[Distant pain after thoracolumbar compressive fracture].
OBJECTIVE
To retrospectively analyze the causes and treatment of distant pain after thoracolumbar compressive fracture.


METHODS
The investigators retrospectively analyzed 14 cases of thoracolumbar compressive fracture with distant pain, observed the pain region and its relationship with thoracolumbar compressive fracture and administered the treatment of pain.


RESULTS
There were 14 cases of thoracolumbar compressive fracture with lumbar sacral pain whose painful region were located in paravertebral muscles (n = 6), near iliac crest (n = 5) and in hypochondrium (n = 3). Five and 7 cases of pain disappeared after vertebroplasty and local injection respectively and 2 cases were relieved with analgesics. Eighteen patients with thoracolumbar vertebrae fractures (T11-L2) were fixed with short segment pedical screw fixation, the instrumentation removed at 1 year post-operation and their Cobb's angle and trauma vertebra height measured from 0.5 - 2 years after instrumentation removal.


CONCLUSIONS
The cause of distant pain after thoracolumbar compressive fracture maybe be related with radiating pain resulting from irritated nerves in the vertebral fracture region or distant soft tissue pain. A timely pain treatment can relieve the patients' symptoms.
Liu
Xian-yi
XY
Department of Orthopedics, Beijing University First Hospital, Beijing 100034, China.
Li
Chun-de
CD
Yu
Zheng-rong
ZR
Li
Hong
H
Yi
Xiao-dong
XD
Lu
Hai-lin
HL
Liu
Hong
H
D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000627:therapeutic use; D005260:Female; D050815:Fractures, Compression / Q000150:complications*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy / Q000209:etiology*; D012189:Retrospective Studies; D016103:Spinal Fractures / Q000150:complications*; D013904:Thoracic Vertebrae / Q000293:injuries
D000700:Analgesics