Clinical effect of percutaneous vertebroplasty combined with facet joint block in treating distal lumbosacral pain caused by osteoporotic thoracolumbar vertebral fractures

English Keywords:Percutaneous vertebroplasty  Thoracolumbar vertebral fractures  Distal lumbosacral pain  Osteoporosis  Distant pain

English Abstract:

  【Abstract】 Objectives: To evaluate the efficacy of percutaneous vertebroplasty(PVP) combined with facet joint block(FJB) in treating distal lumbosacral pain(DLP) in patients with osteoporotic thoracolumbar vertebral fractures(OTVF). Methods: A retrospective analysis was conducted on 80 patients with OTVF accompanied with DLP treated in our hospital from January 2022 to July 2023. Among the patients, 40 were treated with PVP(PVP group), including 7 males and 33 females, aged 75.2±6.0(65-89) years old; And 40 were treated with PVP and FJB(PVP+FJB group), including 11 males and 29 females, aged 76.6±6.6(62-89) years old. The complications were observed and compared between the two groups. The visual analogue scale(VAS) score and Oswestry disability index(ODI) were analyzed and compared preoperatively and at 1d, 1 month, and 6 months postoperatively to assess the pain status and quality of life of the patients. Results: All the patients successfully completed operation without complictions. The follow-up period ranged from 3 to 12 months, with an average of 7.2±2.6 months. The VAS score and ODI were improved in both groups after operation, and the differences compared with before operation were statistically significant(P<0.05). At postoperative 1d and 1 month, the PVP+FJB group showed significant improvement in VAS score and ODI comparing to the PVP group, with statistically significant differences(P<0.05). However, at 6 months postoperatively, there was no statistically significant difference in VAS score and ODI between the two groups(P>0.05). Conclusions: PVP combined with FJB has a good clinical effect in the treatment of OTVF with DLP.