Zhongguo gu shang = China journal of orthopaedics and traumatology · 2026
[Correlation analysis between the psoas muscle index and adjacent vertebral refracture after percutaneous vertebroplasty].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Cheng Wenjing, Lu Jingshun, Ma Nengfeng, Fu Jianguo, Tao Zhoushan, Xie Jiabing, Wu Xingjing, Yang Min, Ding Guozheng
Аннотация
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 fractures (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 surgical vertebrae,PMI at initial PVP treatment,whether anti-osteoporosis treatment,whether scoliosis,and whether coexisting chronic 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.
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 surgical vertebrae,PMI at initial PVP treatment,whether anti-osteoporosis treatment,whether scoliosis,and whether coexisting chronic 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.