Are tall people at higher risk of low back pain surgery? A discussion on the results of a multipurpose cohort

Cœuret-Pellicer, Mireille; Descatha, Alexis; Leclerc, Annette; Zins, Marie

doi:10.1002/acr.20023

Cited by 21 publications

(10 citation statements)

References 11 publications

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“…Some studies already demonstrated larger body height as a risk factor for future LBP (Coeuret-Pellicer et al, 2010;Hershkovich et al, 2013). This could not be confirmed by the current study since the variable height was not significant in the regression analysis.…”

Section: No Lbp -No Lbpcontrasting

confidence: 96%

Young individuals with a more ankle-steered proprioceptive control strategy may develop mild non-specific low back pain

Claeys

Dankaerts

Janssens

et al. 2015

Journal of Electromyography and Kinesiology

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Altered proprioceptive postural control has been demonstrated in people with non-specific low back pain (LBP). However, the cause-effect relation remains unclear. Therefore, more prospective studies are necessary. Proprioceptive postural control of 104 subjects was evaluated at baseline using a force plate and with application of vibration stimulation on ankle and back muscles. Spinal postural angles were measured with digital photographs. Psychosocial variables and physical activity were registered using questionnaires. Ninety subjects were followed over two years concerning their LBP status, 14 were lost to follow-up. Four distinct groups were determined after two years based on pain and disability scores: never LBP, no LBP at intake with future mild LBP, mild LBP at intake with no further LBP, LBP at intake with further episodes of mild LBP. Risk factors for developing or sustaining LBP were calculated using logistic regression analysis. A more ankle-steered proprioceptive postural control strategy in upright standing increased the risk for developing or having recurrences of mild LBP within two years (Odds: 3.5; 95% CI: 1.1-10.8; p < 0.05). Increased postural sway, altered spinal postural angles, psychosocial and physical activity outcomes were not identified as risk factors for future mild LBP. These findings could contribute to improving the prevention and rehabilitation of LBP.

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Section: No Lbp -No Lbpcontrasting

confidence: 96%

Young individuals with a more ankle-steered proprioceptive control strategy may develop mild non-specific low back pain

Claeys

Dankaerts

Janssens

et al. 2015

Journal of Electromyography and Kinesiology

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“…Although previous research (Hestbaek et al, 2006 ;Mesquita et al, This study also supported previous research that taller people are at highest risk for low back disorders that require surgical intervention (Coeuret-Pellicer et al, 2010 ). Although previous research (Hestbaek et al, 2006 ;Mesquita et al, This study also supported previous research that taller people are at highest risk for low back disorders that require surgical intervention (Coeuret-Pellicer et al, 2010 ).…”

Section: Limitationssupporting

confidence: 79%

“…Coeuret-Pellicer, Descatha, Leclerc, and Zins (2010) found that the mean height of subjects with low back pain who required back surgery was significantly higher than those in the reference group or in the low back pain group. Coeuret-Pellicer, Descatha, Leclerc, and Zins (2010) found that the mean height of subjects with low back pain who required back surgery was significantly higher than those in the reference group or in the low back pain group.…”

Section: Introductionmentioning

confidence: 80%

Physical Attributes of Endoscopy Nurses Related to Musculoskeletal Problems

Darby

Gallo

Fields

2013

Gastroenterology Nursing

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The purpose of this research study was to determine whether specific attributes of endoscopy nurses such as age, body mass, or height contribute to neck, shoulder, or back problems. Study participants included endoscopy nurses who physically assist with endoscopic procedures (hands-on assist). Participants with preexisting neck, shoulder, or back injury prior to employment in endoscopy were excluded. Study participants completed the Standardized Nordic Questionnaire. Results suggested that age or height of less than 68 inches were not contributing factors to neck, shoulder, or back problems. Nurses with a body mass index (BMI) of 25 or more had significantly more upper back problems in the past 12 months. Nurses with BMI of 25 or more and/or those who were taller than 68 inches had a significantly higher incidence of upper and lower back problems that prevented work in the previous 12 months and occurred within the previous 7 days. Nurses with a BMI of 25 or more and/or who are 68 inches or taller should be aware of their higher risk for upper and lower back problems, and adjustments need to be made to their work practice and environment.

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“…The association cannot be explained by body weight, because the BMI PGS is better associated with weight but does not show association with LDH (P>0.5). The result provides a genetic basis to the previous epidemiological observation that being tall is a risk factor for hospitalization due to LDH (Wahlstrom et al 2012) and back surgery (Coeuret-Pellicer et al 2010).…”

Section: Testing Genetic Overlaps Between Anthropometric Traits and Lddmentioning

confidence: 54%

Trans-ethnic polygenic analysis supports genetic overlaps of lumbar disc degeneration with height, body mass index, and bone mineral density

Zhou

Cheung

Karasugi

et al. 2018

Preprint

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Lumbar disc degeneration (LDD) is age-related break-down in the fibrocartilaginous joints between lumbar vertebrae. It is a major cause of low back pain and is conventionally assessed by magnetic resonance imaging (MRI). Like most other complex traits, LDD is likely polygenic and influenced by both genetic and environmental factors. However, genome-wide association studies (GWASs) of LDD have uncovered few susceptibility loci due to the limited sample size. Previous epidemiology studies of LDD also reported multiple heritable risk factors, including height, body mass index (BMI), bone mineral density (BMD), lipid levels, etc. Genetics can help elucidate causality between traits and suggest loci with pleiotropic effects. One such approach is polygenic score (PGS) which summarizes the effect of multiple variants by the summation of alleles weighted by estimated effects from GWAS.To investigate genetic overlaps of LDD and related heritable risk factors, we calculated the PGS of height, BMI, BMD and lipid levels in a Chinese population-based cohort with spine MRI examination and a Japanese case-control cohort of lumbar disc herniation (LDH) requiring surgery. Because most large-scale GWASs were done in European populations, PGS of corresponding traits were created using weights from European GWASs. We calibrated their prediction performance in independent Chinese samples, then tested associations with MRI-derived LDD scores and LDH affection status. The PGS of height, BMI, BMD and lipid levels were strongly associated with respective phenotypes in Chinese, although phenotype variances explained were lower than in Europeans which would reduce the power to detect genetic overlaps. Despite of this, the PGS of BMI and lumbar spine BMD were significantly associated with LDD scores; and the PGS of height was associated with the increased the liability of LDH. Furthermore, linkage disequilibrium score regression suggested that, osteoarthritis, another degenerative disorder that shares common features with LDD, also showed genetic correlations with height, BMI and BMD. The findings suggest a common key contribution of biomechanical stress to the pathogenesis of LDD and will direct the future search for pleiotropic genes.

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Are tall people at higher risk of low back pain surgery? A discussion on the results of a multipurpose cohort

Cited by 21 publications

References 11 publications

Young individuals with a more ankle-steered proprioceptive control strategy may develop mild non-specific low back pain

Young individuals with a more ankle-steered proprioceptive control strategy may develop mild non-specific low back pain

Physical Attributes of Endoscopy Nurses Related to Musculoskeletal Problems

Trans-ethnic polygenic analysis supports genetic overlaps of lumbar disc degeneration with height, body mass index, and bone mineral density

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