The effects of biomechanical factors on adjacent vertebral compression fractures after percutaneous kyphoplasty: a propensity score matching analysis

医学 倾向得分匹配 骨质疏松症 混淆 椎体压缩性骨折 外科 逻辑回归 回顾性队列研究 内科学
作者
Chong Zhao,Xiaojie Liu,Yan Wang,Jianwei Guo,Shuo Han,Hao Zhang,Mingrui Chen,Chuanli Zhou,Xuexiao Ma
出处
期刊:Osteoporosis International [Springer Science+Business Media]
卷期号:33 (8): 1795-1806 被引量:9
标识
DOI:10.1007/s00198-022-06428-5
摘要

Adjacent vertebral compression fracture (AVCF) is the primary factor affecting satisfaction after PKP surgery. In addition to osteoporosis, certain structural characteristics of the vertebral body itself also increase their risk. The purpose of this study was to explore the impact of biomechanical changes on AVCF after balancing other factors.As a routine treatment of OVCF, the postoperative refracture of PKP is a serious problem. The aim of our study was to explore the impact of lumbar biomechanical changes on the risk of AVCF. A propensity score matching was performed to balance the interference of osteoporosis, which is the primary risk factor of AVCF.A retrospective, single-center case-control study was performed. From September 2013 to March 2020, 1752 patients were enrolled, and AVCF was assessed in 80 of these patients. A propensity score matching (PSM) analysis was performed, and 5 potential confounding factors were matched (age, BMI, number of fractured vertebral bodies, fracture region, and HDL). The preoperative and postoperative radiological factors were measured in the matched cohort of 48 pairs. A conditional logistic regression analysis to adjust the comparative risks.The preoperative wedge angle and its postoperative recovery of the AVCF group were significantly higher than that of the non-AVCF group. The local kyphosis of the fractured vertebral body between the two groups was similar, but the recovery in the AVCF group was slightly higher than that in the non-AVCF group. The preoperative and postoperative relative anterior height (RAH) of the fractured vertebral body was familiar in two groups, so was the recovery of RAH. The preoperative spino-sacral angle (SSA) was significantly higher in the AVCF group than in the non-AVCF group. The preoperative wedge angle was identified as the only significant risk factor for AVCF in the multivariate analysis.In conclusion, a larger preoperative fracture vertebral wedge angle is a risk factor for AVCF. For such high-risk patients, surgeons should be cautious about surgical decisions. The postoperative active measures and tailored surveillance should be attached to great importance as well.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
wuchen_chang发布了新的文献求助10
刚刚
LY豪发布了新的文献求助10
刚刚
2秒前
熊小子爱学习完成签到,获得积分10
3秒前
wanci应助lily采纳,获得10
4秒前
6秒前
天天快乐应助rubyyoyo采纳,获得10
6秒前
Ran发布了新的文献求助10
7秒前
猪猪hero应助专注乌冬面采纳,获得10
7秒前
小丑完成签到,获得积分10
7秒前
fff123完成签到,获得积分10
7秒前
开花发布了新的文献求助10
7秒前
RESLR发布了新的文献求助20
9秒前
搜集达人应助天才Kitty猫采纳,获得10
9秒前
10秒前
10秒前
11秒前
11秒前
12秒前
12秒前
12秒前
机灵晓露发布了新的文献求助50
14秒前
帅气蓝发布了新的文献求助10
14秒前
14秒前
科研通AI2S应助开花采纳,获得10
15秒前
万能图书馆应助5High_0采纳,获得10
16秒前
bruce233发布了新的文献求助10
16秒前
lily发布了新的文献求助10
16秒前
cestmoi发布了新的文献求助30
17秒前
量子星尘发布了新的文献求助10
17秒前
兰格格完成签到,获得积分10
17秒前
zhanghui完成签到 ,获得积分10
20秒前
一期一会完成签到,获得积分10
24秒前
Ran完成签到,获得积分20
25秒前
SciGPT应助yuzhi采纳,获得10
26秒前
田様应助咕咕采纳,获得10
28秒前
冷静凡天完成签到,获得积分10
31秒前
31秒前
31秒前
32秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Effective Learning and Mental Wellbeing 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3975922
求助须知:如何正确求助?哪些是违规求助? 3520226
关于积分的说明 11201711
捐赠科研通 3256720
什么是DOI,文献DOI怎么找? 1798423
邀请新用户注册赠送积分活动 877576
科研通“疑难数据库(出版商)”最低求助积分说明 806452