scholarly journals Comparison of the Characteristics of Back Pain in Women with Postmenopausal Osteoporosis with and without Vertebral Compression Fracture: A Retrospective Study at a Single Osteoporosis Center in Poland

2021 ◽  
Vol 27 ◽  
Author(s):  
Piotr Sawicki ◽  
Marek Tałałaj ◽  
Katarzyna Życińska ◽  
Wojciech S. Zgliczyński ◽  
Waldemar Wierzba
Keyword(s):  
Back Pain ◽  
Retrospective Study ◽  
Postmenopausal Osteoporosis ◽  
Vertebral Compression Fracture ◽  
Compression Fracture

scholarly journals Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Franklin G. Moser ◽  
Marcel M. Maya ◽  
Laura Blaszkiewicz ◽  
Andrea Scicli ◽  
Larry E. Miller ◽  
...  
Keyword(s):  
Back Pain ◽  
Vertebral Compression Fracture ◽  
Compression Fracture ◽  
Pain Medication ◽  
Pain Severity ◽  
Vertebral Compression Fractures ◽  
Height Loss ◽  
Vertebral Augmentation ◽  
Adjacent Vertebral Body ◽  
Back Function

Vertebral augmentation procedures are widely used to treat osteoporotic vertebral compression fractures (VCFs). We report our initial experience with radiofrequency-targeted vertebral augmentation (RF-TVA) in 20 patients aged 50 to 90 years with single-level, symptomatic osteoporotic VCF between T10 and L5, back pain severity > 4 on a 0 to 10 scale, Oswestry Disability Index ≥ 21%, 20% to 90% vertebral height loss compared to adjacent vertebral body, and fracture age < 6 months. After treatment, patients were followed through hospital discharge and returned for visits after 1 week, 1 month, and 3 months. Back pain severity improved 66% (P<0.001), from 7.9 (95% CI: 7.1 to 8.6) at pretreatment to 2.7 (95% CI: 1.5 to 4.0) at 3 months. Back function improved 46% (P<0.001), from 74 (95% CI: 69% to 79%) at pretreatment to 40 (95% CI: 33% to 47%) at 3 months. The percentage of patients regularly consuming pain medication was 70% at pretreatment and only 21% at 3 months. No adverse events related to the device or procedure were reported. RF-TVA reduces back pain severity, improves back function, and reduces pain medication requirements with no observed complications in patients with osteoporotic VCF.

Development and psychometric properties of the Vertebral Compression Fracture Pain and Functional Disability Questionnaire

2006 ◽  
Vol 5 (3) ◽  
pp. 217-223 ◽  
Author(s):  
Avery J. Evans ◽  
Kevin E. Kip ◽  
Selene M. Boutin
Keyword(s):  
Back Pain ◽  
Vertebral Compression Fracture ◽  
Functional Disability ◽  
Compression Fracture ◽  
Internal Consistency Reliability ◽  
Vertebral Compression Fractures ◽  
Baseline Questionnaire ◽  
Before And After ◽  
Disability Questionnaire ◽  
Criterion Referenced

Object Vertebral compression fractures (VCFs) result in severe and disabling pain, diminished quality of life, and substantial medical costs. There exists no standard instrument with which to measure pain and functional status before and after treatment of VCFs. Methods A questionnaire was specifically developed to assess pain and disability in patients with VCFs before and after undergoing percutaneous polymethylmethacrylate–augmented vertebroplasty. The first section of the baseline questionnaire (before treatment) contains 11 items that address the patient’s previous and current levels of back pain and distress. The second section of the baseline questionnaire lists 24 activities of daily living (ADLs), each measured on a four-point scale ranging from “able to do without pain” to “cannot do because of pain.” The follow-up questionnaire (after treatment) is similar in format. Among 72 vertebroplasty-treated patients, the internal consistency reliability of the 24 ADLs ranged from 0.87 to 0.98, with similar results observed before and after treatment. Correlations of 0.29 to 0.72 were observed among the 24 ADLs and the internal measures of pain and distress measured on both visual analog and adjectival scales. Similar correlations (range 0.35–0.63) were observed between the questionnaire and 10 dimensions of the Oswestry Disability Index’s low-back pain questionnaire, an external instrument used to assess criterion-referenced validity. Evidence in support of the validity of the questionnaire was present before and after treatment. Conclusions The Vertebral Compression Fracture Pain and Functional Disability Questionnaire appears to be a reliable and valid instrument for assessing back pain and functional ability in patients before and after treatment for VCFs.

scholarly journals Surgical Outcomes of Osteoporotic Vertebral Collapse: A Retrospective Study of Anterior Spinal Fusion and Pedicle Subtraction Osteotomy

2012 ◽  
Vol 2 (4) ◽  
pp. 221-226 ◽  
Author(s):  
Shinya Okuda ◽  
Takenori Oda ◽  
Ryoji Yamasaki ◽  
Takamitsu Haku ◽  
Takafumi Maeno ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Spinal Fusion ◽  
Surgical Outcomes ◽  
Vertebral Compression Fracture ◽  
Function Analysis ◽  
Compression Fracture ◽  
Bladder Function ◽  
Vertebral Collapse ◽  
Anterior Spinal Fusion ◽  
Osteoporotic Vertebral Collapse

