骨质疏松性胸腰椎压缩性骨折术后患者发生腰背疼痛的影响因素  

Influencing factors of low back pain in postoperative patients with osteoporotic thoracolumbar vertebral compression fractures

作　　者：王鲁霞 崔瑞想 WANG Luxia;CUI Ruixiang(Department of Orthopaedic Pain of the Second Affiliated Hospital of Puyang Medical College,the Third People’s Hospital of Puyang,Puyang 457000 Henan,Chian)

机构地区：[1]濮阳市医学高等专科学校第二附属医院濮阳市第三人民医院骨科疼痛科,河南濮阳457000

出　　处：《中国民康医学》2024年第23期14-17,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析骨质疏松性胸腰椎压缩性骨折术后患者发生腰背疼痛的影响因素。方法:回顾性分析2020年3月至2023年3月濮阳市第三人民医院收治的96例骨质疏松性胸腰椎压缩性骨折患者的临床资料,均进行经皮椎体后凸成形术,统计术后患者发生腰背疼痛的情况,采用Logistic回归分析骨质疏松性胸腰椎压缩性骨折术后患者发生腰背疼痛的影响因素。结果:96例骨质疏松性胸腰椎压缩性骨折术后患者发生腰背疼痛16例,发生率为16.67%(16/96),设为发生组;未发生腰背部疼痛80例,设为未发生组;两组性别、体质量指数、骨水泥注入量、手术入路等比较,差异均无统计学意义(P>0.05);发生组年龄>70岁、骨折椎体数量>2个、术前骨密度T值<-2.5、骨水泥渗漏、合并筋膜受损、骨折椎体不愈合、平均椎体压缩率>50%占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄>70岁、骨折椎体数量>2个、术前骨密度T值<-2.5、骨水泥渗漏、合并筋膜受损、骨折椎体不愈合、平均椎体压缩率>50%均为影响骨质疏松性胸腰椎压缩性骨折术后患者发生腰背疼痛的危险因素(OR>1,P<0.05)。结论:年龄>70岁、骨折椎体数量>2个、术前骨密度T值<-2.5、骨水泥渗漏、合并筋膜受损、骨折椎体不愈合、平均椎体压缩率>50%均为影响骨质疏松性胸腰椎压缩性骨折术后患者发生腰背疼痛的危险因素。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,nonunion 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

关 键 词：骨质疏松性 胸腰椎压缩性骨折 经皮椎体后凸成形术 腰背疼痛 影响因素 

分 类 号：R683.2[医药卫生—骨科学]