The incidence and risk factors of lumbodorsal fasciitis in osteoporotic vertebral compression fractures: a retrospective study in 1182 cases

Abstract

Backgroud Lumbodorsal fasciitis contributes to residual back pain after percutaneous kyphoplasty in osteoporotic vertebral compression fractures (OVCF). This study aimed to identify the incidence and risk factors of lumbodorsal fasciitis in OVCF cases without previous spine surgery.Methods A retrospective study of OVCF patients in a single spine center between June 2016 and October 2020. Demographics, spine trauma, back pain duration, vertebral fractures number, and comorbidity profile of OVCF with and without lumbodorsal fasciitis were summarized and compared.Results 1182 OVCF patients averaged to 72.19 years old were included and 532 showed lumbodorsal fasciitis, approximating to a comorbidity rate of 45%. The incidence of lumbodorsal fasciitis was: 22.2% in age group < 60 and increased to 39.5% in 60–70, 45.1% in 70–80, and 59.4% in > 80 years old; 42.26% in females and increased to 57% in males; 40% in OVCF caused by apparent spine trauma and increased to 53.5% in non-traumatic OVCF; 40.6% in single OVCF and increased to 57.1% in multiple fractures involving two and 72.7% involving three or more vertebra; 36.8% in patients with pre-hospital back pain for < 1 week and increased to 43.75% for 1–2 weeks, 54.09% for 2–4 weeks, and 69.89% for 1–3 months. Patients with multiple and cardio-cerebrovascular comorbidities including hypertension, coronary heart disease, and cerebral infarction had higher risk of lumbodorsal fasciitis.Conclusions Lumbodorsal fasciitis is a common comorbidity of OVCF. Male gender, increasing age, non-traumatic and multiple OVCF, prolonged symptom of back pain, multiple and cardio-cerebrovascular comorbidities dispose higher risk of lumbodorsal fasciitis.

Feasibility of CT attenuation values in distinguishing acute ischemic stroke, old cerebral infarction and leukoaraiosis

“…According to a previous study, the effectiveness of ΔHU and Ratio HU between vertebral fractures and control vertebrae in differentiating fresh and old vertebral fractures was superior to that of CT values [20]. Interestingly, ΔHU and Ratio HU outperformed simple CT attenuation values in distinguishing AIS from LA.…”

Effect of thoracolumbar fascia injury on reported outcomes after percutaneous vertebroplasty

“…Patients with OVCF, whether with or without thoracolumbar fascia injury, should first choose conservative treatment, including bed rest, medication, exercise, and physical therapy, but often with limited effectiveness ( 6 ). If OVCF does not respond to conservative treatment, vertebral augmentation is an option ( 13 ).…”