The purpose of this retrospective study was to demonstrate the surgical outcomes of anterior spinal fusion (ASF) and posterior subtraction osteotomy (PSO) for osteoporotic vertebral collapse (OVC). Forty patients who underwent surgery for OVC at the thoracolumbar junction with neurological deficits were included in this study. ASF was primarily chosen for patients without vertebral compression fracture at other levels, and PSO was chosen for patients with more severe kyphosis or with multiple vertebral fractures. ASF was performed in 26 patients and PSO was performed in 14 patients. We evaluated the pre- and postoperative clinical status consisting of pain, gait, paralysis, and bladder function analysis. Additionally, pre- and postoperative kyphosis, correction angle, correction loss, and upright balance were investigated radiologically. Improvements in pain level, gait, paralysis, and bladder function were obtained in both groups. Average correction angles in the ASF and PSO groups were 16 and 37, respectively. Average correction losses at the final follow-up in the ASF and PSO groups were 7 and 13, respectively. Newly developed postsurgical vertebral compression fracture adjacent to the level of instrumentation was observed in four patients (15%) in the ASF group and in 11 patients (79%) from the PSO group. ASF provided satisfactory outcomes for patients with thoracolumbar OVC, who have no vertebral compression fracture at other levels. Although PSO has benefits for the correction of kyphosis, several problems persist with this procedure, especially for patients with severe osteoporosis.

scholarly journals A Study on Vertebral Compression Fracture in Postmenopausal Women with Back Pain in Two Medical College Hospitals of Bangladesh

2020 ◽  
Vol 18 (2) ◽  
pp. 49-53
Author(s):  
Khairul Anam ◽  
Sumia Ahmed Tazri ◽  
Fairzu Faiza ◽  
AKM Maruf Raza
Keyword(s):  
Back Pain ◽  
Rural Communities ◽  
Postmenopausal Women ◽  
Social Life ◽  
Vertebral Compression Fracture ◽  
Compression Fracture ◽  
Cross Sectional Study ◽  
Vertebral Compression Fractures ◽  
Cross Sectional ◽  
Medical College

Background: To determine the prevalence and nature of the vertebral compression fracture in postmenopausal women suffering from back pain in the rural communities of Bangladesh. Materials and methods: Cross sectional study was conducted for the period January to December 2018 which included all postmenopausal women aged 55 years and above presented with back pain in the Obstetrics and Gynaecology and Orthopedic outpatient Departments of Jahurul Islam Medical College and North Bengal Medical College Hospitals. Vertebral fractures were diagnosed by X-Ray scanning of the spine based on predefined criteria. Results: Prevalence of vertebral compression fracture was 30.6%. Most of the subjects were highly active, of poor nutritional status and undergraduate. Majority (35.7%) of the patients belonged to 55-59 years group but prevalence was highest in 70-75 years of age. Maximum patients (48.1%) sustained fracture at only one vertebra. Highest number of fracture (61.1%) was found in the dorsolumbar region. Most of the fracture (44.8%) was of biconcave shape. Most of the wedge deformities were present from 12th thoracic and above and majority of the biconcave deformities were from 11th thoracic and below. Conclusion: Although the prevalence was low in comparison to other studies, it showed a great burden on our social life. The most important step in treating vertebral compression fractures is prevention and treatment of osteoporosis. Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 49-53

scholarly journals Analysis of Influencing Factors of Residual Low Back Pain After PVP

2021 ◽  
Author(s):  
Fengwei Qin ◽  
Wencai Zhang ◽  
Shuai Wang ◽  
feng Jiao ◽  
yonghui Feng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Bone Cement ◽  
Vertebral Compression Fracture ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Low Back ◽  
Surgical Data ◽  
Magnetic Resonance Imaging Mri

Abstract Background: PVP (Percutaneous vertebroplasty) has been used to treat patients with OVCFs, however, we found that some patients did not significantly relieve back pain after surgery. The purpose of this paper is to explore the possible risk factors for residual low back pain after PVP and to Method: A retrospective study was conducted on 1120 patients hospitalized for osteoporotic vertebral compression fracture (OVCF) and treated with PVP between from July 2014 to June 2020 at our hospital. Baseline, clinical and surgical data were collected to analyze the factors associated with residual low back pain after PVP.Results: A total of 61 patients complained of residual low back pain, and the prevalence was 5.4%. Among the observed indices included, there were significant differences in preoperative thoracolumbar fascia injury (TFI) and a liquefaction signal on magnetic resonance imaging (MRI) of the affected vertebrae; the number of responsible vertebrae and the distribution of bone cement were different between the two groups (P<0.05). Multivariate analysis revealed that preoperative TFI (OR=5.378, 95% CI: 1.713-16.888, P=0.004), a liquefaction signal on MRI of the affected vertebrae (OR=6.111, 95% CI：1.898-19.673, P=0.002), the number of responsible vertebrae (OR=0.098, 95% CI: 0.039-0.249, P=0.004), and the distribution of bone cement (OR=0.253, 95% CI: 0.079-0.810, P=0.021) were risk factors for residual low back pain after PVP.Conclusion: TFI, a liquefaction signal on MRI of the affected vertebrae, the number of responsible vertebrae and the distribution pattern of bone cement could be risk factors for residual low back pain after PVP.

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