骨质疏松性胸腰椎骨折患者PVP术后随访2年再发骨折情况及其危险因素分析  

Analysis of Recurrent Fractures and Risk Factors in Patients with Osteoporotic Thoracolumbar Fracture after PVP Followed Up for 2 Years

作　　者：李金升 LI Jinsheng(Department of Orthopedics,People's Hospital of Wuchuan Mulao and Miao Autonomous County,Zunyi 563000,China)

机构地区：[1]务川仡佬族苗族自治县人民医院骨外科,贵州遵义563000

出　　处：《反射疗法与康复医学》2024年第21期106-109,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析骨质疏松性胸腰椎骨折患者经皮椎体成形术(PVP)术后随访2年再发骨折情况及其危险因素。方法回顾性分析2020年7月—2022年7月务川仡佬族苗族自治县人民医院收治的100例骨质疏松性胸腰椎骨折患者的临床资料,根据患者PVP术后2年再发骨折情况将其分为再发骨折组与未再发骨折组。比较两组的临床资料,采用Logistic回归分析影响患者PVP术后再发骨折的危险因素。结果100例骨质疏松性胸腰椎骨折患者PVP术后随访2年中,未再发骨折71例,再发骨折29例,再发骨折的发生率为29%(29/100)。单因素分析结果显示,两组年龄、既往骨折病史、骨水泥渗漏、骨水泥弥散、抗骨质疏松(OP)治疗、术前术后局部后凸(SK)差值比较,组间差异有统计学意义(P<0.05);Logistic回归分析结果显示,高龄患者、有既往骨折病史、有骨水泥渗漏、骨水泥团块征象、未抗OP治疗、术前术后SK差值≥-2.85°是骨质疏松性胸腰椎骨折患者PVP术后随访2年再发骨折情况的危险因素(P<0.05)。结论高龄患者、有既往骨折病史、有骨水泥渗漏、骨水泥团块征象、未抗OP治疗、术前术后SK差值≥-2.85°是骨质疏松性胸腰椎骨折患者PVP术后随访2年再发骨折情况的危险因素。Objective To analyze the recurrence of bone fracture and its risk factors in patients with osteoporotic thoracolumbar fracture after percutaneous vertebroplasty(PVP)for 2 years.Methods The clinical data of 100 patients with osteoporotic thoracolumbar fractures admitted to the People's Hospital of Wuchuan Gelaozu Miao Autonomous County from July 2020 to July 2022 were retrospectively analyzed,according to the recurrence of fractures 2 years after PVP,the patients were divided into a recurrence of fractures group and a non-recurrence of fractures group.The clinical data of the two groups were compared,and the risk factors of recurrent fractures after PVP were analyzed by Logistic regression.Results A total of 100 patients with osteoporotic thoracolumbar fracture were followed up for 2 years after PVP,there were 71 cases with no recurrence fracture and 29 cases with recurrence fracture,the incidence of recurrence fracture was 29%(29/100).Univariate analysis showed that age,previous fracture history,bone cement leakage,bone cement diffusion,anti-osteoporosis(OP)treatment,and segmentalkyphosis(SK)difference between the two groups had statistical significance(P<0.05).Logistic regression analysis showed that elderly patients,previous fracture history,bone cement leakage,signs of bone cement mass,no anti-OP treatment,and SK difference≥-2.85°before and after PVP were the risk factors for recurrence of fractures in patients with osteoporotic thoracolumbar fracture after 2 year follow up(P<0.05).Conclusion Elderly patients,previous fracture history,bone cement leakage,bone cement mass signs,no anti-OP treatment,and SK difference≥-2.85°before and after PVP were the risk factors for recurrence of fractures in patients with osteoporotic thoracolumbar fracture after 2 year follow up.

关 键 词：骨质疏松性胸腰椎骨折 经皮椎体成形术 再发骨折 危险因素 

分 类 号：R681[医药卫生—骨科学]