Effects of lumbar and dorsal fascia injury on the early outcome of percutaneous vertebroplasty in elderly patients with osteoporotic vertebral compression fractures

doi:10.3877/cma.j.issn.2095-8757.2021.02.006

Abstract

Abstract:

Objective

To investigate the effects of lumbar and dorsal fascia injury on the early outcome of percutaneous vertebroplasty (PVP) in elderly patients with osteoporotic vertebral compression fractures (OVCF).

Methods

229 OVCF patients treated with PVP admitted to Zhejiang hospital from September 2018 to September 2020 were selected and divided into fascia injury group (82 cases) and non fascia injury group (147 cases) according to the fascia injury of low back. The visual analogue scale (VAS) of pain and roll over activities before and after operation were compared between the two groups. VAS at each time point was compared by repeated measurement analysis of variance, and count data was compared by χ² test.

Results

After surgical treatment, the overall differences of VAS between groups, time and interaction were statistically significant (F=21.578, 1580.589, 5.953, P < 0.01). The inter-group effect showed that the VAS in the fascia injury group was significantly higher than that in the non-fascia injury group at all follow-up time points. The time effect showed that the VAS of the two groups decreased significantly with time. There was no significant difference in the positive rate of rolling pain between the two groups at each time point before and after operation (χ²=0.100, 3.314、0.531, 0.000, 0.000, P > 0.05).

Conclusion

Lumbar and dorsal fascia injury may be one of the causes of residual pain after PVP in elderly OVCF patients, which affects the early postoperative efficacy.

Key words: Osteoporosis, Vertebral compression fracture, Percutaneous vertebroplasty, Lumbar fascia injury

Yaming Xie, Yonghong Yang, Biao Chen, Hang Yuan. Effects of lumbar and dorsal fascia injury on the early outcome of percutaneous vertebroplasty in elderly patients with osteoporotic vertebral compression fractures[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2021, 08(02): 30-34.

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References 21

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组别	例数	性别（男/女，例）	年龄（岁）	骨密度T值	术前VAS（分）	术前翻身痛（例）
筋膜损伤组	82	21/61	61～90（75.1±7.2）	-2.84±0.35	7.33±0.86	79
无筋膜损伤组	147	44/103	62～95（75.9±7.5）	-2.92±0.28	7.43±0.79	142
检验值		χ²=0.484	t=0.781	t=-1.488	t=0.886	χ²=0.100
P值		>0.05	>0.05	>0.05	>0.05	>0.05

组别	例数	性别（男/女，例）	年龄（岁）	骨密度T值	术前VAS（分）	术前翻身痛（例）
筋膜损伤组	82	21/61	61～90（75.1±7.2）	-2.84±0.35	7.33±0.86	79
无筋膜损伤组	147	44/103	62～95（75.9±7.5）	-2.92±0.28	7.43±0.79	142
检验值		χ²=0.484	t=0.781	t=-1.488	t=0.886	χ²=0.100
P值		>0.05	>0.05	>0.05	>0.05	>0.05

组别	例数	术前	术后1 d	术后1周	术后1个月	术后3个月
筋膜损伤组	82	7.33±0.86	4.00±0.90	3.32±0.66	2.89±0.50	2.46±0.55
无筋膜损伤组	147	7.43±0.79	3.50±0.71	2.83±0.53	2.59±0.58	2.18±0.66

组别	例数	术前	术后1 d	术后1周	术后1个月	术后3个月
筋膜损伤组	82	7.33±0.86	4.00±0.90	3.32±0.66	2.89±0.50	2.46±0.55
无筋膜损伤组	147	7.43±0.79	3.50±0.71	2.83±0.53	2.59±0.58	2.18±0.66

组别	例数	术前	术后1 d	术后1周	术后1个月	术后3个月
筋膜损伤组	82	79（96.34）	10（12.20）	2（2.44）	1（1.22）	1（1.22）
无筋膜损伤组	147	142（96.60）	8（5.44）	8（3.40）	3（2.04）	2（1.36）
χ²值		0.100	3.314	0.531	0.000	0.000
P值		>0.05	>0.05	>0.05	>0.05	>0.05

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