Factors Influencing the Development of Metachronous Fractures in Patients with Osteoporotic Vertebral Fractures Treated with Conservative Management or Vertebroplasty.

The treatment group (aOR for PV, 0.087; 95%CI, 0.015–0.379), presence of intravertebral cleft (aOR, 5.62; 95%CI, 1.84–19.2) and difference in posterior height loss between X-rays and CT (aOR, 0.926; 95%CI, 0.856–0.992) were identified as significant predictors for MFs, while Genant’s numerical classification showed a trend toward significance (aOR, 1.97; 95%CI, 0.983–4.19; p = 0.064).

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Notably, this trend was also observed in the subgroup of patients with fractures located at the thoracolumbar junction, but it did not reach statistical significance, probably owing to the more reduced sample size.

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