Osteoporotic vertebral compression fractures and thoracolumbar fascia injuries:correlation and postoperative residual pain
Han Peng
Lu Xianchuang
Li Siying
Shi Xinge
Abstract：Objective To explore the correlation between osteoporotic vertebral compression fractures(OVCF)and thoracolumbar fascia injury(TLFI),as well as the relationship between TLFI and postoperative resid-ual pain.Methods A retrospective analysis was conducted on 175 patients with OVCF admitted to our department from Jan.2021 to Dec.2023.Among them,there were 73 males and 102 females,with an age range of 65-86 years,mean 70.9 years.The injury causes were mild violence in 118 cases,lifting heavy objects in 38 cases,and violent cough in 19 cases.Preoperative MRI confirmed concomitant TLFI in 44 cases,who were divided into the fascia TLFI group,while the other 131 cases without TLFI were divided into the non-TLFI group.Patients' data were collected and a logistic regression model was adopted to analyze the interaction between OVCF and TLFI,as well as the resid-ual lower back pain,which was assessed by VAS scores before and 3 d,1 week,and 3 months after surgery.Results Compared with the non-TLFI group,the TLFI group showed much higher proportions of patients with＞2 adjacent vertebral fractures(86.7％vs.13.3％)or with vertebral fissure signs(74.5％vs.25.5％),and much lower rates of postoperative vertebral height recovery(38.9％±7.6％vs.45.7％±7.9％)and Cobb angle improvement(56.4°±7.5° vs.65.0°±8.8°)(all P＜0.05).Further Logistic multivariate analysis showed that the occurrence of TLFI in patients with OVCFs was related to the number of adjacent vertebral fractures(＞2),presence of vertebral fissure sign before surgery,and lower postoperative vertebral height recovery rate and Cobb angle improvement rate(all P＜0.05).Moreover,the TLFI group revealed much higher VAS scores at postoperative 3 d(5.8±0.8 vs.4.2±0.7)and 1 week(4.5±0.6 vs.2.5±0.4)(both P＜0.05).Conclusion Vertebral fissure signs and＞2 vertebral frac-tures are risk factors for OVCF patients with TLFI,who may have lower postoperative vertebral height recovery and Cobb angle improvement,as well as more postoperative residual pain.
Keywords：Osteoporotic vertebral compression fracturesThoracolumbar fascia injuriesCorrelationPostoperative residual pain
Publication Date：2025-08-15
Online Publishing Date：2025-08-27(First online date of this platform, not the publication date of the document)
Pages：6( 602-607 )