Influencing factors of low back pain in postoperative patients with osteoporotic thoracolumbar vertebral compression fractures
Objective:To analyze influencing factors of low back pain in postoperative patients with osteoporotic thoracolumbar vertebral compression fractures. Methods:Retrospective analysis of clinical data of 96 patients with osteoporotic thoracolumbar compression fractures admitted to the Third People's Hospital of Puyang from March 2020 to March 2023. Percutaneous kyphoplasty was performed in all patients. The occurrence of low back pain in these postoperative patients was statistically analyzed. Logistic regression was used to analyze the influencing factors of low back pain in the postoperative patients with osteoporotic thoracolumbar vertebral compression fractures. Results:There were 16 cases of low back pain in the 96 postoperative patients with osteoporotic thoracolumbar vertebral compression fractures with an incidence of 16.67％ (16/96),and they was set as the occurrence group. 80 cases did not experience lower back pain,and they were set as the non-occurrence group. There were no significant differences in gender,body mass index,bone cement injection volume and surgical approach between the two groups (P>0.05). The proportions of the patients with age>70 years old,number of fractured vertebrae>2,preoperative bone density T value<-2.5,bone cement leakage,combined fascial damage,non-union of fractured vertebrae,and average vertebral compression rate>50％ were higher in the occurrence group than those in the non-occurrence group,and the differences were statistically significant (P<0.05). Logistic regression analysis showed that age>70 years old,number of fractured vertebrae>2,preoperative bone density T value<-2.5,bone cement leakage,combined fascial damage,non-union of fractured vertebrae,and average vertebral compression rate>50％ were all risk factors for low back pain in the postoperative patients with osteoporotic thoracolumbar vertebral compression fractures (OR>1,P<0.05). Conclusions:Age>70 years old,number of fractured vertebrae>2,preoperative bone density T value<-2.5,bone cement leakage,combined fascial damage,non-union of fractured vertebrae,and average vertebral compression rate>50％ are the risk factors for low back pain in the postoperative patients with osteoporotic thoracolumbar vertebral compression fractures.
OsteoporosisThoracolumbar vertebral compression fracturePercutaneous kyphoplastyLow back painInfluencing factor
万方数据
维普
