Analysis of influencing factors of pain after vertebroplasty in elderly patients with vertebral compression fracture
Objective To analyze the related influencing factors of pain after vertebroplasty in elderly patients with ver-tebral compression fracture(VCF),provide necessary reference for clinical intervention and improve the prognosis of elderly patients.Methods A total of 120 elderly patients with thoracolumbar VCF treated by vertebroplast in Department of Spinal Surgery,Second People's Hospital of Lianyungang City from January 2023 to January 2024 were retrospectively selected.Visu-al analog scale(VAS)was used to evaluate the pain status of the patients one month after surgery.The postoperative pain was defined as a decrease of less than 5 points in the VAS score and pain relief of less than 70％one month after surgery.Their medical records and imaging data were reviewed and their body mass index(BMI),age,sex,history of diabetes,history of hypertension were recorded.Preoperative and postoperative imaging examinations were performed to determine the postopera-tive vertebral height recovery,lumbar bone density T value,lumbar and back soft tissue damage,bone cement leakage,in-traspinal vacuum fissure sign(IVC),paravertebral steatosis,analgesic drug use score(AUS),and clinical efficacy.Results A total of 120 patients were included.Their preoperative VAS score was(7.29±0.95)points,and the VAS score one month after surgery was(2.62±0.63)points.VAS evaluation conducted one month after surgery showed that 20 patients had postoperative pain,with an incidence of 16.67％(20/120).There was no significant difference in gender,BMI,history of hypertension,history of diabetes,AUS score and surgical efficacy between the postoperative pain group and the postopera-tive pain-free group(P＞0.05).There were significant differences in age,fascia damage,intermediate vertebral height recov-ery,anterior vertebral edge height recovery,postoperative infection,bone cement leakage,bone mineral density,paravertebral steatosis and IVC between the two groups(P＜0.05).Binary logistic regression analysis showed that damaged fascia,less than 3.00 mm of intermediate vertebral height recovery,bone mineral density＜3.5 g/m3,bone cement leakage,grade 2-4 paraver-tebral steatosis,and IVC were the influencing factors for postoperative pain in elderly VCF patients(P＜0.05).Conclusion Damaged fascia,insufficient recovery of intermediate vertebral height,low bone mineral density,bone cement leakage,in-traspinal vacuum fracture,and more paravertebral muscle steatosis are the main factors for postoperative pain in elderly VCF pa-tients.Targeted clinical measures should be taken to alleviate the postoperative pain and improve the prognosis of patients.
elderlycompression fracture of vertebral bodyvertebroplastypostoperative paininfluencing factor
万方数据
维普
