关键词: 骨质疏松性椎体骨折, 深静脉血栓形成, 危险因素

Abstract: Objective: To analyze the risk factors for preoperative deep vein thrombosis (DVT) in patients with osteoporotic vertebral fractures. Methods: A retrospective analysis was conducted on clinical data from 346 hospitalized patients with osteoporotic vertebral fractures. Based on preoperative DVT diagnostic results, patients were divided into a DVT group (n= 34) and a non-DVT group (n=312). Univariate and multivariate logistic regression analyses were used to identify preoperativerisk factors for DVT. Results: The incidence of DVT among the 346 patients with osteoporotic vertebral fractures was 9.8%. Logistic regression analysis revealed that body mass index (BMI), D-dimer, and C-reactive protein (CRP) were significant risk factors for DVT. D-dimer demonstrated high predictive sensitivity and specificity. Conclusion: Elevated levels of BMI, D-dimer, and CRP are closely associated with preoperative DVT. Monitoring these indicators facilitates early identification of high-risk patients, enabling timely preventive and interventional measures to optimize preoperative management and reduce complications.

Key words: Osteoporosis vertebral fracture, Deep vein thrombosis, Risk factors