Volume 23 Issue 2
Feb.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(2): 239-242
ZHENG Yonghong, ZHENG Mingjun, FENG Fabo. Analysis of the progression and factors influencing postoperative acute pain in patients with thoracolumbar fracture[J]. Chinese Journal of General Practice, 2025, 23(2): 239-242. doi: 10.16766/j.cnki.issn.1674-4152.003876
Citation: ZHENG Yonghong, ZHENG Mingjun, FENG Fabo. Analysis of the progression and factors influencing postoperative acute pain in patients with thoracolumbar fracture[J]. Chinese Journal of General Practice, 2025, 23(2): 239-242. doi: 10.16766/j.cnki.issn.1674-4152.003876
shu

Analysis of the progression and factors influencing postoperative acute pain in patients with thoracolumbar fracture

doi: 10.16766/j.cnki.issn.1674-4152.003876
  • 1.

    Department of Orthopedics, Chun ' an Branch of Zhejiang Provincial People' s Hospital, Hangzhou, Zhejiang 311700, China

Funds:

 2024KY664

  • Received Date: 2024-01-22
    Available Online: 2025-03-27
    Abstract
  •   Objective  This study aims to analyze the progression of postoperative acute pain in patients with thoracolumbar fracture, analyze the variability in postoperative acute pain profiles, and explore factors affecting the patterns of different acute pain progression.  Methods  From April 2020 to September 2023, a total of 180 postoperative patients with thoracolumbar fractures underwent percutaneous vertebro plasty (PVP) in Chun'an Branch of Zhejiang Provincial People's Hospital were enrolled in this study.These patients were assessed using a general information questionnaire and a visual analogue pain scale.The study analyzed the potential profiles of acute pain after thoracolumbar fracture and identified the factors affecting acute pain through multivariate ordered logistic regression.  Results  The mean score of acute pain after thoracolumbar fracture operation was (6.78±1.13) points.When the number of categories is 3, the decline in AIC, BIC, and aBIC became gradual, and the P-value of LMRT exceeded 0.001, indicating that three potential profiles are appropriate: mild pain (35.54%), moderate pain (43.98%), and severe pain (20.48%).Patients with severe pain had a significantly higher proportion of BMI≥24, more than two fractured vertebral bodies, unsatisfied bone cement distribution, concurrent osteoporosis, high vertebral body recovery, and lumbar spine fracture sites compared to those in the mild pain group and moderate pain group (P < 0.05).Multivariate logistic analysis showed that more than two fractured vertebral bodies, BMI≥24, unsatisfactory bone cement distribution, lumbar vertebrae fracture sites, and high vertebral body recovery were significant factors influencing severe pain after thoracolumbar fractures (P < 0.05).  Conclusion  The level of acute pain in patients with thoracolumbar fracture after operation is high and exhibits heterogeneity.Notably, factor such as fracture vertebral bodies>2, BMI≥24, unsatisfactory body cement distribution, lumbar vertebrae fracture sites, and vertebral body recovery are significant contributors to severe pain in patients with thoracolumbar fractures after operation.

     

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