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

作者：Ming Chen, Cekai Yang, Zhuoyan Cai, Youtao Liu, Hao Liu, Jianchao Cui, Zhensong Yao, Yuan Chen · 发表于：Frontiers in Medicine · 年份：2023 · DOI：10.3389/fmed.2022.1078403 · 被引用次数：21 · 研究领域：Spinal Fractures and Fixation Techniques、Bone health and osteoporosis research、Scoliosis diagnosis and treatment

Objective The 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). Methods We 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. Results There 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 log...