骨质疏松性胸腰椎压缩性骨折患者椎体成形术后腰背疼痛的危险因素研究

Study on the Risk Factors of Back Pain in Patients with Osteoporotic Thoracolumbar Compression Fractures after Vertebral Augmentation Surgery

研究骨质疏松性胸腰椎压缩性骨折(osteoporotic vertebral compression fracture,OVCF)患者椎体成形术后腰背疼痛的危险因素。选取北京积水潭医院贵州医院2020年1月—2022年12月收治的80例OVCF患者为研究对象。所有患者均开展椎体成形术治疗,按照术后是否出现腰背疼痛分为疼痛组(n=19)及无疼痛组(n=61),分析OVCF患者椎体成形术后腰背疼痛的影响因素。结果显示,疼痛组BMI、术前骨密度T值均低于无疼痛组(P<0.05);疼痛组腰背筋膜损伤、骨水泥分布不满意人数占比均高于无疼痛组,术后椎体高度恢复率及术后Cobb角改善率低于无疼痛组(P<0.05)。研究发现,OVCF患者椎体成形术后腰背疼痛的影响因素较多,包括BMI、术前骨密度T值以及术后椎体高度恢复率、Cobb角改善率、腰背筋膜损伤、骨水泥分布等。

Study the risk factors for postoperative back pain in patients with osteoporotic thoracolumbar compression fracture(OVCF)undergoing vertebral augmentation surgery.Select 80 OVCF patients admitted to Beijing Jishuitan Hospital Guizhou Hospital from January 2020 to December 2022 as the research subjects.All patients underwent vertebral augmentation surgery and were divided into a pain group(n=19)and a no pain group(n=61)based on whether they experienced back pain after surgery.The influencing factors of back pain in OVCF patients after vertebral augmentation surgery were analyzed.The results showed that the BMI and preoperative bone density T value of the pain group were lower than those of the non pain group(P<0.05);The proportion of people with lower back fascia injury and unsatisfactory distribution of bone cement in the pain group was higher than that in the no pain group,and the postoperative vertebral height recovery rate and Cobb angle improvement rate were lower than those in the no pain group(P<0.05).Research has found that there are many influencing factors for lower back pain in OVCF patients after vertebral augmentation surgery,including BMI,preoperative bone density T value,postoperative vertebral height recovery rate,Cobb angle improvement rate,lower back fascia injury,and bone cement distribution.