Abstract：【Objective】To study the risk factors of multiple segmental osteoporotic vertebral compression fractures (OVCF). 【Methods】Retrospectively analysis the clinical data of 211 cases of the patients with OVCF from August 2010 -August 2016 was conducted. The subjects were divided into single segment group (134 cases) and multiple segment group (77 cases), according to the fresh fracture section. The clinical data of two groups were collected and the risk factors of OVCF were analyzed by univariate and multivariate Logistic regression analysis.【Results】The single factor analysis showed: the bone mineral density T value of the multiple segment group was lower than that in single segment group, the spinal deformity index (SDI) of the multiple segment group was significantly higher than that of the single segment group, the difference was statistically significant (P<0.05); The age, gender, BMI, past medical history of the two groups had no statistically significant difference (P>0.05); Multi-factor analysis showed: The bone mineral density T value <-4.5 SD (OR = 2.763, 95% CI 1.037～4.494, P=0.004), and 2≤SDI score < 4 (OR = 2.335, 95% CI 1.012～4.392,P=0.005); SDI score≥4 (OR = 6.384, 95% CI 3.183～14.763,P=0.001) were the independent risk factors of multiple segmental OVCF. 【Conclusion】The lower the bone mineral density, the higher the patients SDI' score, and they are more prone to multi segment OVCF.
[1] 孙凯,彭昊,刘洋,等.经皮椎体成形术治疗糖皮质激素诱导骨质疏松性椎体骨折后再发骨折[J].中华实验外科杂志,2016,33(6):1672-1674. [2] 毛丹,熊敏,曾云,等.骨质疏松性椎体压缩性骨折经皮椎体成形术后再发骨折的治疗[J].中华实验外科杂志,2013,30(10):2213-2214. [3] 尚伟,余卫,徐苓,等.北京老年男性骨质疏松性椎体初发骨折与再发骨折相关性分析[J].中华医学杂志,2005,85(2):84-87. [4] 李洪德,何仕诚,张年明,等.单发和多发骨质疏松性椎体压缩骨折经椎体成形术治疗后再发骨折的对比分析[J].中国医学影像技术,2010,26(12):2330-2333. [5] 华俊,刘栋,徐又佳,等.经皮椎体后凸成形术近期疗效及再发骨折率与骨质疏松程度的相关性[J].中华创伤杂志,2015,31(12):1073-1076. [6] 钟远鸣,付拴虎,张家立,等.骨质疏松脊柱压缩性骨折经皮穿刺椎体成形术后再骨折因素的临床研究[J].中国矫形外科杂志,2013,21(18):1829-1832. [7] Lin HH , Chou PH , Wang ST,et al. Determination of the painful level in osteoporotic vertebral fractures-Retrospective comparison between plain film, bone scan, and magnetic resonance imaging [J].J Chin Med Assoc,2015 ,78 (12): 714-718. [8] Renaud C.Treatment of vertebral compression fractures with the cranio-caudal expandable implant SpineJack: Technical note and outcomes in 77 consecutive patients [J].Orthop Traumatol Surg Res,2015, 101 (7): 857-859. [9] NingL , Wan S , Liu C , et al. New levels of vertebral compression fractures after percutaneous kyphoplasty: retrospective analysis of styles and risk factors [J].Pain Physician,2015,18 (6): 565-572. [10] 权正学.骨质疏松性椎体压缩骨折的影像学诊断[J].中华创伤杂志,2016,32(9):769-771. [11] Goldstein CL ,Chutkan NB , Choma TJ, et al. Management of the Elderly With Vertebral Compression Fractures [J].Neurosurgery,2015 ,77 (Suppl 4): S33-S45. [12] Wang H.Comparison of percutaneous vertebroplasty and balloon kyphoplasty for the treatment of single level vertebral compression fractures:a meta-analysis of the literature [J].Pain Physician,2015,5(3):209-222.
2017, Vol. 34 
