The Prevalence and Risk Factors of Residual Back Pain After Vertebroplasty for Osteoporotic Vertebral Compression Fractures: A Systematic Review and Meta‐Analysis

作者：Wenlong Li, Bingbo Zhang, Chencheng Mei, Hui Li, Ruizheng Zhu, Hao Lin, Jianmin Wen, Yang Wu, Xianzhi Ma · 发表于：Orthopaedic Surgery · 年份：2025 · DOI：10.1111/os.70095 · 被引用次数：6 · 研究领域：Spinal Fractures and Fixation Techniques、Bone health and osteoporosis research、Spine and Intervertebral Disc Pathology

ABSTRACT Background Osteoporotic vertebral compression fractures (OVCFs) are prevalent among the elderly. Percutaneous vertebroplasty (PVA) is a commonly adopted minimally invasive treatment, yet many patients endure residual back pain (RBP) posttreatment, affecting their recovery and quality of life. Given the inconsistent prevalence of RBP across studies and the multitude of influencing factors, a systematic review and meta‐analysis is necessary to determine its prevalence and identify risk factors. Methods English (PubMed, Embase, Web of Science, Ovid, Cochrane Library) and Chinese (CNKI, WanFang Data, VIP, CBM) literature databases were systematically searched until December 31, 2023. A random‐effects meta‐analysis was used to pool prevalence rates from individual studies. The associations between the identified risk factors and RBP were also analyzed. Sensitivity and subgroup analyzes were performed to identify the source of heterogeneity and to compare the prevalence estimates across the groups. The Joanna Briggs Institute's (JBIs) quality assessment checklist was used to evaluate the quality of the included studies. The I 2 tests were used to assess heterogeneity among the studies. Results A total of 5146 articles were collected. Finally, 26 articles involving 9703 participants were included. Among them, 1245 experienced RBP. The prevalence of RBP in individual studies ranged from 4.56% to 50.00%, with a median of 14.90%. The pooled prevalence was 16.3% (95% CI: 13.5%–...