Radiological Signs of Scheuermann Disease and Low Back Pain
| العنوان: | Radiological Signs of Scheuermann Disease and Low Back Pain |
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| المؤلفون: | Liu, Ning, Guo, Xinhu, Chen, Zhongqiang, Qi, Qiang, Li, Weishi, Guo, Zhaoqing, Zeng, Yan, Sun, Chuiguo, Liu, Zhongjun |
| المصدر: | Spine |
| بيانات النشر: | Lippincott Williams & Wilkins, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | musculoskeletal diseases, Adult, Male, Health Personnel, Scheuermann Disease, Severity of Illness Index, wedged vertebra, health services administration, Surveys and Questionnaires, Schmorl node, magnetic resonance imaging, Humans, hospital, Diagnostics, Physical Examination, low back pain, Retrospective Studies, Lumbar Vertebrae, lumbar spine, atypical Scheuermann disease, irregular endplate, Middle Aged, Health Surveys, nervous system diseases, lumbar Scheuermann disease, population characteristics, Female, human activities, Follow-Up Studies |
| الوصف: | Lumbar magnetic resonance images and low back pain (LBP) questionnaires of 188 hospital staffs were reviewed to investigate the relationship between radiological signs of Scheuermann disease (SD) and LBP. A total of 18.1% of the participants met SD diagnostic criteria and having “SD-like” spine was associated with the severity and progressive nature of LBP. Study Design. Retrospective cohort study. Objective. To investigate the relationship between radiological signs of Scheuermann disease (SD) and low back pain (LBP) in a local population using lumbar magnetic resonance (MR) images. Summary of Background Data. SD is a spinal disorder, and both its classic and atypical (lumbar) forms are associated with LBP. However, radiological signs of SD are present in 18% to 40% of the general population, in whom the clinical significance of “SD-like” spine remains largely unknown. Methods. This retrospective cohort study included 188 staff members from a single hospital. Participants' lumbar MR images and self-administered questionnaires concerning demographic information, LBP status, consequences, and functional limitations were collected. Participants were classified into 2 groups according to whether lumbar MR images met SD diagnostic criteria, and LBP status, consequences, and functional limitation were compared. Follow-up interviews were conducted after 6 years to compare LBP progression. Results. Thirty-four participants (18.1%) had SD-like spine. Rates of lifetime, previous 1-year, and point LBP did not significantly differ between groups. However, among participants who had ever had LBP, SD-like spine was associated with higher rates of work absence (42.1% vs. 9.5%, χ2 = 9.620, P = 0.002) and seeking medical care (68.4% vs. 39.2%, χ2 = 5.216, P = 0.022) due to LBP, as well as significantly greater intensity of the most severe LBP episode in the past 2 years (6.4 ± 2.5 vs. 4.1 ± 2.5, t = 3.564, P = 0.001). Among the 159 participants who completed the 6-year follow-up, a significantly higher proportion of people with SD-like spine reported aggravated LBP during the follow-up. Conclusion. Our results suggest that in the general population, lumbar MR images of many people meet SD diagnostic criteria, and having SD-like spine seemed to be associated with the severity and progressive nature of LBP. Our findings should inspire further research in this field. Level of Evidence: 3 |
| اللغة: | English |
| تدمد: | 1528-1159 0362-2436 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=pmid________::dbe4db74ba61c21a0f944744ece61724Test http://europepmc.org/articles/PMC4222801Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.pmid..........dbe4db74ba61c21a0f944744ece61724 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15281159 03622436 |
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