腰大肌指数与经皮椎体成形术后邻近椎体再骨折相关性分析OA
Correlation analysis between the psoas muscle index and adjacent vertebral refracture after percutaneous vertebro-plasty
目的:探讨腰大肌指数与经皮椎体成形术(percutaneous vertebro plasty,PVP)治疗骨质疏松椎体压缩骨折(osteoporotic vertebral compression fractures,OVCF)术后邻近节段再骨折(adjacent vertebral compression fractures,AVCF)的相关性分析.方法:收集2018年1月至2023年1月接受PVP治疗的OVCF患者资料,符合纳排标准的共217例,男66例,女151例,年龄59～89岁.手术椎体数目,单个椎体185例,2个椎体32例.根据是否出现邻近椎体再骨折分为两组,发生邻近椎体再骨折37例为AVCF组,男12例,女25例,年龄(74.55±4.20)岁,首次手术时腰大肌指数(psoas muscle index,PMI)为(4.87±0.22)cm2·m-2;未发生邻近椎体再骨折180例为NAVCF组,男54例,女126例,年龄(73.37±5.16)岁,首次手术时PMI值为(6.07±0.32)cm2·m-2.分析比较患者性别、年龄、手术椎体数目、首次PVP治疗时PMI、是否抗骨质疏松治疗、是否合并侧弯、是否合并慢性疾病情况与术后邻近椎体再骨折发生的相关性.结果:两组患者均随访至少1年,两组患者在性别、年龄、手术椎体数目、是否抗骨质疏松治疗、是否合并退行性侧弯、是否合并慢性疾病方面差异均无统计学意义(P＞0.05),两组PMI比较,差异有统计学意义(P＜0.05),进一步使用Point-biserial相关性分析,PMI与OVCF患者PVP术后出现AVCF呈显著相关(r=0.824,P＜0.01).结论:腰大肌指数为经皮椎体成形术治疗OVCF术后邻近节段再骨折的重要危险因素,PMI值越小,越容易出现经皮椎体成形术后邻近椎体再骨折.
Objective To investigate the correlation between the psoas muscle index(PMI)and the occurrence of adjacent vertebral compression fractures(AVCF)after percutaneous vertebroplasty(PVP)for osteoporotic vertebral compression frac-tures(OVCF).Methods Data from OVCF patients who underwent PVP between January 2018 and January 2023 were collected.A total of 217 patients meeting the inclusion and exclusion criteria were enrolled,including 66 males and 151 females,aged 59 to 89 years.Regarding the number of surgical vertebrae,185 cases involved a single vertebra and 32 cases involved two vertebrae.Based on the occurrence of adjacent vertebral refracture,patients were divided into two groups:37 cases with refracture in the AVCF group included 12 males and 25 females with a mean age of(74.55±4.20)years,PMI at initial surgery was(4.87±0.22)cm2·m-2;and 180 cases without refracture in the NAVCF group included 54 males and 126 females with a mean age of(73.37±5.16)years,PMI at initial surgery was(6.07±0.32)cm2·m-2.The correlation between the gender,age,number of surgi-cal vertebrae,PMI at initial PVP treatment,whether anti-osteoporosis treatment,whether scoliosis,and whether coexisting chron-ic diseases and the postoperative adjacent vertebral refracture were analyzed.Results All patients were followed up for at least one year.No statistically significant differences(P＞0.05)were found between two groups regarding gender,age,number of surgical vertebrae,anti-osteoporosis treatment,presence of degenerative scoliosis,or presence of chronic diseases.However,a statistically significant difference(P＜0.05)was observed in PMI between two groups.Further Point-biserial correlation analysis revealed a significant correlation between PMI and the occurrence of AVCF after PVP in OVCF patients(r=0.824,P＜0.01).Conclusion The psoas muscle index is a significant risk factor for adjacent segment re-fracture after percutaneous vertebroplasty for osteoporotic fractures.A lower PMI value is associated with a higher likelihood of adjacent vertebral re-fracture following PVP.
程文静;陆景顺;马能峰;付建国;陶周善;谢加兵;吴兴净;杨民;丁国正
皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000
医药卫生
腰肌椎体成形术骨质疏松性骨折脊柱骨折危险因素
Psoas musclesVertebroplastyOsteoporotic fracturesSpinal fracturesRisk factors
《中国骨伤》 2026 (2)
138-141,4
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