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Radiological findings as favorable predictors of pain relief in patients with osteoporotic compression fractures after percutaneous vertebroplasty: a retrospective study of 156 cases

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Abstract

Purpose

We evaluated the relationships between pre-procedural radiological findings and short-term pain relief in patients with osteoporotic compression fractures after percutaneous vertebroplasty (PVP).

Materials and methods

A retrospective review of pre-procedural radiological images of 156 patients with painful osteoporotic compression fracture was performed. Pain was measured with a visual analogue scale (VAS). Complete pain relief was defined as a VAS pain score of 0 or 1 at 3 months after PVP. Statistical analyses were conducted to evaluate the relationship between the pre-procedural imaging factors and pain relief using Pearson’s chi-squared test. Multivariate logistic regression analysis was also performed.

Results

Complete pain relief was obtained in 45.5% of patients. An intravertebral cleft larger than half the height of the fractured vertebral body (FVB) was a significant key factor in the complete pain relief group after 3 months. Further, ≥40% of the spinal canal occupied by bony fragments of the FVB was related to incomplete pain relief.

Conclusion

A large intravertebral cleft was a favorable short-term outcome predictor in patients with osteoporotic compression fractures after PVP, while severe protrusion of the FVB causing lumbar spinal canal stenosis was not a favorable short-term outcome predictor of complete pain relief.

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Conflict of interest

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Authors and Affiliations

  1. Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan

    Masakazu Hirakawa, Nobuo Kobayashi, Mitsutomi Ishiyama, Sokun Fuwa, Yukihisa Saida & Yuji Numaguchi

  2. Department of Radiology, Kyushu University Beppu Hospital, 4546 Tsurumihara, Beppu, Oita, 874-0794, Japan

    Masakazu Hirakawa

  3. Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

    Hiroshi Honda

Authors
  1. Masakazu Hirakawa
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  2. Nobuo Kobayashi
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  3. Mitsutomi Ishiyama
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  4. Sokun Fuwa
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  5. Yukihisa Saida
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  6. Hiroshi Honda
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  7. Yuji Numaguchi
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Correspondence to Masakazu Hirakawa.

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Hirakawa, M., Kobayashi, N., Ishiyama, M. et al. Radiological findings as favorable predictors of pain relief in patients with osteoporotic compression fractures after percutaneous vertebroplasty: a retrospective study of 156 cases. Jpn J Radiol 30, 407–414 (2012). https://doi.org/10.1007/s11604-012-0062-y

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  • DOI: https://doi.org/10.1007/s11604-012-0062-y

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