中老年骨质疏松椎体骨折患者椎体成形术中疼痛评分与术后并发症的相关性研究

目的:观察老年骨质疏松椎体骨折患者行椎体成形术中穿刺过程疼痛评分与术后并发症的相关性。方法:回顾性病例对照研究，入选2010年1月到2020年12月北京医院骨科326例行椎体成形术治疗单节段骨质疏松椎体骨折患者的临床资料，对术后1个月内出现并发症(并发症组)患者42例(12.9%)与未出现并发症患者(无并发症组)284...

Study on the relationship between intraoperative pain and postoperative complications in mid-aged and elderly osteoporotic vertebral fracture patients treated with vertebroplasty

Objective To examine the correlation between intraoperative pain scores duringpuncturing and postoperative complications in elderly patients with osteoporotic vertebral fractures(OVF)treated with vertebroplasty(VP).Methods In a retrospective case-control study,clinicaldata of 326 patients with single-segment OVF treated with VP,including 42 patients(12.9%)(thecomplication group)with complications within 1 month of surgery and 284 patients(87.1%)withoutcomplications(the control group),were compared.Changes in patient numerical evaluation scale(NRS)scores were recorded and compared for the complication group and the control group at different timepoints,which concluded preoperative(T0),intraoperative puncturing of soft tissues(T1),bonepuncturing(T2),bone cement injection into the vertebral body(T3),24 hours(T4),1 month(T5)and 3months(T6)after surgery.Results NRS scores for patients in the complication group vs.those inthe control group at different phase were(5.78±2.11 vs.6.10±2.21)points at To,(7.59±1.467 vs.4.63±0.86)points at T1,(7.30±1.35 vs.5.14±1.07)points at T2,(6.97±1.24 vs.6.11±1.58)points at T3,(4.09±0.82 vs.2.19±0.87)points at T4,(2.07±0.80 vs.1.93±0.78)points atT5,and(1.83±0.72 vs.1.74±0.65)points at T6,but there was no significant difference between thetwo groups at TO(P>0.05).The complication group had higher NRS scores than the control group at T1,T2,T3,and T4(all P<0.05).For intra-group comparisons,both the complication group and thecontrol group showed statistically significant differences between TO and T4,between T0 and T5,and between T4 and T5(all P<0.05).Conclusions Elderly OVF patients who are treated with VP andexhibit post-surgery complications often experienced severe pain during surgery,and an NRS scoregreater than 7 may be an independent risk factor for postoperative complications of VP.Effort shouldbe made to avoid or reduce complications related to surgery,reduce pain and improve treatmentoutcomes of VP for elderly patients.