AI Article Synopsis
- Low vitamin D levels are linked to both a higher risk of osteoporotic fractures and musculoskeletal pain, prompting this study to explore these connections in patients facing spine surgery.
- A total of 109 patients underwent assessments of vitamin D levels and pain scales, revealing a significant correlation between vitamin D concentrations and pain intensity as measured by VAS and ODI.
- The findings suggest that monitoring vitamin D levels in spinal surgery patients is essential due to their evident impact on pain outcomes, especially considering the notable decrease in pain after surgery.
Article Abstract
Background: Low vitamin D is a major risk factor for osteoporotic fractures. Evidence also suggests correlation between deficiency and musculoskeletal pain.
Objective: Non-interventional study in patients undergoing spine surgery to investigate links between vitamin D levels and clinical features.
Methods: 25-OH vitamin D levels were assessed in two cohorts: Cohort 1 (vertebral fractures; VF) and Cohort 2 (other spinal issues; excluding VF). Lab values as well as painDETECT questionnaires, VAS and Oswestry Disability Index (ODI) were recorded. Follow-up visits were conducted a few days and 6 weeks postoperatively.
Results: One hundred and nine patients were enrolled. Mean VAS measured 72 mm in Cohort 1 and 55 mm in Cohort 2. Mean vitamin D concentrations were 16.8 ± 11 ng/ml in Cohort 1 and 18.3 ± 11 ng/ml in Cohort 2. VAS and ODI significantly correlated with vitamin D levels. Median painDETECT scores were 9 in Cohort 1 and 16 in Cohort 2. Six weeks postoperatively mean VAS was 31.4 ± 28 mm in Cohort 1 and 23.3 ± 21 mm in Cohort 2. Median painDETECT scores were 5 in both cohorts.
Conclusion: Interactions are apparent between neuropathic pain and vitamin D serum levels. Consequently, vitamin D should be monitored in all patients requiring spinal surgery.
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| http://dx.doi.org/10.3233/THC-171055 | DOI Listing |
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