大理大学学报 ›› 2022, Vol. 7 ›› Issue (4): 44-46.

• 临床医学 • 上一篇    下一篇

骨质疏松性椎体压缩骨折术后新发骨折的影响因素分析

罗鑫磊,赵 辉,柏 涛,徐 松,张雄文,纳 强   

  1. 1.大理大学临床医学院,云南大理 6710002.昆明医科大学第六附属医院骨科,云南玉溪 653100

  • 收稿日期:2021-06-18 修回日期:2021-10-13 出版日期:2022-04-15 发布日期:2022-05-27
  • 通讯作者: 纳强,主任医师,E-mail:13987775908@163.com。
  • 作者简介:罗鑫磊,住院医师,主要从事脊柱外科研究。

Analysis of Influencing Factors of New Fractures after Osteoporotic Vertebral Compression Fracture Surgery

Luo Xinlei Zhao Hui Bai Tao Xu Song Zhang Xiongwen Na Qiang   

  1. 1. Clinical ollege Dali University Dali Yunnan 671000 China 2. Department of Orthopedics The Sixth Affiliated Hospital of Kunming Medical University Yuxi Yunnan 653100 China

  • Received:2021-06-18 Revised:2021-10-13 Online:2022-04-15 Published:2022-05-27

摘要:

[摘要] 目的:分析骨质疏松性椎体压缩骨折(OVCF)术后新发骨折的影响因素。方法:选取20171月至20201月昆明医科大学第六附属医院骨科收治的OVCF患者93例(115个椎体)为研究对象,其中男性26例(35个椎体),女性67例(80个椎体),所有患者均行椎体成形术治疗,运用Logistic回归模型对术后新发骨折的影响因素进行分析。结果:31例新发骨折患者中,男性4例,女性27例;邻近椎体骨折11个,非邻近椎体骨折33个,股骨颈骨折2个。Logistic分析结果显示:性别、年龄、体质指数(BMI)、抗骨质疏松治疗及手术椎体数为新发骨折的影响因素,差异有统计学意义(P<0.05)。结论:女性、年龄≥75岁、BMI22 kg/m2、未抗骨质疏松治疗及手术椎体数>1个的患者新发骨折风险更大。

关键词:

"> ">[关键词] ">骨质疏松性椎体压缩骨折, 椎体成形术, 新发骨折, 影响因素

Abstract:

Abstract Objective To analyze the influencing factors of new fractures after osteoporotic vertebral compression fracture OVCF.Methods A total of 93 OVCF patients 115 vertebrae admitted to the Department of Orthopedics of the Sixth Affiliated Hospital of Kunming Medical University from January 2017 to January 2020 were selected as the research objects which concluded 26 males 35 vertebrae and 67 females80 vertebrae.All patients underwent vertebroplasty. Logistic regression model was used to analyze the influencing factors of postoperative new fractures. Results Among the 31 patients with new fractures 4 of who were male and 27 were female 11 cases had adjacent vertebral body fractures and 33 cases had non-adjacent vertebral body fractures and 2 cases with femoral neck fractures. Logistic analysis showed that gender age BMI anti-osteoporosis treatment and the number of vertebral bodies operated were the influencing factors of new fractures and the differences were statistically significantP<0.05.ConclusionFemale age75 years BMI 22 kg/m2 no anti-osteoporosis treatment and more than one vertebral body required surgery have a higher risk of new fractures.

Key words:

"> ">〔Key words">〕 osteoporotic vertebral compression fracture">, vertebroplasty">, new fractures">, influencing factors

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