|Radiological Signs of Scheuermann Disease and Low Back Pain Retrospective Categorization of 188 Hospital Staff Members With 6-Year Follow-up|
|Liu, Ning1,2; Guo, Xinhu1; Chen, Zhongqiang1; Qi, Qiang1; Shi, Wei1; Guo, Zhaoqing1; Zeng, Yan1; Sun, Chuiguo1; Liu, Zhongjun1|
|关键词||Scheuermann disease atypical Scheuermann disease lumbar Scheuermann disease low back pain lumbar spine magnetic resonance imaging Schmorl node irregular endplate wedged vertebra hospital|
|WOS标题词||Science & Technology|
|类目[WOS]||Clinical Neurology ; Orthopedics|
|研究领域[WOS]||Neurosciences & Neurology ; Orthopedics|
|关键词[WOS]||FOLLOW-UP ; LUMBAR SCHEUERMANN ; DISC-DEGENERATION ; RISK-FACTORS ; KYPHOSIS ; SPINE ; PREVALENCE ; INJURIES ; HISTORY ; TWINS|
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%, chi(2) = 9.620, P = 0.002) and seeking medical care (68.4% vs. 39.2%, chi(2) = 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.
|资助机构||AOSpine China Research Grant|
|作者单位||1.Peking Univ, Dept Orthopaed, Hosp 3, Beijing 100191, Peoples R China|
2.Massachusetts Gen Hosp, Dept Orthopaed Surg, Spine Serv, Boston, MA 02114 USA
|Liu, Ning,Guo, Xinhu,Chen, Zhongqiang,et al. Radiological Signs of Scheuermann Disease and Low Back Pain Retrospective Categorization of 188 Hospital Staff Members With 6-Year Follow-up[J]. SPINE,2014,39(20):1666-1675.|
|APA||Liu, Ning.,Guo, Xinhu.,Chen, Zhongqiang.,Qi, Qiang.,Shi, Wei.,...&Liu, Zhongjun.(2014).Radiological Signs of Scheuermann Disease and Low Back Pain Retrospective Categorization of 188 Hospital Staff Members With 6-Year Follow-up.SPINE,39(20),1666-1675.|
|MLA||Liu, Ning,et al."Radiological Signs of Scheuermann Disease and Low Back Pain Retrospective Categorization of 188 Hospital Staff Members With 6-Year Follow-up".SPINE 39.20(2014):1666-1675.|