Risk Factors for Residual Back Pain After PVP Treatment for osteoporotic Thoracolumbar Compression Fractures: A Retrospective Cohort Study
To explore the risk factors of residual back pain after percutaneous vertebroplasty (PVP) in patients with osteoporotic vertebral compression fracture (OVCF). We retrospectively reviewed the records of 675 patients with OVCF treated with PVP from January 2015 to January 2020. Postoperative back pain...
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| Veröffentlicht in: | World neurosurgery 2023-12, Vol.180, p.e484-e493 |
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| creator | Wang, Zhi-Wei Wang, Guang-Ying Liu, Dao-Kuo Zhang, Dong-Zhe Zhao, Chong |
| description | To explore the risk factors of residual back pain after percutaneous vertebroplasty (PVP) in patients with osteoporotic vertebral compression fracture (OVCF).
We retrospectively reviewed the records of 675 patients with OVCF treated with PVP from January 2015 to January 2020. Postoperative back pain intensity was assessed by the VAS score. Residual back pain was defined as the presence of postoperative moderate-severe pain (average VAS score≥4), and the variables included patient characteristics, baseline symptoms, imaging data and operation-related factors. Risk factors were identified with univariate and multivariate logistic regression analysis.
Residual back pain occurred in 46 of the 675 patients included in the study, with an incidence rate of 6.8%. Multivariate logistic regression analysis showed that low Pre-BMD (OR = 3.576, P = 0.041), multiple vertebral fractures (OR = 2.795, P = 0.026), posterior fascia injury (OR = 4.083, P = 0.032), cement diffusion volume rate |
| doi_str_mv | 10.1016/j.wneu.2023.09.094 |
| format | Article |
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We retrospectively reviewed the records of 675 patients with OVCF treated with PVP from January 2015 to January 2020. Postoperative back pain intensity was assessed by the VAS score. Residual back pain was defined as the presence of postoperative moderate-severe pain (average VAS score≥4), and the variables included patient characteristics, baseline symptoms, imaging data and operation-related factors. Risk factors were identified with univariate and multivariate logistic regression analysis.
Residual back pain occurred in 46 of the 675 patients included in the study, with an incidence rate of 6.8%. Multivariate logistic regression analysis showed that low Pre-BMD (OR = 3.576, P = 0.041), multiple vertebral fractures (OR = 2.795, P = 0.026), posterior fascia injury (OR = 4.083, P = 0.032), cement diffusion volume rate <0.2 (OR = 3.507, P = 0.013), facet joint violation (OR = 11.204, P < 0.001), and depression (OR = 3.562, P = 0.035) were positively correlated with residual back pain after PVP.
Low pre-BMD (pre-bone mineral density), multiple vertebral fractures, posterior fascia injury, cement diffusion volume rate <0.2, facet joint violation and depression were the independent risk factors of residual back pain after PVP.</description><identifier>ISSN: 1878-8750</identifier><identifier>ISSN: 1878-8769</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2023.09.094</identifier><identifier>PMID: 37774786</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Back Pain - etiology ; Bone Cements ; Fractures, Compression - complications ; Humans ; Osteoporotic Fractures - complications ; Osteoporotic Fractures - epidemiology ; Osteoporotic Fractures - surgery ; Osteoporotic vertebral compression fracture ; Pain, Postoperative - etiology ; Percutaneous vertebroplasty ; Residual back pain ; Retrospective Studies ; Risk factor ; Risk Factors ; Spinal Fractures - complications ; Spinal Fractures - epidemiology ; Spinal Fractures - surgery ; Spine ; Treatment ; Treatment Outcome ; Vertebroplasty - adverse effects ; Vertebroplasty - methods</subject><ispartof>World neurosurgery, 2023-12, Vol.180, p.e484-e493</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-b6a586e7243de851fa99e80f653aa4f0286d6160c7679076c7df33e2467a1a683</citedby><cites>FETCH-LOGICAL-c356t-b6a586e7243de851fa99e80f653aa4f0286d6160c7679076c7df33e2467a1a683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37774786$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Zhi-Wei</creatorcontrib><creatorcontrib>Wang, Guang-Ying</creatorcontrib><creatorcontrib>Liu, Dao-Kuo</creatorcontrib><creatorcontrib>Zhang, Dong-Zhe</creatorcontrib><creatorcontrib>Zhao, Chong</creatorcontrib><title>Risk Factors for Residual Back Pain After PVP Treatment for osteoporotic Thoracolumbar Compression Fractures: A Retrospective Cohort Study</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>To explore the risk factors of residual back pain after percutaneous vertebroplasty (PVP) in patients with osteoporotic vertebral compression fracture (OVCF).
