中国骨伤2026，Vol.39Issue(2)：138-141,4.DOI:10.12200/j.issn.1003-0034.20241062
腰大肌指数与经皮椎体成形术后邻近椎体再骨折相关性分析
Correlation analysis between the psoas muscle index and adjacent vertebral refracture after percutaneous vertebro-plasty
程文静 1陆景顺 1马能峰 1付建国 1陶周善 1谢加兵 1吴兴净 1杨民 1丁国正1
作者信息
- 1. 皖南医学院第一附属医院弋矶山医院,安徽 芜湖 241000
- 折叠
摘要
Abstract
Objective To investigate the correlation between the psoas muscle index(PMI)and the occurrence of adjacent vertebral compression fractures(AVCF)after percutaneous vertebroplasty(PVP)for osteoporotic vertebral compression frac-tures(OVCF).Methods Data from OVCF patients who underwent PVP between January 2018 and January 2023 were collected.A total of 217 patients meeting the inclusion and exclusion criteria were enrolled,including 66 males and 151 females,aged 59 to 89 years.Regarding the number of surgical vertebrae,185 cases involved a single vertebra and 32 cases involved two vertebrae.Based on the occurrence of adjacent vertebral refracture,patients were divided into two groups:37 cases with refracture in the AVCF group included 12 males and 25 females with a mean age of(74.55±4.20)years,PMI at initial surgery was(4.87±0.22)cm2·m-2;and 180 cases without refracture in the NAVCF group included 54 males and 126 females with a mean age of(73.37±5.16)years,PMI at initial surgery was(6.07±0.32)cm2·m-2.The correlation between the gender,age,number of surgi-cal vertebrae,PMI at initial PVP treatment,whether anti-osteoporosis treatment,whether scoliosis,and whether coexisting chron-ic diseases and the postoperative adjacent vertebral refracture were analyzed.Results All patients were followed up for at least one year.No statistically significant differences(P＞0.05)were found between two groups regarding gender,age,number of surgical vertebrae,anti-osteoporosis treatment,presence of degenerative scoliosis,or presence of chronic diseases.However,a statistically significant difference(P＜0.05)was observed in PMI between two groups.Further Point-biserial correlation analysis revealed a significant correlation between PMI and the occurrence of AVCF after PVP in OVCF patients(r=0.824,P＜0.01).Conclusion The psoas muscle index is a significant risk factor for adjacent segment re-fracture after percutaneous vertebroplasty for osteoporotic fractures.A lower PMI value is associated with a higher likelihood of adjacent vertebral re-fracture following PVP.关键词
腰肌/椎体成形术/骨质疏松性骨折/脊柱骨折/危险因素Key words
Psoas muscles/Vertebroplasty/Osteoporotic fractures/Spinal fractures/Risk factors分类
医药卫生引用本文复制引用
程文静,陆景顺,马能峰,付建国,陶周善,谢加兵,吴兴净,杨民,丁国正..腰大肌指数与经皮椎体成形术后邻近椎体再骨折相关性分析[J].中国骨伤,2026,39(2):138-141,4.
