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Prognostic nutritional index and modified frailty index, independent risk factors for recompression in elderly patients with osteoporotic vertebral compression fractures

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Abstract

Background

To identify some clinical and laboratory independent risk factors for postoperative recompression among elderly osteoporotic vertebral compression fractures (OVCF) patients.

Methods

A retrospective analysis was conducted on 287 elderly OVCF patients after percutaneous vertebroplasty (PVP). Relevant risk factors for recompression were screened and further analyzed through multivariate logistic regression.

Results

Within postoperative 1 year, recompression had occurred in 72 patients, with an incidence of 25.1% (72/287). Multivariate logistic analysis indicated that mean spinal BMD <  − 2.85 (OR: 4.55, 95%CI 2.22–9.31, P < 0.001), ODI ≥ 68.05% (OR: 6.78, 95%CI 3.16–14.55, P < 0.001), PNI score < 43.1 (OR: 2.81, 95%CI 1.34–5.82, P = 0.005), and mFI score ≥ 0.225 (OR: 8.30, 95%CI 3.14–21.95, P < 0.001) were four distinct risk factors that independently contributed to postoperative recompression.

Conclusions

Spinal BMD, ODI, PNI and mFI independently predict recompression in OVCF patients after PVP treatment.

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Authors and Affiliations

  1. Department of Orthopedics, The Afliated Taizhou People’s Hospital of Nanjing Medical University, Taizhou School of Clinical Medicine, Nanjing Medical University, No. 366 Taihu Road, Taizhou City, 225300, Jiangsu Province, China

    Gang Ju

  2. Chengdong Street Community Medical Service Center, Taizhou, China

    Xiaoqing Liu

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Contributions

XQL participated in the conception and design, data collection, statistical analysis, GJ wrote the manuscript, participated in the conception and design and data collection.

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Correspondence to Gang Ju.

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This study protocol was approved by the ethics committee of Taizhou People’s Hospital. All patients included were required to offer written informed consent.

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Ju, G., Liu, X. Prognostic nutritional index and modified frailty index, independent risk factors for recompression in elderly patients with osteoporotic vertebral compression fractures. Eur Spine J 33, 1518–1523 (2024). https://doi.org/10.1007/s00586-023-08016-5

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  • DOI: https://doi.org/10.1007/s00586-023-08016-5

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