Risk factors for the development of chronic back pain after percutaneous vertebroplasty vs conventional treatment

2014 ◽  
Author(s):  
Pilar Peris ◽  
Jordi Blasco ◽  
Josep L Carrasco ◽  
Angels Martinez-Ferrer ◽  
Juan Macho ◽  
...  
Keyword(s):  
Risk Factors ◽  
Back Pain ◽  
Conventional Treatment ◽  
Chronic Back Pain ◽  
Percutaneous Vertebroplasty

Risk Factors for the Development of Chronic Back Pain After Percutaneous Vertebroplasty Versus Conservative Treatment

2014 ◽  
Vol 96 (2) ◽  
pp. 89-96 ◽  
Author(s):  
Pilar Peris ◽  
Jordi Blasco ◽  
Josep L. Carrasco ◽  
Angels Martinez-Ferrer ◽  
Juan Macho ◽  
...  
Keyword(s):  
Risk Factors ◽  
Back Pain ◽  
Conservative Treatment ◽  
Chronic Back Pain ◽  
Percutaneous Vertebroplasty

scholarly journals Modifiable Risk Factors for Chronic Back Pain: Insights Using the Co-Twin Control Design

2016 ◽  
Vol 16 (10) ◽  
pp. S231
Author(s):  
Pradeep Suri ◽  
Edward J. Boyko ◽  
Nicholas L. Smith ◽  
Jeffrey G. Jarvik ◽  
Frances M. Williams ◽  
...  
Keyword(s):  
Risk Factors ◽  
Back Pain ◽  
Chronic Back Pain ◽  
Control Design ◽  
Modifiable Risk Factors

scholarly journals Percutaneous vertebroplasty in vertebral osteonecrosis (Kümmell's spondylitis)

1999 ◽  
Vol 7 (1) ◽  
pp. E4 ◽  
Author(s):  
Huy M. Do ◽  
Mary E. Jensen ◽  
William F. Marx ◽  
David F. Kallmes
Keyword(s):  
Back Pain ◽  
Mr Imaging ◽  
Vertebral Body ◽  
Chronic Back Pain ◽  
Percutaneous Vertebroplasty ◽  
Fluid Collection ◽  
Compression Fracture ◽  
Response To Therapy ◽  
Vertebral Osteonecrosis

The authors report the clinical symptoms and response to therapy of a series of patients who presented with subacute or chronic back pain due to vertebral osteonecrosis (Kümmell's spondylitis) and who underwent percutaneous vertebroplasty. The authors performed a retrospective chart review of a series of 95 patients in whom 149 painful, nonneoplastic compression fractures were demonstrated and who were treated with percutaneous transpediculate polymethylmethacrylate (PMMA) vertebroplasty. In six of these patients there was evidence of vertebral osteonecrosis, as evidenced by the presence of an intravertebral vacuum cleft on radiography or by intravertebral fluid on magnetic resonance (MR) imaging. Clinical and radiological findings on presentation were noted. Technical aspects of the vertebroplasty technique were compiled. Response to therapy, defined as qualitative change in pain severity and change in level of activity, was noted immediately following the procedure and at various periods on follow-up reviews. One man and five women, who ranged in age from 72 to 90 years (mean 81 years), were treated. Each patient had one compression fracture. The fractures were at T-11 (one patient), L-1 (two patients), L-3 (two patients), and L-4 (one patient). The pain pattern was described as severe and localized to the affected vertebra, and sometimes radiated along either flank. Pain duration ranged from 2 to 12 weeks, and the pain was refractory to conservative therapy that consisted of bedrest, analgesics, and external bracing. At the time of treatment, all patients were bedridden because of severe back pain. In all patients either plain radiographic or computerized tomography evidence of intravertebral vacuum cleft or MR imaging evidence of vertebral fluid collection consistent with avascular necrosis of the vertebral body was demonstrated. Four patients underwent bilateral transpediculate vertebroplasty, and two patients underwent unilateral transpediculate vertebroplasty. The fracture cavities were specifically targeted for PMMA injection. Additional fortification of the osteoporotic vertebral body trabeculae was also performed when feasible. "Cavitygrams" or intraosseous venograms with gentle contrast injection were obtained prior to application of cement mixture. In all patients subjective improvement in pain and increased mobility were demonstrated posttreatment. The follow-up period ranged from 4 to 24 hours after treatment. Two patients made additional office visits at 1 and 3 months, respectively. Patients presenting with vertebral osteonecrosis (Kümmell's spondylitis) often suffer from local paraspinous or referred pain. When performing vertebroplasty on these patients, confirmation of entry into the fracture cavities with contrast-enhanced "cavitygrams" should be performed prior to injection of PMMA cement. The response to vertebroplasty with regard to amelioration of pain and improved mobility is encouraging.

scholarly journals Modifiable risk factors for chronic back pain: insights using the co-twin control design

2017 ◽  
Vol 17 (1) ◽  
pp. 4-14 ◽  
Author(s):  
Pradeep Suri ◽  
Edward J. Boyko ◽  
Nicholas L. Smith ◽  
Jeffrey G. Jarvik ◽  
Frances M.K. Williams ◽  
...  
Keyword(s):  
Risk Factors ◽  
Back Pain ◽  
Chronic Back Pain ◽  
Control Design ◽  
Modifiable Risk Factors

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.

