A Pain That is Easily Overlooked: Referred Pain Caused by OVCF

Abstract

Wei Lu,1– 3 Zhaowei Teng,1,2 Jiayu Chen,1– 3 Rongmao Shi,4 Tiannan Zou,1– 3 Ming Gao,1– 3 Weichao Li,1– 3 Zhi Peng,1– 3 Long Wang,1– 3 Yonghui Zhao,1– 3 Sheng Lu1– 3 1Yunnan Key Laboratory of Digital Orthopedics, the First People’s Hospital of Yunnan Province, Kunming, People’s Republic of China; 2Department of Orthopedics, the First People’s Hospital of Yunnan Province, Kunming, People’s Republic of China; 3Department of Orthopedics, the Affiliated Hospital of Kunming University of Science and Technology, Kunming, 650032, People’s Republic of China; 4Department of Orthopedics, Clinical College of the 920th Hospital of Joint Logistics Support Force of Kunming Medical University, Kunming, People’s Republic of ChinaCorrespondence: Sheng Lu, Department of Orthopedics, the First People’s Hospital of Yunnan Province, No. 157 Jinbi Road, Kunming, 650032, People’s Republic of China, Tel [phone], Fax [phone], Email [email protected]: The objective of this study was to analyze the clinical characteristics and the therapeutic effects of treatment at our spinal center in OVCF patients associated with referred pain. The underlying goals were to deepen the understanding of referred pain caused by OVCFs, improve the currently low early diagnosis rate of OVCFs, and improve the effectiveness of treatment.Methods: The patients who had referred pain from OVCFs and met the inclusion criteria were retrospectively analyzed. All patients were treated with percutaneous kyphoplasty (PKP). Visual analog scale (VAS) scores and Oswestry Disability Index (ODI) were used to evaluate the therapeutic effect at different time points.Results: There were 11 males (19.6%) and 45 females (80.4%). Their corresponding mean bone mineral density (BMD) value was − 3.3 ± 0.4. The regression coefficient of BMD in the linear regression equation was − 4.51 (P 0.05). Within each type, there were significant differences in VAS scores and ODI between the pre- and postoperative timepoints (P < 0.05).Conclusion: Attention should be paid to referred pain in OVCF patients, which is not uncommon in clinical practice. Our summary of the characteristics of referred pain caused by OVCFs can improve the early diagnosis rate of OVCFs patients and provide a reference for their prognosis after PKP.Keywords: referred pain, radicular pain, vertebral fracture, percutaneous kyphoplasty, osteoporosis, spinal fracture

Keywords

• referred pain;radicular pain;vertebral fracture
• percutaneous kyphoplasty
• osteoporosis;spinal fracture；