Background and Objectives. Back pains associated with osteoporotic vertebral compression fractures (OVCFs) may arise not just from vertebral body but also from posterior elements. Percutaneous vertebroplasty (PVP) and facet blocking (FB) combined therapy would relieve pain better, but it has not been elucidated. The purpose of this retrospective study was to compare the treatment effects of PVP and FB combined therapy with PVP alone in OVCFs patients. Methods. Clinical and radiological data of 204 patients were reviewed. The patients were divided into Group A (PVP alone) and Group B (PVP and FB combined therapy) according to treatments. Back pain was evaluated with Visual Analog Scale (VAS) and Oswestry Disability Index (ODI). The operation, fluoroscopic exposure time, and bone cement leakage were recorded. The χ² test, Student’s t-test, and repeated measures analysis of variance were used to compare the differences between the two groups. Results. There were 125 patients in Group A and 79 patients in Group B. Their baseline characteristics were similar (). The mean VAS scores of Group A and Group B were 7.03 and 7.21 at admission, 4.7 and 3.2 at 1 day after operation, 4.0 and 3.0 at 3 months, and 2.2 and 2.2 at 12 months after operation, respectively. The mean ODI scores of Group A and Group B were 30.9 and 29.8 at admission, 17.6 and 17.7 at 3 months, and 10.5 and 10.9 at 12 months after operation, respectively. The mean operation time and fluoroscopic exposure time of Group A (35.6 minutes and 7.2 seconds, respectively) was significantly shorter than that of Group B (45.7 minutes and 11.7 seconds, respectively, ). The incidence of bone cement leakage and new fractures after operation did not have statistically significant difference between groups. Conclusion. PVP and FB combined therapy could provide better pain relief than PVP alone in short term after operation in patients with OVCFs associated back pains.

中文翻译：

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经皮椎体成形术和小平面阻断治疗骨质疏松性椎体压缩性骨折引起的腰痛。

背景和目的。与骨质疏松性椎体压缩性骨折（OVCF）相关的背痛可能不仅来自椎体，还可能来自于后牙。经皮椎体成形术（PVP）和刻面阻滞（FB）联合治疗可更好地缓解疼痛，但尚未阐明。这项回顾性研究的目的是比较OVCF患者中PVP和FB联合疗法与单独PVP的治疗效果。方法。回顾了204例患者的临床和影像学资料。根据治疗方法将患者分为A组（仅PVP）和B组（PVP和FB联合治疗）。使用视觉模拟量表（VAS）和Oswestry残疾指数（ODI）评估背痛。记录手术，透视检查时间和骨水泥渗漏。该χ ²测试，学生的牛逼-测试和重复测量方差分析来比较两组之间的差异。结果。A组有125例患者，B组有79例患者。他们的基线特征相似（）。A组和B组的平均VAS评分在入院时分别为7.03和7.21，术后1天分别为4.7和3.2，3个月时分别为4.0和3.0，以及术后12个月时分别为2.2和2.2。入院时A组和B组的ODI平均值分别为30.9和29.8，3个月时分别为17.6和17.7，以及术后12个月时分别为10.5和10.9。A组的平均手术时间和荧光检查时间（分别为35.6分钟和7.2秒）明显短于B组（分别为45.7分钟和11.7秒），）。两组之间骨水泥渗漏和新骨折的发生率无统计学差异。结论。OVCF相关性背痛患者在术后短期内，PVP和FB联合疗法比单独的PVP可以提供更好的止痛效果。