Lumbar posterior group muscle degeneration: Influencing factors of adjacent vertebral body re-fracture after percutaneous vertebroplasty

Bibliographic Details
Title: Lumbar posterior group muscle degeneration: Influencing factors of adjacent vertebral body re-fracture after percutaneous vertebroplasty
Authors: Ming Chen, Cekai Yang, Zhuoyan Cai, Youtao Liu, Hao Liu, Jianchao Cui, Zhensong Yao, Yuan Chen
Source: Frontiers in Medicine, Vol 9 (2023)
Publisher Information: Frontiers Media S.A., 2023.
Publication Year: 2023
Collection: LCC:Medicine (General)
Subject Terms: osteoporotic vertebral compression fracture, percutaneous vertebroplasty (PVP), vertebral body re-fracture, muscular degeneration of posterior group of lumbar spine, chronic diseases in the elderly, Medicine (General), R5-920
More Details: ObjectiveThe purpose of the study was to explore the influencing factors of adjacent vertebral re-fracture after percutaneous vertebroplasty (PVP) for osteoporosis vertebral compression fractures (OVCFs).MethodsWe retrospectively analyzed the clinical data of 55 patients with adjacent vertebral re-fracture after PVP operation for OVCFs in our hospital from January 2016 to June 2019, they were followed up for 1 year and included in the fracture group. According to the same inclusion and exclusion criteria, we collected the clinical data of 55 patients with OVCFs without adjacent vertebral re-fracture after PVP in the same period and included them in the non-fracture group. We performed univariate and multivariate logistic regression analysis on the influencing factors of adjacent vertebral re-fracture in patients with OVCFs after PVP.ResultsThere were significant differences in body mass index (BMI), bone mineral density (BMD) T-value, amount of bone cement injected, bone cement leakage, history of glucocorticoid use, cross-sectional area (CSA), cross-sectional area asymmetry (CSAA), fat infiltration rate (FIR), and fat infiltration rate asymmetry (FIRA) of lumbar posterior group muscles [multifidus (MF) and erector spinae (ES)] between the two groups (p < 0.05). There was no significant difference in sex, age, or time from the first fracture to operation, the CAS, CSAA, FIR, and FIRA of psoas major (PS) between the two groups (p > 0.05). Multivariate logistic regression showed that a higher dose of bone cement, greater CSAA and FIR of multifidus, and higher CSAA of erector spinae were independent risk factors for recurrent fractures of adjacent vertebrae after PVP.ConclusionThere are many risk factors for recurrent vertebral fracture after PVP in patients with OVCFs, and degeneration of paraspinal muscles (especially posterior lumbar muscles) may be one of the risks.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2296-858X
Relation: https://www.frontiersin.org/articles/10.3389/fmed.2022.1078403/full; https://doaj.org/toc/2296-858X
DOI: 10.3389/fmed.2022.1078403
Access URL: https://doaj.org/article/760005a046404138ae2e4c694f5f036d
Accession Number: edsdoj.760005a046404138ae2e4c694f5f036d
Database: Directory of Open Access Journals
More Details
ISSN:2296858X
DOI:10.3389/fmed.2022.1078403
Published in:Frontiers in Medicine
Language:English