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Factors Contributing to Residual Low Back Pain after Osteoporotic Vertebral Fractures
Although osteoporotic vertebral fractures (OVFs) are the most common type of osteoporotic fracture, few reports have investigated the factors contributing to residual low back pain in the chronic phase after OVFs by using radiographic evaluation. We examined the contribution of nonunion, vertebral d...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950593/ https://www.ncbi.nlm.nih.gov/pubmed/35329892 http://dx.doi.org/10.3390/jcm11061566 |
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author | Inose, Hiroyuki Kato, Tsuyoshi Ichimura, Shoichi Nakamura, Hiroaki Hoshino, Masatoshi Takahashi, Shinji Togawa, Daisuke Hirano, Toru Tokuhashi, Yasuaki Ohba, Tetsuro Haro, Hirotaka Tsuji, Takashi Sato, Kimiaki Sasao, Yutaka Takahata, Masahiko Otani, Koji Momoshima, Suketaka Hirai, Takashi Yoshii, Toshitaka Okawa, Atsushi |
author_facet | Inose, Hiroyuki Kato, Tsuyoshi Ichimura, Shoichi Nakamura, Hiroaki Hoshino, Masatoshi Takahashi, Shinji Togawa, Daisuke Hirano, Toru Tokuhashi, Yasuaki Ohba, Tetsuro Haro, Hirotaka Tsuji, Takashi Sato, Kimiaki Sasao, Yutaka Takahata, Masahiko Otani, Koji Momoshima, Suketaka Hirai, Takashi Yoshii, Toshitaka Okawa, Atsushi |
author_sort | Inose, Hiroyuki |
collection | PubMed |
description | Although osteoporotic vertebral fractures (OVFs) are the most common type of osteoporotic fracture, few reports have investigated the factors contributing to residual low back pain in the chronic phase after OVFs by using radiographic evaluation. We examined the contribution of nonunion, vertebral deformity, and thoracolumbar alignment to the severity of residual low back pain post-OVF. This post hoc analysis of a prospective randomized study included 195 patients with a 48-week follow-up period. We investigated the associations between radiographic variables with the visual analog scale (VAS) scores for low back pain at 48 weeks post-OVF using a multiple linear regression model. Univariate analysis revealed that analgesic use, the local angle on magnetic resonance imaging, anterior vertebral body compression percentage on X-ray, and nonunion showed a significant association with VAS scores for low back pain. Multiple regression analysis produced the following equation: VAS for low back pain at 48 weeks = 15.49 + 0.29 × VAS for low back pain at 0 weeks + (with analgesics: +8.84, without analgesics: −8.84) + (union: −5.72, nonunion: −5.72). Among local alignment, thoracolumbar alignment, and nonunion, nonunion independently contributed to residual low back pain at 48 weeks post-OVF. A treatment strategy that reduces the occurrence of nonunion is desirable. |
format | Online Article Text |
id | pubmed-8950593 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89505932022-03-26 Factors Contributing to Residual Low Back Pain after Osteoporotic Vertebral Fractures Inose, Hiroyuki Kato, Tsuyoshi Ichimura, Shoichi Nakamura, Hiroaki Hoshino, Masatoshi Takahashi, Shinji Togawa, Daisuke Hirano, Toru Tokuhashi, Yasuaki Ohba, Tetsuro Haro, Hirotaka Tsuji, Takashi Sato, Kimiaki Sasao, Yutaka Takahata, Masahiko Otani, Koji Momoshima, Suketaka Hirai, Takashi Yoshii, Toshitaka Okawa, Atsushi J Clin Med Article Although osteoporotic vertebral fractures (OVFs) are the most common type of osteoporotic fracture, few reports have investigated the factors contributing to residual low back pain in the chronic phase after OVFs by using radiographic evaluation. We examined the contribution of nonunion, vertebral deformity, and thoracolumbar alignment to the severity of residual low back pain post-OVF. This post hoc analysis of a prospective randomized study included 195 patients with a 48-week follow-up period. We investigated the associations between radiographic variables with the visual analog scale (VAS) scores for low back pain at 48 weeks post-OVF using a multiple linear regression model. Univariate analysis revealed that analgesic use, the local angle on magnetic resonance imaging, anterior vertebral body compression percentage on X-ray, and nonunion showed a significant association with VAS scores for low back pain. Multiple regression analysis produced the following equation: VAS for low back pain at 48 weeks = 15.49 + 0.29 × VAS for low back pain at 0 weeks + (with analgesics: +8.84, without analgesics: −8.84) + (union: −5.72, nonunion: −5.72). Among local alignment, thoracolumbar alignment, and nonunion, nonunion independently contributed to residual low back pain at 48 weeks post-OVF. A treatment strategy that reduces the occurrence of nonunion is desirable. MDPI 2022-03-12 /pmc/articles/PMC8950593/ /pubmed/35329892 http://dx.doi.org/10.3390/jcm11061566 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Inose, Hiroyuki Kato, Tsuyoshi Ichimura, Shoichi Nakamura, Hiroaki Hoshino, Masatoshi Takahashi, Shinji Togawa, Daisuke Hirano, Toru Tokuhashi, Yasuaki Ohba, Tetsuro Haro, Hirotaka Tsuji, Takashi Sato, Kimiaki Sasao, Yutaka Takahata, Masahiko Otani, Koji Momoshima, Suketaka Hirai, Takashi Yoshii, Toshitaka Okawa, Atsushi Factors Contributing to Residual Low Back Pain after Osteoporotic Vertebral Fractures |
title | Factors Contributing to Residual Low Back Pain after Osteoporotic Vertebral Fractures |
title_full | Factors Contributing to Residual Low Back Pain after Osteoporotic Vertebral Fractures |
title_fullStr | Factors Contributing to Residual Low Back Pain after Osteoporotic Vertebral Fractures |
title_full_unstemmed | Factors Contributing to Residual Low Back Pain after Osteoporotic Vertebral Fractures |
title_short | Factors Contributing to Residual Low Back Pain after Osteoporotic Vertebral Fractures |
title_sort | factors contributing to residual low back pain after osteoporotic vertebral fractures |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950593/ https://www.ncbi.nlm.nih.gov/pubmed/35329892 http://dx.doi.org/10.3390/jcm11061566 |
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