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Temporal changes and statistical associations were examined to identify risk factors for LBP at 24 weeks. RESULTS At 24 weeks, 25% of OVFs failed to achieve union. The LBP group consisted of 71% of non-union and 48% of union cases. Stepwise multinomial regression analysis showed VKA at 24 weeks over 25° was significant risk factor for the LBP group (odds ratio 6.24, 95% confidence interval 1.77 - 22.02, p = 0.004). Significant differences in VKA emerged during treatment in the LBP group, but PI-LL showed the tendency not to change throu