Assessment of the Associated Risk Factors of Chronic Low Back Pain among Bankers in Port Harcourt Metropolis: A Cross-Sectional Study

2021 ◽  
pp. 62-69
Author(s):  
Asikiya Huldah Hanson ◽  
Bieye Renner Briggs
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Chronic Back Pain ◽  
Low Back ◽  
Cross Sectional ◽  
Port Harcourt ◽  
History Of ◽  
Associated Risk Factors

Background: Working condition is a factor that does not only affect productivity but also the health of the workers. Aim: This study aimed to evaluate some of the associated risk factors of chronic low back pain among bank workers in Port Harcourt Metropolis of Rivers State in Nigeria. Methods: The study employed a cross-sectional design. A questionnaire was used to obtain information on chronic back pain among the bank 313 workers. Results: 165(52.7%) of the respondents have previously been treated for low back pain. They resorted to using different means of treatment for the pain; 24.8% (massage), 15% (exercise), 47.3% (drugs) 4.2% (surgery) and 8.5% (bed rest). 119 (38.1%) had a history of high blood pressure whereas 193 (61.9%) have not, 66 (21.2%) had a history of diabetes mellitus whereas 246 (78.8%) had not, 26 (8.3%) had sickle cell anemia whereas 286 (91.7%) do not, 55 (17.6%) had a history of convulsion whereas 257 (82.4%) do not, 93(29.8%) have had blood transfusion whereas 219 (70.2%) have not. The frequencies of chronic back pain bank workers and the associated risk factors were; road traffic accident 42 (22.7%), work-related stress (70.7%), use of computer 155 (84.7%), heavy lifting of equipment 83 (45.8%), and lack of exercise 55 (30.1%). Conclusion: These findings show that some individuals having chronic back pain had some underlying conditions which could predispose them to have the pain.

scholarly journals A nomogram for predicting the residual back pain after percutaneous vertebroplasty for osteoporotic vertebral compression fractures

2021 ◽  
Author(s):  
Qiujiang Li ◽  
Xingxia Long ◽  
Lin Shi ◽  
Yinbin Wang ◽  
Tao Guan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Back Pain ◽  
Calibration Curve ◽  
Percutaneous Vertebroplasty ◽  
Vertebral Compression Fractures ◽  
Muscle Degeneration ◽  
Osteoporotic Vertebral Compression Fractures ◽  
Compression Fractures ◽  
Cement Distribution

Abstract Background: Current findings suggest that percutaneous vertebroplasty(PVP) is a suitable therapeutic approach for osteoporotic vertebral compression fractures (OVCFs). However, a significant minority of patients still experience residual back pain after PVP. The present retrospective study was designed to determine the risk factors for residual back pain after PVP and provides a nomogram for predicting the residual back pain after PVP.Methods: We retrospectively reviewed the medical records of patients with single-segment OVCFs who underwent bilateral percutaneous vertebroplasty. Patients were divided into group N and group R according to the postoperative VAS score. Group R is described as the VAS score of residual back pain≥4. Pre- and post-operative factors that may affect back pain relief were evaluated between two groups. Univariate and multivariate logistic regression analysis were performed to identify risk factors affecting residual back pain after PVP. We provided a nomogram for predicting the residual back pain and used the receiver operating characteristic curve (ROC), concordance index (c-index), calibration curve, and decision curve analyses(DCA) to evaluated the prognostic performance.Results: Among 268 patients treated with PVP, 37(13.81%) patients were classified postoperative residual back pain.The results of the multivariate logistical regression analysis showed that the presence of an intravertebral vacuum cleft(IVC)(OR 3.790, P=0.026), posterior fascia oedema(OR 3.965, P=0.022), server paraspinal muscle degeneration(OR 5.804, P=0.01; OR 13.767,P<0.001) and blocky cement distribution(OR 2.225, P=0.041) were independent risk factors for residual back pain after PVP. The AUC value was 0.780, suggesting that the predictive ability was excellent. The prediction nomogram presented good discrimination, with a C-index of 0.774(0.696~0.852), and was validated to be 0.752 through bootstrapping validation. The calibration curve of the nomogram demonstrated a good consistency between the probabilities predicted by the nomogram and the actual probabilities. The nomogram showed net benefits in the range from 0.06 to 0.66 in DCA.Conclusions: The presence of IVC, posterior fascia oedema, blocky cement distribution and severe paraspinal muscle degeneration were significant risk factors for residual back pain after PVP for OVCFs. Patients with OVCFs after PVP who have these risk factors should be carefully monitored for the possible development of residual back pain. We provide a nomogram for predicting the residual back pain after PVP.

Sign in / Sign up

Export Citation Format

Share Document