Risk factor analysis for new fractures in other vertebrae after percutaneous vertebroplasty
10.3969/j.issn.1671-8348.2024.18.014
- VernacularTitle:经皮穿刺椎体成形术后余椎新发骨折的风险因素分析
- Author:
Xin YANG
1
;
Wenjie PI
;
Sukai LI
Author Information
1. 川北医学院临床医学系,四川南充 637100;重庆市垫江县人民医院骨一科,重庆 408300
- Keywords:
osteoporotic vertebral compression fracture;
percutaneous vertebroplasty;
complications;
refracture;
degree of risk
- From:
Chongqing Medicine
2024;53(18):2793-2798,2803
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors in other vertebral new fractures after percutaneous vertebroplasty (PVP) in the patients with osteoporotic vertebral compression fractures (OVCF).Methods The pa-tients with OVCF receiving the PVP treatment in Dianjiang County People's Hospital from May 2021 to May 2022 were selected as the study subjects and their clinical data were collected.They were divided into the re-fracture group and the non-refracture group according to whether or not other vertebral developing the new fracture within postoperative one year.The data in the two groups conducted the univariate screening and mul-tivariate binary logistic regression analysis to investigate the influencing degree of different risk factors on new fracture in other vertebrae.The receiver operating characteristic (ROC) curves for the main influencing fac-tors were drawn to make the related predictive models.Results The multivariate logistic regression analysis revealed that the preoperative bone density absolute value (OR=3.693,P<0.05),bone cement type (OR=3.646,P<0.05),postoperative regular anti-osteoporosis treatment (OR=4.163,P<0.05),postoperative co-ronal Cobb angle (OR=1.017,P=0.17),number of segments during the initial surgery (OR=1.578,P<0.05) and the score of fracture degree (OR=2.002,P<0.05) were the influencing factors for the new frac-ture in other vertebrae.The ROC curve indicated that when preoperative bone density absolute value was<3.85,the risk of new fracture occurrence was up to 77.7％.Conclusion Various risk factors influence the in-cidence rate of new fracture in the other vertebrae in different degrees,the influence of preoperative bone den-sity absolute value has the greatest impact on it,so the individualized preventive measures should be developed for the patients after surgery.
