Abstract：
BACKGROUND:Intradiscal cement leakage (ICL) is a common complication following percutaneous vertebroplasty (PVP). However, the risk factors for such a complication are under debate and there is no accurate predictive nomogram to predict ICL. OBJECTIVES:To establish an effective and novel nomogram for ICL following PVP in patients with osteoporotic-related vertebral compression fractures (OVCFs). STUDY DESIGN:This was a retrospective study approved by the Institutional Review Board of our institution. SETTING:This study consists of patients from a large academic center. METHODS:Patients with OVCFs who underwent their first PVP in our department between January 2007 and December 2013 were included in this study. All the potential risk factors of ICL after PVP were recorded. Univariate and multivariate analyses were used to identify the independent risk factors. The nomogram was then created based on the identified independent risk factors. RESULTS:A total of 241 patients and 330 vertebrae were included. The mean age of the patients was 73.5 (SD 7.9) years old, and the mean number of treated vertebrae was 1.4 per person. ICL was observed in 93 (28.2%) of the treated vertebrae. Greater fracture severity (P = 0.016), cortical disruption of the endplate (P < 0.0001), absence of Kummell's disease (P = 0.010), and higher computed tomography (CT) values (P = 0.050) were the independent risk factors for ICL. LIMITATIONS:The main limitation of this study is that it is a retrospective study. CONCLUSION:Greater fracture severity, cortical disruption of the endplate, absence of Kummell's disease, and higher CT values are the independent risk factors for ICL. The novel nomogram gives an accurate prediction of ICL.
journal_name
Pain Physicianjournal_title
Pain physicianauthors
Zhong BY,He SC,Zhu HD,Pan T,Fang W,Chen L,Guo JH,Deng G,Zhu GY,Teng GJsubject
Has Abstractpub_date
2017-05-01 00:00:00pages
E513-E520issue
4eissn
1533-3159issn
2150-1149journal_volume
20pub_type
杂志文章相关文献
Pain Physician文献大全abstract：:Practice guidelines are not only an ancient tradition, but they are a fact of life. The first guidelines were developed in the 1840s, shortly after the use of anesthesia was first demonstrated. Even though practice guideline development has spawned an impressive and over-aggressive literature of its own, many unanswer...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
abstract：:Spinal fusion for degenerative disc disease has been associated with a variety of side effects, including increased morbidity, infection, failed back syndrome, pseudoarthrosis, and acceleration of degenerative changes in adjacent intervertebral discs and facet joints. Based on the experience of arthroplasty of hip and...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2003-04-01 00:00:00
abstract：BACKGROUND:Low back pain is a common worldwide health problem and has a significant socioeconomic impact on public health. Internal disc disruption has been considered as the most common cause of low back pain. Various therapies, including interbody fusion, disc replacement, injection therapies, and thermal annular pro...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Up until now, the optimal strategy for postoperative pain management after total knee arthroplasty (TKA) remains to be elucidated. OBJECTIVE:The current investigation aimed to examine the analgesic efficacy and the opioid sparing effects of intravenous parecoxib in combination with continuous femoral blocka...
journal_title：Pain physician
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Lumbar stenosis is characterized by a narrowing of the spinal canal in association with progressive degenerative changes in the lumbar spine and surrounding structures, including hypertrophy of the ligamentum flavum (LF). OBJECTIVES:The aim of this study was to examine the usefulness of endoscope-assisted i...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND:Accumulating experimental and clinical evidence supports the hypothesis that complex regional pain syndrome type I (CRPS-I) may be a small fiber neuropathy. OBJECTIVES:To evaluate the use of commercially available standard biopsy methods to detect intradermal axon pathology in CRPS-I, and to ascertain if th...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:Low back pain (LBP) is a heterogeneous disorder including patients with dominant nociceptive (e.g., myofascial low back pain), neuropathic (e.g., lumbar radiculopathy), and central sensitization pain. In order to select an effective and preferably also efficient treatment in daily clinical practice, LBP pati...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2015-05-01 00:00:00
abstract：:Chronic low back pain secondary to involvement of the facet joints is a common problem. Facet joints have been recognized as potential sources of back pain since 1911. Multiple authors have described distributions of pain patterns of facet joint pain. The facet joints are paired diarthrodial articulations between the ...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:In the modern day environment, workers' compensation costs continue to be a challenge, with a need to balance costs, benefits, and quality of medical care. The cost of workers' compensation care affects all stakeholders including workers, employers, providers, regulators, legislators, and insurers. Consequently, a con...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:Millions of interventional pain procedures are performed each year in the United States. Interventional pain physicians commonly administer radiocontrast media (RCM) under fluoroscopy for these procedures. However, RCM can cause various types of hypersensitivity or allergic type reactions, in an acute or de...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2012-09-01 00:00:00
abstract：BACKGROUND:A superior hypogastric plexus block is difficult to perform and hampered by bony structures of the iliac crest and transverse process of L5. OBJECTIVE:We report on a fluoroscopically guided posterolateral transdiscal technique for superior hypogastric plexus neurolysis using a single needle. STUDY DESIGN:A...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Pain clinicians have always been challenged by the variability of response to pain treatment. Differences in the degree of pain stimulation and pain sensitivity, weight and age differences, prior opioid use and tolerance, as well as the differences in bioavailability of various opioid formulations have been ...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2014-09-01 00:00:00
abstract：:The effectiveness of splanchnic nerve neurolysis (SNN) for cancer-related abdominal pain has been investigated using numeric pain intensity rating as an outcome variable. The outcome variable in this study used the grid method for obtaining a targeted pain drawing score on 60 patients with pain from pancreatic or gast...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2016-07-01 00:00:00
abstract：UNLABELLED:The stellate ganglion block has been utilized in a variety of painful conditions ranging from sympathetically mediated pain in the upper extremity to the pain associated with intractable angina. A number of techniques are used to block the stellate ganglion. OBJECTIVE:To describe a new and easy approach to ...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
abstract：BACKGROUND:Fibromyalgia (FM) is a syndrome whose primary symptoms include chronic widespread muscle pain and fatigue. The treatment of patients with FM aims to provide symptomatic relief and improvement in physical capacities to perform daily tasks and quality of life. Invasive or non-invasive electric stimulation (ES)...
