury,bone cement leakage and vertebral fissure signs,and low sense of self-energy efficiency are independent influencing factors for low back pain in OVCF patients after PVP.
postoperative low back painosteoporosis vertebral compression fracture(OVCF)bone cement leakage
维普
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