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Prevention of Residual Low Back Pain After Percutaneous Kyphosis(PKP) Using Posterior Branch Block of Spinal Nerve

Not Applicable
Completed
Conditions
Osteoporotic Fracture
Interventions
Procedure: posterior branch block of spinal nerve
Registration Number
NCT04108507
Lead Sponsor
Second Affiliated Hospital of Wenzhou Medical University
Brief Summary

The purpose of this study was to block the posterior branch of lumbar spinal nerve during PKP operation and compare it with the patients without spinal nerve block, so as to verify the effect of posterior branch block of spinal nerve in relieving short-term and long-term residual low back pain after operation.

Detailed Description

Patients older than 60 years old who underwent Percutaneous kyphosis(PKP) surgery for osteoporotic fractures were randomly divided into two groups. The lumbar spinal nerve branch was blocked with betamethasone and ropivacaine in the experimental group during PKP operation, while the lumbar spinal nerve branch block was not performed in the control group during PKP operation. The low back pain was evaluated at 1 week, 2 weeks, 1 month, 3 months and 6 months after operation using Visual analogue pain score(VAS)scale.So as to compare the effect of lumbar spinal nerve block on residual pain after PKP.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
198
Inclusion Criteria
  • osteoporotic fracture
  • acute vertebral compression fracture (within 2 weeks)
  • fracture level lower thanT6
Exclusion Criteria
  • other types of fractures
  • patients younger than 60 years of age,
  • with other disease (metabolic bone disease, metastasis, uncor- rectable coagulopathy, spinal infection, severe cardiopulmonary comorbidity, cognitive disorders etc)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
posterior branch block of spinal nerveposterior branch block of spinal nerveposterior branch block of spinal nerve during Percutaneous kyphoplasty(PKP)operation
Primary Outcome Measures
NameTimeMethod
Residual low back pain after operation6 months after operation

Residual low back pain after operation using Visual analogue pain score(VAS) scale, VAS scores range from 0 to 10, more higher score means more severe pain, and residual back pain was defined as a VAS score greater than or equal to 4.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

The 2nd Affiliated Hospital of Wenzhou Medical University

🇨🇳

Wenzhou, Zhejiang, China

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