The effect of additional facet joint block for analgesia in patients with thoracolumbar compression fracture undergoing percutaneous kyphoplasty surgery

Abstract

Background: There is currently no pooled data in the literature to support whether additional facet joint block results in better clinical analgesia after percutaneous kyphoplasty. We assessed the existing evidence on the safety and efficacy of facet joint block in the treatment of patients with thoracolumbar compression fractures undergoing percutaneous kyphoplasty based on qualified trials.Methods: We will search PubMed, Springer, ScienceDirect, Wanfang, and Cochrane Library databases through April, 2022. Cohort studies focusing on assessing and comparing the effect of facet joint block and control group will be included. The studies are screened and evaluated by 2 reviewers independently for eligibility. The following outcome measures must be showed: pain scores, Oswestry Disability Index, satisfaction, and complications observed within both groups from baseline to the end of follow-up period. Review Manager software (v 5.3; Cochrane Collaboration) is used for the meta-analysis. A P value of <.05 is considered to be statistically significant. Two independent reviewers will assess the risk of bias of the included studies at study level.Results: It is hypothesized that additional facet joint block is associated with better pain control.Conclusions: This study expects to provide credible and scientific evidence for the efficacy and safety of facet joint block in the treatment of patients with thoracolumbar compression fractures undergoing percutaneous kyphoplasty.

Risk factors and strategies for recovery quality, postoperative pain, and recurrent fractures between percutaneous kyphoplasty and percutaneous vertebroplasty in elderly patients with thoracolumbar compression fractures: a retrospective comparative cohort study

“…Therefore, the analysis of the risk factors of recurrent fracture after PKP is helpful to reduce the incidence of postoperative recurrent fracture. In our study, age, the number of operative vertebrae, BMD, the number of injured vertebrae, and the history of fracture were the risk factors of new fracture, which was consistent with most of the previous research results (27)(28)(29). With the increase of the age of patients, the probability of postoperative refracture increases remarkably, and it is considered that age is an independent risk factor for re-fracture after PKP (28).…”

“…In our study, age, the number of operative vertebrae, BMD, the number of injured vertebrae, and the history of fracture were the risk factors of new fracture, which was consistent with most of the previous research results ( 27 - 29 ). With the increase of the age of patients, the probability of postoperative re-fracture increases remarkably, and it is considered that age is an independent risk factor for re-fracture after PKP ( 28 ). It was found that the proportion of age >75 years in the re-fracture group after PKP was 1.45 times higher than that of the non-fracture group.…”