Correlation Analysis between Residual Pain after Vertebral Augmentation and the Diffusion Distribution of Bone Cement: A Retrospective Cohort Study
Objective. To explore the influence and potential factors of the bone cement dispersion state on residual pain after vertebral augmentation. Methods. The cases included in this retrospective cohort study were patients treated with vertebral augmentation (VA) for osteoporotic vertebral compression fr...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2023/1157611 |
| _version_ | 1797952247756226560 |
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| author | Kang Yao Yungang Chen Xiaoying Wang Qianqian Yao Kaiying Cui Wenming Chen Pengfei Hou Ning Yu Zhenyue Zhang Wenxin Gao Haipeng Xue Yanke Hao |
| author_facet | Kang Yao Yungang Chen Xiaoying Wang Qianqian Yao Kaiying Cui Wenming Chen Pengfei Hou Ning Yu Zhenyue Zhang Wenxin Gao Haipeng Xue Yanke Hao |
| author_sort | Kang Yao |
| collection | DOAJ |
| description | Objective. To explore the influence and potential factors of the bone cement dispersion state on residual pain after vertebral augmentation. Methods. The cases included in this retrospective cohort study were patients treated with vertebral augmentation (VA) for osteoporotic vertebral compression fractures (OVCFs) between July 2018 and June 2021. According to the type of cement diffusion distribution, the patients were divided into a sufficient diffusion group (Group A) and an insufficient diffusion group (Group B). The differences in the baseline data, visual analog scale (VAS), Oswestry disability index score (ODI), injured vertebral height (IVH), and local kyphosis angle (LKA) between the two groups were analyzed. Assessments were performed preoperatively on the 2nd day postoperation and at the last follow-up. The imaging data of injured vertebrae were accurately reconstructed by a GE AW4.7 workstation, and the differences in the vertebral body volume, bone cement volume, and bone cement volume ratio were compared between the groups. Result. After screening, 36 patients were included. (1) The postoperative VAS and ODI scores of the two groups were significantly improved compared with the preoperative scores. (2) On the 2nd day postoperation and the last follow-up, the VAS and ODI scores of Group A were significantly different from those of Group B, and Group A outperformed Group B. (3) The IVH and LKA of the two groups were improved after the operation, and no significant difference was found between the groups. (4) Significant differences were found in the bone cement volume and bone cement volume ratio between the groups, and Group A was larger than Group B. Conclusions. Sufficient bone cement diffusion can reduce residual pain after vertebral augmentation. |
| first_indexed | 2024-04-10T22:42:56Z |
| format | Article |
| id | doaj.art-f8257efd878b451fa1aa674ae7df7fde |
| institution | Directory Open Access Journal |
| issn | 1918-1523 |
| language | English |
| last_indexed | 2024-04-10T22:42:56Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj.art-f8257efd878b451fa1aa674ae7df7fde2023-01-16T01:06:18ZengHindawi LimitedPain Research and Management1918-15232023-01-01202310.1155/2023/1157611Correlation Analysis between Residual Pain after Vertebral Augmentation and the Diffusion Distribution of Bone Cement: A Retrospective Cohort StudyKang Yao0Yungang Chen1Xiaoying Wang2Qianqian Yao3Kaiying Cui4Wenming Chen5Pengfei Hou6Ning Yu7Zhenyue Zhang8Wenxin Gao9Haipeng Xue10Yanke Hao11The First Clinical Medical SchoolShandong University of Traditional Chinese MedicineJinan Vocational College of NursingShandong Provincial Third HospitalAffiliated Hospital of Shandong University of Traditional Chinese MedicineAffiliated Hospital of Shandong University of Traditional Chinese MedicineAffiliated Hospital of Shandong University of Traditional Chinese MedicineAffiliated Hospital of Shandong University of Traditional Chinese MedicineThe First Clinical Medical SchoolThe First Clinical Medical SchoolAffiliated Hospital of Shandong University of Traditional Chinese MedicineAffiliated Hospital of Shandong University of Traditional Chinese MedicineObjective. To explore the influence and potential factors of the bone cement dispersion state on residual pain after vertebral augmentation. Methods. The cases included in this retrospective cohort study were patients treated with vertebral augmentation (VA) for osteoporotic vertebral compression fractures (OVCFs) between July 2018 and June 2021. According to the type of cement diffusion distribution, the patients were divided into a sufficient diffusion group (Group A) and an insufficient diffusion group (Group B). The differences in the baseline data, visual analog scale (VAS), Oswestry disability index score (ODI), injured vertebral height (IVH), and local kyphosis angle (LKA) between the two groups were analyzed. Assessments were performed preoperatively on the 2nd day postoperation and at the last follow-up. The imaging data of injured vertebrae were accurately reconstructed by a GE AW4.7 workstation, and the differences in the vertebral body volume, bone cement volume, and bone cement volume ratio were compared between the groups. Result. After screening, 36 patients were included. (1) The postoperative VAS and ODI scores of the two groups were significantly improved compared with the preoperative scores. (2) On the 2nd day postoperation and the last follow-up, the VAS and ODI scores of Group A were significantly different from those of Group B, and Group A outperformed Group B. (3) The IVH and LKA of the two groups were improved after the operation, and no significant difference was found between the groups. (4) Significant differences were found in the bone cement volume and bone cement volume ratio between the groups, and Group A was larger than Group B. Conclusions. Sufficient bone cement diffusion can reduce residual pain after vertebral augmentation.http://dx.doi.org/10.1155/2023/1157611 |
| spellingShingle | Kang Yao Yungang Chen Xiaoying Wang Qianqian Yao Kaiying Cui Wenming Chen Pengfei Hou Ning Yu Zhenyue Zhang Wenxin Gao Haipeng Xue Yanke Hao Correlation Analysis between Residual Pain after Vertebral Augmentation and the Diffusion Distribution of Bone Cement: A Retrospective Cohort Study Pain Research and Management |
| title | Correlation Analysis between Residual Pain after Vertebral Augmentation and the Diffusion Distribution of Bone Cement: A Retrospective Cohort Study |
| title_full | Correlation Analysis between Residual Pain after Vertebral Augmentation and the Diffusion Distribution of Bone Cement: A Retrospective Cohort Study |
| title_fullStr | Correlation Analysis between Residual Pain after Vertebral Augmentation and the Diffusion Distribution of Bone Cement: A Retrospective Cohort Study |
| title_full_unstemmed | Correlation Analysis between Residual Pain after Vertebral Augmentation and the Diffusion Distribution of Bone Cement: A Retrospective Cohort Study |
| title_short | Correlation Analysis between Residual Pain after Vertebral Augmentation and the Diffusion Distribution of Bone Cement: A Retrospective Cohort Study |
| title_sort | correlation analysis between residual pain after vertebral augmentation and the diffusion distribution of bone cement a retrospective cohort study |
| url | http://dx.doi.org/10.1155/2023/1157611 |
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