We retrospectively reviewed the records of 675 patients with OVCF treated with PVP from January 2015 to January 2020. Postoperative back pain intensity was assessed by the VAS score. Residual back pain was defined as the presence of postoperative moderate-severe pain (average VAS score≥4), and the variables included patient characteristics, baseline symptoms, imaging data and operation-related factors. Risk factors were identified with univariate and multivariate logistic regression analysis.
Residual back pain occurred in 46 of the 675 patients included in the study, with an incidence rate of 6.8%. Multivariate logistic regression analysis showed that low Pre-BMD (OR = 3.576, P = 0.041), multiple vertebral fractures (OR = 2.795, P = 0.026), posterior fascia injury (OR = 4.083, P = 0.032), cement diffusion volume rate <0.2 (OR = 3.507, P = 0.013), facet joint violation (OR = 11.204, P < 0.001), and depression (OR = 3.562, P = 0.035) were positively correlated with residual back pain after PVP.
Low pre-BMD (pre-bone mineral density), multiple vertebral fractures, posterior fascia injury, cement diffusion volume rate <0.2, facet joint violation and depression were the independent risk factors of residual back pain after PVP.</description><subject>Back Pain - etiology</subject><subject>Bone Cements</subject><subject>Fractures, Compression - complications</subject><subject>Humans</subject><subject>Osteoporotic Fractures - complications</subject><subject>Osteoporotic Fractures - epidemiology</subject><subject>Osteoporotic Fractures - surgery</subject><subject>Osteoporotic vertebral compression fracture</subject><subject>Pain, Postoperative - etiology</subject><subject>Percutaneous vertebroplasty</subject><subject>Residual back pain</subject><subject>Retrospective Studies</subject><subject>Risk factor</subject><subject>Risk Factors</subject><subject>Spinal Fractures - complications</subject><subject>Spinal Fractures - epidemiology</subject><subject>Spinal Fractures - surgery</subject><subject>Spine</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><subject>Vertebroplasty - adverse effects</subject><subject>Vertebroplasty - methods</subject><issn>1878-8750</issn><issn>1878-8769</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFO9CAUhYnRqFFfwIVh-W9mhNICNW7GiaMmJk50dEsYehsZ29IfqMZX8KllHHUpuQkX8p0TuAehY0rGlFB-uhq_dTCMM5KxMSlT5Vton0ohR1Lwcvu3L8geOgphRdJiNJeC7aI9JoTIheT76OPehhc80yY6H3DtPL6HYKtBN_hCmxc817bDkzqCx_OnOV540LGFLn6hLkRwvfMuWoMXz85r45qhXWqPp67tPYRgXYdn6T4O6XSGJ8k-ehd6MNG-QsKSKuKHOFTvh2in1k2Ao-_9AD3OLhfT69Ht3dXNdHI7MqzgcbTkupAcRJazCmRBa12WIEnNC6Z1XpNM8opTTozgoiSCG1HVjEGWc6Gp5pIdoH8b3967_wOEqFobDDSN7sANQWVSkLLMCMsTmm1Qk94cPNSq97bV_l1RotYxqJVax6DWMShSplqLTr79h2UL1a_kZ-gJON8AkH75asGrYCx0Birr01xU5exf_p_oYpqZ</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Wang, Zhi-Wei</creator><creator>Wang, Guang-Ying</creator><creator>Liu, Dao-Kuo</creator><creator>Zhang, Dong-Zhe</creator><creator>Zhao, Chong</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202312</creationdate><title>Risk Factors for Residual Back Pain After PVP Treatment for osteoporotic Thoracolumbar Compression Fractures: A Retrospective Cohort Study</title><author>Wang, Zhi-Wei ; Wang, Guang-Ying ; Liu, Dao-Kuo ; Zhang, Dong-Zhe ; Zhao, Chong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-b6a586e7243de851fa99e80f653aa4f0286d6160c7679076c7df33e2467a1a683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Back Pain - etiology</topic><topic>Bone Cements</topic><topic>Fractures, Compression - complications</topic><topic>Humans</topic><topic>Osteoporotic Fractures - complications</topic><topic>Osteoporotic Fractures - epidemiology</topic><topic>Osteoporotic Fractures - surgery</topic><topic>Osteoporotic vertebral compression fracture</topic><topic>Pain, Postoperative - etiology</topic><topic>Percutaneous vertebroplasty</topic><topic>Residual back pain</topic><topic>Retrospective Studies</topic><topic>Risk factor</topic><topic>Risk Factors</topic><topic>Spinal Fractures - complications</topic><topic>Spinal Fractures - epidemiology</topic><topic>Spinal Fractures - surgery</topic><topic>Spine</topic><topic>Treatment</topic><topic>Treatment Outcome</topic><topic>Vertebroplasty - adverse effects</topic><topic>Vertebroplasty - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Zhi-Wei</creatorcontrib><creatorcontrib>Wang, Guang-Ying</creatorcontrib><creatorcontrib>Liu, Dao-Kuo</creatorcontrib><creatorcontrib>Zhang, Dong-Zhe</creatorcontrib><creatorcontrib>Zhao, Chong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Zhi-Wei</au><au>Wang, Guang-Ying</au><au>Liu, Dao-Kuo</au><au>Zhang, Dong-Zhe</au><au>Zhao, Chong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors for Residual Back Pain After PVP Treatment for osteoporotic Thoracolumbar Compression Fractures: A Retrospective Cohort Study</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2023-12</date><risdate>2023</risdate><volume>180</volume><spage>e484</spage><epage>e493</epage><pages>e484-e493</pages><issn>1878-8750</issn><issn>1878-8769</issn><eissn>1878-8769</eissn><abstract>To explore the risk factors of residual back pain after percutaneous vertebroplasty (PVP) in patients with osteoporotic vertebral compression fracture (OVCF).
We retrospectively reviewed the records of 675 patients with OVCF treated with PVP from January 2015 to January 2020. Postoperative back pain intensity was assessed by the VAS score. Residual back pain was defined as the presence of postoperative moderate-severe pain (average VAS score≥4), and the variables included patient characteristics, baseline symptoms, imaging data and operation-related factors. Risk factors were identified with univariate and multivariate logistic regression analysis.
Residual back pain occurred in 46 of the 675 patients included in the study, with an incidence rate of 6.8%. Multivariate logistic regression analysis showed that low Pre-BMD (OR = 3.576, P = 0.041), multiple vertebral fractures (OR = 2.795, P = 0.026), posterior fascia injury (OR = 4.083, P = 0.032), cement diffusion volume rate <0.2 (OR = 3.507, P = 0.013), facet joint violation (OR = 11.204, P < 0.001), and depression (OR = 3.562, P = 0.035) were positively correlated with residual back pain after PVP.
Low pre-BMD (pre-bone mineral density), multiple vertebral fractures, posterior fascia injury, cement diffusion volume rate <0.2, facet joint violation and depression were the independent risk factors of residual back pain after PVP.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37774786</pmid><doi>10.1016/j.wneu.2023.09.094</doi></addata></record> |
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| subjects | Back Pain - etiology Bone Cements Fractures, Compression - complications Humans Osteoporotic Fractures - complications Osteoporotic Fractures - epidemiology Osteoporotic Fractures - surgery Osteoporotic vertebral compression fracture Pain, Postoperative - etiology Percutaneous vertebroplasty Residual back pain Retrospective Studies Risk factor Risk Factors Spinal Fractures - complications Spinal Fractures - epidemiology Spinal Fractures - surgery Spine Treatment Treatment Outcome Vertebroplasty - adverse effects Vertebroplasty - methods |
| title | Risk Factors for Residual Back Pain After PVP Treatment for osteoporotic Thoracolumbar Compression Fractures: A Retrospective Cohort Study |
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