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Research ArticleSpine

Correlation between Preoperative Pain Duration and Percutaneous Vertebroplasty Outcome

A. Ehteshami Rad and D.F. Kallmes
American Journal of Neuroradiology November 2011, 32 (10) 1842-1845; DOI: https://doi.org/10.3174/ajnr.A2617
A. Ehteshami Rad
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D.F. Kallmes
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Figures

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  • Fig 1.
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    Fig 1.

    Pain scores at rest (A), with activity (B), and RDS improvement (C).

  • Fig 2.
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    Fig 2.

    Change in pain medication use among subgroups: discontinued = 3, decreased = 2, no change = 1, and increased = 0.

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    Fig 3.

    Mobility improvement among subgroups: improvement = 2, unchanged = 1, and decreased = 0.

Tables

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    Table 1:

    Patient demographics

    ≤6 Weeks6–24 Weeks>24 WeeksP
    No. of patients and levels15312444
    Age (yr) (mean) (SD, range)76 (10.2, 41–95)74 (11.7, 44–96)67 (16.1, 31–89)<.0001
    Female63%72%57%.14
    Preoperative pain length, (mean) (SD)3.3 (1.7)12.9 (4.8)41.1 (21.8)<.0001
    Most frequently treated levelL1L1L1.21a
    Incident fracture rate within 1 year follow-up14%21%12%.13
    • ↵a Comparison of all levels in each group of patients.

    • View popup
    Table 2:

    Pain-with-activity VAS (0–10) in the thoracic and lumbar levels in each period of preoperative pain

    ≤6 Weeks6–24 Weeks>24 Weeks
    ThoracicLumbarPThoracicLumbarPThoracicLumbarP
    No.728057662224
    Preoperative8.3 (2.0)8.3 (2.0).877.9 (2.1)8.1 (2.0).497.8 (1.9)7.9 (1.8).81
    Postoperative3.6 (2.6)3.1 (2.9).423.3 (3.2)3.3 (3.3).961.6 (1.8)2.5 (2.7).33
    1 Week post4.4 (3.1)4.0 (2.9).474.4 (3.2)3.6 (2.7).172.8 (2.2)3.9 (3.4).21
    1 Month post3.4 (3.2)3.8 (3.0).544.7 (2.7)3.7 (2.9).094.2 (2.8)4.8 (3.5).59
    6 Months post3.2 (3.2)2.3 (2.6).123.0 (2.9)3.4 (3.3).503.9 (4.0)4.8 (3.6).52
    1 Year post3.1 (3.2)3.0 (3.1).884.7 (3.4)3.0 (3.2).055.0 (3.9)5.1 (3.6).95
    • View popup
    Table 3:

    Correlation between preoperative pain duration and symptom improvement at different follow-up time points

    Follow-Up Time PointCorrelation Coefficient(−1.0–1.0)P
    1 Month at rest0.02.7
    1 Month with activity−0.09.12
    1 Month RDS0.02.87
    6 Months at rest−0.09.12
    6 Months with activity−0.20<.001
    6 Months RDS−0.10.38
    1 Year at rest−0.04.52
    1 Year with activity−0.19.005
    1 Year RDS−0.25.08
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American Journal of Neuroradiology: 32 (10)
American Journal of Neuroradiology
Vol. 32, Issue 10
1 Nov 2011
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Cite this article
A. Ehteshami Rad, D.F. Kallmes
Correlation between Preoperative Pain Duration and Percutaneous Vertebroplasty Outcome
American Journal of Neuroradiology Nov 2011, 32 (10) 1842-1845; DOI: 10.3174/ajnr.A2617

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Correlation between Preoperative Pain Duration and Percutaneous Vertebroplasty Outcome
A. Ehteshami Rad, D.F. Kallmes
American Journal of Neuroradiology Nov 2011, 32 (10) 1842-1845; DOI: 10.3174/ajnr.A2617
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