1Department of Anesthesiology, Tainan Hospital, Tainan City, Taiwan
2Department of Health, Executive Yuan, Taiwan
3Department of Anesthesiology, Chung Shan Medical University Hospital, Taiwan
4Department of Anesthesiology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Taiwan
Outline
Background
Vertebral compression fracture (VCF) is a well-known, painful condition that leads to lifestyle dysfunctions. Previous studies have shown that VCF is caused by osteoporosis and may cause severe pain. However, few researches have focused on the effect of nerve blocks on VCF.
Methods
We collected VCF patients confirmed by X ray with severe pain and dermatome symptoms from July 2017 to June 2018 and performed a paravertebral block (PVB) under sono-guidance for pain control.
Results
10 patients (Age: 77.2±7.9, M/F: 4/6) were collected from our pain clinic, and a total of 17 PVBs (injection time: 1.6± 0.7, spinal location: TIL: 6:4) were performed for all patients at 3-28 day intervals according to their pain location and severity. These patients were asked to come back for pain evaluation. Our data demonstrated that PVB may result in less pain sensation in VCF patients. (YAS=8.5± 1.2 to 3.6±1.6, P＜0.01).
Conclusion
Our data clearly demonstrated that PVB provided better pain control for VCF patients with dermatome pain distribution. Further well controlled studies are needed to confirm the role of PVB in patients with pain caused by VCF.
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