Risk Factors For Osteoporotic Vertebral Compression Fractures Postoperative Fracture Analysis

Objective:Factors Related to senile osteoporotic vertebral compression fractures aftervertebral fracture again. Occurrence again reveal vertebral fractures. Provide anobjective basis for osteoporotic vertebral fractures in patients after surgery to preventfurther fractures. And to develop effective means of prevention.Methods:This study analyzes the use of a retrospective case-control study. Select fromFebruary2010to March2013due to osteoporosis, vertebral compression fracturescaused435people hospitalized patients. Exclude initial vertebral PKP patientsoutside the hospital, patients with severe underlying diseases such as cancer andpatients lost, incomplete clinical data of patients and so on. Total comprehensiveinformation vertebral compression fractures hospitalized patients260.1,3,6,12months after row outpatient follow-up, follow-up of patients with low back painappear, thoracic and lumbar X ray and MR examinations showed, diagnosed28cases of fracture were included in the experimental group appeared fresh. Nofollow-up re-fracture the remaining232patients were classified as the control group.Statistics vertebral fractures were the control group and the experimental groupincentives of patients, fractures age, gender, fracture of the bone density test resultson admission, the hospital line PKP vertebral vertebral bone cement perfusionsurgery, surgical bone cement leakage, and postoperative follow-up of anti- osteoporosis medication therapy. The collected data using SPSS version22.0statistical software for analysis and processing. Comparative analysis of clinicalcharacteristics of the control group and the experimental group, which analyzes thesignificance between the two groups of data and the re-fracture relationships.Results:After statistical analysis of the fracture of the control group and theexperimental group incentives, age, gender, bone mineral density, bone cementperfusion, bone cement leakage and anti-osteoporosis drug treatment data collectiondisplay:1，a control group and the number of patients in the experimental group had aclear history of trauma, and by chi-square test, P=0.000, trauma again withosteoporotic vertebral fractures was statistically significant.2, the control group andthe experimental group, gender data by chi-square test, P=0.223. Osteoporoticvertebral fractures with sex no longer statistically significant。3, age experimentalgroup and the control group after collecting contrast display by chi-square test P=0.000, osteoporotic vertebral fractures with age again statistically significant.4,vertebral bone cement perfusion in the experimental group and the control group by ttest, P=0.218osteoporotic vertebral fractures and vertebral bone cement and thenperfusion was not statistically significant0.5, control group and the experimentalgroup Bone cement leakage data collection underwent chi-square test P=0.000,osteoporotic vertebral fractures and bone cement leakage again statisticallysignificant.6, bone mineral density T-score between the two groups examined by ttest P=0.017, bone osteoporotic vertebral fractures and bone mineral density valuesagain statistically significant.7control group and the experimental group of anti-osteoporosis treatment by chi-square test P=0.00<0.05. osteoporotic vertebralfractures longer effective anti-osteoporosis treatment was statistically significant.Conclusions:Reasonable anti-osteoporosis drug therapy is an important way to preventfurther osteoporotic vertebral fractures. Severity of age, osteoporosis (bone density) and osteoporosis were then correlated fractures. Bone cement leakage was correlatedwith the initial re-fracture surgery appears. Age and osteoporotic vertebral fracturescorrelated again.