journal_title：Pain physician
pub_type： 杂志文章,meta分析,评审
doi：
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:Before long-term intrathecal analgesic therapy is initiated, patients often undergo a spinal analgesia trial. Ziconotide is a nonopioid intrathecal analgesic used to manage severe chronic pain, and a variety of methods have been used to trial ziconotide. OBJECTIVES:The purpose of this review is to compare a...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2010-01-01 00:00:00
abstract：:Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. Clinical practice guidelines present statements of best practice based on a thorough evaluation of the evidence from published studies ...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：BACKGROUND:Opioids are the mainstay of pain management for acute postsurgical pain. Oral oxycodone is an opioid that can provide effective acute postoperative pain relief. OBJECTIVES:To evaluate the use of oral oxycodone for acute postoperative pain management. STUDY DESIGN:This is a narrative review based on publish...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:Pain medicine practices vary across different regions within a country and between countries. OBJECTIVES:The objective of the survey was to study the variation in interventional pain medicine practices in the United Kingdom (UK) and the United States (US). METHODS:A survey was designed in 2019 on Survey Mo...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2020-03-01 00:00:00
abstract：:Pain following thoracotomy is of moderate to severe nature. Management of thoracotomy pain is a challenging task. Post thoracotomy pain has acute effects in the post operative period by affecting respiratory mechanics, which increases the morbidity. Poorly controlled thoracotomy pain in the acute phase may also lead t...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2015-05-01 00:00:00
abstract：:Biochemical mechanisms to explain pain generation began relatively recently. Evaluating pain originating from the spine can be challenging because no historical or physical examination findings are sufficiently sensitive or specific for identifying each of the myriad of potential pain generators. These discrete anatom...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
abstract：BACKGROUND:One of the most important issues that interventional physicians address during treatment is informing patients of their treatment options. Prior to beginning treatment, patients are given this information and allowed the opportunity to ask questions. Minimal qualitative information exists as to how much of t...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2005-07-01 00:00:00
abstract：BACKGROUND:Chronic post-surgical pain in the groin region represents a challenge for the managing physician and is a burden on the quality of life of the patient. None of the existing interventions or medical treatment is satisfactory. OBJECTIVES:We aim to evaluate the analgesic efficacy of pulsed radiofrequency (PRF)...
journal_title：Pain physician
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:The management of chronic pain is complex and often involves the integration of multiple clinical, humanistic, and economic factors. Primary care physicians (PCPs) are often at the forefront of managing chronic pain and often initiate pharmacological pain management therapy. To date little is known surroundi...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2018-11-01 00:00:00
abstract：BACKGROUND:Both the Office of Inspector General (OIG) and reports from studies of the utilization of facet joint interventions have expressed that explosive increases in facet joint interventions provided to spinal pain patients are a major concern. STUDY DESIGN:The study is designed to assess the growth of facet join...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2013-07-01 00:00:00
abstract：STUDY DESIGN:Electrical stimulation of the right cervical medial branches with or without the third occipital nerves was performed in nine subjects for a total of forty-eight medial branches and eight third occipital nerves. The referral patterns of each nerve or nerve branch was mapped on a human line diagram. These d...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2003-10-01 00:00:00
abstract：BACKGROUND:Corticosteroids have been used for the past 70 years in the treatment of various musculoskeletal conditions. This includes its use for joint pain such as rheumatoid arthritis and osteoarthritis. OBJECTIVES:A narrative review of the literature from its initial discovery to the present day to summarize the re...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2021-01-01 00:00:00
abstract：UNLABELLED:Complex regional pain syndrome (CRPS) presents a therapeutic challenge due to its many presentations and multifaceted pathophysiology. There is no approved treatment algorithm and clinical interventions are often applied empirically. In cases of CRPS where symptoms are localized to an extremity, a targeted t...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:Abuse of prescribed controlled substance has become a serious social as well as health care issue over the past decade. A particularly alarming trend exists among patients aged 12 to 17. Common abuse behaviors include doctor shopping, drug theft, feigned pain symptoms to gain health care access, drug sharing...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:While most trials of thoracic paravertebral nerve blocks (TPVB) for breast surgery show benefit, their effect on postoperative pain intensity, opioid consumption, and prevention of chronic postsurgical pain varies substantially across studies. Variability may result from use of different drugs and techniques...
journal_title：Pain physician
pub_type： 杂志文章,meta分析,评审
doi：
更新日期：2015-09-01 00:00:00
