Percutaneous kyphoplasty for treatment of distant pain associated with osteoporotic vertebral compression fracture
10.3760/cma.j.issn.1671-7600.2018.02.008
- VernacularTitle:经皮椎体后凸成形术治疗有远隔部位疼痛的骨质疏松椎体压缩性骨折
- Author:
Rongmao SHI
1
;
Taibang CHEN
;
Jinlong LIANG
;
Wei LU
;
Yongqing XU
;
Sheng LU
Author Information
1. 650032,解放军昆明总医院全军创伤骨科研究所
- Keywords:
Osteoporosis;
Spinal fractures;
Pain;
Vertebroplasty
- From:
Chinese Journal of Orthopaedic Trauma
2018;20(2):136-141
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical characteristics of the distant pain associated with osteoporotic vertebral compression fracture (OVCF) and the effect of percutaneous kyphoplasty (PKP) on the distant pain. Methods Ninety-eight patients with OVCF were treated with PKP at our department from June 2013 to October 2016. They were divided into 2 groups according the their pain associated with OVCF. There were 34 patients in the distant pain group and 64 ones in the non-distant pain group. The sites of distant pain were recorded. The visual analogue scale (VAS) and Oswestry disability index (ODI) were used to assess the pain and disability severities preoperatively and postoperatively. Results The incidence of distant pain was 34.7% (34/98). The distant pain was located at the lumbosacral area in 24 cases, at the hip in 14 cases, at the iliac crest in 14 cases, at the thigh in 14 cases, and at the calf in 2 cases. The distant pain group had a significantly longer course of preoperative disease (15.3 ± 12.9 d) than the non-distant pain group (10.3 ± 7.0 d) (P <0.05). The postoperative VAS and ODI were significantly improved after surgery in both groups (P <0.05). There were no significant differences between the 2 groups in preoperative or postoperative VAS or ODI (P > 0.05). Conclusions The incidence of distant pain may be high in OVCF patients. The most common sites for distant pain are the lumbosacral area, hip, iliac crest and thigh. PKP can effectively relieve the distant pain associated with OVCF.
