Residual pain after percutaneous kyphoplasty
Conditions
Interventions
receiving coblation nucleoplasty after percutaneous kyphoplasty:None
receiving conservative treatments including oral analgesics, rehabilitation exercises, and acupuncture after percutaneous vertebroplasty:None
Sponsors
NanJing First Hospital
Eligibility
Sex/Gender
All
Age
55 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patient age >= 55 years; 2. Imaging exams (X-ray, CT, and MRI) confirm a newly developed thoracolumbar vertebral compression fracture, with X-ray showing wedge-shaped vertebra, and MRI showing low signal on T1WI and high signal on T2WI; 3. Preoperative bone density test shows T-score less than -1.5 (using the left hip as reference); 4. Pre-PKP physical exam shows tenderness and percussion pain in the same vertebral segment as indicated by imaging; 5. No history of spinal surgery; 6. Patient has residual pain with VAS >= 4 after PKP at the fracture segment; 7. Meets CN surgical indications; 8. Patient has good compliance, comes for follow-ups on time, and follow-up data are complete.
Exclusion criteria
Exclusion criteria: 1.Presence of other factors that could contribute to residual pain, including soft-tissue injury in the lumbar and dorsal regions, spinal instability, recurrent fractures, fracture nonunion, and early-stage complications; 2.incomplete medical records, irregular follow-up visits, or failure to complete the planned follow-up; 3.Any other conditions that the investigators considered inappropriate for study enrollment;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale (VAS);Japanese Orthopaedic Association Scores,JOA; | — |
Countries
China
Contacts
Public ContactQiang Sun
NanJing First Hospital
Outcome results
None listed