Osteoporotic Vertebral Compression Fracture
Conditions
Interventions
Traditional local anesthesia group,:Prior to the conclusion of the surgery, a posterior lamina injection of 15 mL of 0.95% normal saline was administered under C-arm guidance at the surgical segment.
retrolaminar block group:Prior to the conclusion of surgery, a posterior lamina nerve block was administered at the surgical segment under C-arm guidance, with an injection of 15 mL of 0.375% ropivaca
Sponsors
The First People’s Hospital of Guangyuan
Eligibility
Sex/Gender
All
Age
60 Years to 90 Years
Inclusion criteria
Inclusion criteria: Age >=60 years, diagnosed with acute (duration =4 points, failed conservative treatment (bed rest, medication) after 2 weeks, American Society of Anesthesiologists (ASA) classification I–III, and informed consent obtained from the patient.
Exclusion criteria
Exclusion criteria: Presence of combined fractures in other locations or pathological fractures (e.g., tumor metastasis), severe vertebral compression (vertebral height loss >75%) or posterior vertebral wall incompetence, coagulation disorders (INR >1.4, platelet count <80×10^9/L), hypersensitivity to local anesthetics (ropivacaine) or opioid drugs, infection at the puncture site, severe cardiac, pulmonary, hepatic, or renal insufficiency, cognitive impairment or psychiatric disorders, inability to cooperate with pain assessment, history of chronic opioid use or drug addiction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting and active (turning over) visual analog scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cumulative consumption of flurbiprofen axetil within 48 hours postoperatively;Time of first ambulation;Postoperative hospital stay;The improvement rate of the Oswestry Disability Index (ODI) on preoperative day and postoperative days 1 and 3;Patient satisfaction scores;Complications Associated with Retrolaminar Block;Complications Associated with Percutaneous Vertebroplasty (PVP); | — |
Countries
China
Contacts
Public ContactLiu Can
The First People’s Hospital of Guangyuan
Outcome results
None listed