Clinical and radiological features of lumbar degenerative spondylolisthesis who complicates osteoarthritis of the knee

Iwamura, Yuichi; Inasaka, Riki; Fujimaki, Hiroshi; Kouno, Motonori; Aota, Youichi

doi:10.1016/j.jos.2019.10.013

Cited by 5 publications

(13 citation statements)

References 26 publications

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“…A further 75 studies were excluded at the second stage screening (full text), mainly because the study aims were not related to the research question, both conditions were not explored, and non-peer reviewed publications, such as conference proceedings, comments, and research notes. Twelve studies 4,5,8,13,21,28,29,30,31,32,33,34 were therefore included into the nal analysis of the current review (Table 1).…”

Section: Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

“…Outcome measures related to the knee included pain, disability, knee range of motion (ROM) and KOA severity grades. There were 6 studies assessing biomechanical associations 13,21,29,31,32,34 and 8 of studies assessing clinical outcomes 4,5,8,28,29,30,33,34 . There were 8 studies evaluating outcomes related to knee pain and disability 4,5,8,28,29,30,33,34 1 study measuring knee exion angle, spinal ROM 29 and 1 study evaluating knee OA severity 34 (Table 2).…”

Section: Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

“…Association between LBP and knee OA 1. Biomechanical associations a) Association with spinopelvic alignment Development and progression of KOA in degenerative spondylolisthesis (DS) patients may be induced by signi cantly greater mismatches of lumbopelvic sagittal alignment 31 . Rate of double adjacent level spondylolisthesis in KOA group and non-KOA group was 33.3% and 18.1%, respectively 31 .Dominant of double adjacent level spondylolisthesis with signi cantly greater pelvic incidence-lumbar lordosis (PI-LL), as a result of signi cantly greater PI and pelvic tilt (PT) than in patients with DS without KOA, which indicates that these factors are considered to be one of the strongest inducement of complicating KOA in patients with DS.…”

Section: Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

“…Biomechanical associations a) Association with spinopelvic alignment Development and progression of KOA in degenerative spondylolisthesis (DS) patients may be induced by signi cantly greater mismatches of lumbopelvic sagittal alignment 31 . Rate of double adjacent level spondylolisthesis in KOA group and non-KOA group was 33.3% and 18.1%, respectively 31 .Dominant of double adjacent level spondylolisthesis with signi cantly greater pelvic incidence-lumbar lordosis (PI-LL), as a result of signi cantly greater PI and pelvic tilt (PT) than in patients with DS without KOA, which indicates that these factors are considered to be one of the strongest inducement of complicating KOA in patients with DS. Elderly patients with degenerative lumbar spondylolisthesis (DLS) and comorbid severe KOA reported a different pelvic morphology, increased sagittal malalignment with a lack of lumbar lordosis due to double-level listhesis, and greater knee exion contracture than in patients with no to mild and moderate KOA 32 .…”

Section: Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

“…Most of the studies (83.33%) have not presented the information about the sample size justi cation, power description, or variance and effect estimates provided. There are 8.33% studies 28 with a high quality, while 91.67% studies 4,5,8,13,21,29,30,31,32,33,34 were with a moderate quality (Figure 2).…”

Section: Quality Of the Included Studiesmentioning

confidence: 99%

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Association of lower back pain(LBP) and knee osteoarthritis(KOA); a systematic review

Amarasinge¹,

Wadugodapitiya

Weerasekara

2022

Preprint

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Background: Osteoarthritis and lower back pain (LBP) are among most common health problems worldwide leading pain and disability. The purpose of this study was to systematically review the evidence to find any association between knee osteoarthritis (KOA) and LBP.Methods: The databases of Scopus, Medline and EMBASE were searched from inception to 22.02.2021. Any study published in English assessing live humans over 18 years with KOA and LBP were eligible to be included. Data were independently assessed by two researchers. Data were extracted based on the participants, outcomes related to knee, outcomes related to lumbar spine, association between LBP and KOA and study design approach. Results: Of 8620 titles and abstracts, duplicates were removed and 6219 were screened. Altogether 87 full texts were screened and 12 were eligible for the final inclusion.Conclusions: There were some biomechanical and clinical associations observed between LBP and KOA. High pelvic incidence is a risk factor for development of spondylolisthesis and KOA. Development and progression of KOA in patients with degenerative spondylolisthesis may be induced by significantly greater mismatches of lumbo-pelvic sagittal alignment. Elderly patients with degenerative lumbar spondylolisthesis and comorbid severe KOA reported a different pelvic morphology, increased sagittal malalignment with a lack of lumbar lordosis due to double-level listhesis, and greater knee flexion contracture than in patients with no to mild and moderate KOA. Knee pain intensity was higher in KOA when presents with LBP. People with concurrent LBP and KOA have reported poor function with more disability. Assessing both back and knee joints should be considered when treating KOA and vice-versa, to clinically manage, and to prevent further progression. High quality RCTs with a long-term follow-up should be designed to assess the exercise programs consist of both lumbar and knee exercises for these patients. Systematic review registration: PROSPERO (CRD42022238571)

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Section: Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Selection and Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Quality Of the Included Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Association of lower back pain(LBP) and knee osteoarthritis(KOA); a systematic review

Amarasinge¹,

Wadugodapitiya

Weerasekara

2022

Preprint

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Correlation between fat infiltration of paraspinal muscle and L4 degenerative lumbar spondylolisthesis in asymptomatic adults

Cao¹,

Zuo²,

Xu³

et al. 2023

Asian Journal of Surgery

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Exploring the correlation between knee osteoarthritis and musculoskeletal ultrasound manifestations based on changes in traditional Chinese medical syndrome types

Qiang,

Zhou,

et al. 2024

Medicine

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This study explores the correlation between knee osteoarthritis and musculoskeletal ultrasound manifestations based on changes in traditional Chinese medicine (TCM) syndrome types. The study enrolled 104 patients with knee osteoarthritis admitted to the Gansu Provincial Hospital of TCM between January 2019 and January 2021. According to the principle of syndrome differentiation and treatment in TCM, the patients were divided into wind-cold-damp obstruction (n = 17), damp-heat accumulation (n = 22), qi-stagnation and blood stasis (n = 31), and liver and kidney deficiency (n = 34) types. The degrees of cartilage injury, synovial hyperplasia, synovial blood flow, and joint effusion in patients with different TCM syndrome types were compared using ultrasound. There were no significant differences in the degree of cartilage injury or synovial hyperplasia among the 4 TCM syndrome types (P > .05). The proportion of grade III blood flow signals in the liver and kidney deficiency group was lower than that in the damp-heat accumulation and wind-cold-damp obstruction groups, and the proportion of no blood flow and grade I blood flow signals were higher than those in the damp-heat accumulation and wind-cold-damp obstruction groups (P < .05). The proportion of non-joint effusion in the liver and kidney deficiency and wind-cold-damp obstruction groups was higher than that in the damp-heat accumulation and qi-stagnation and blood stasis groups (P < .05), and the proportion of grade I effusion in the damp-heat accumulation group was higher than that in the liver and kidney deficiency group (P < .05). Musculoskeletal ultrasound manifestations of knee osteoarthritis are related to TCM syndrome differentiation and classification and can provide a reference for TCM syndrome differentiation and treatment of knee osteoarthritis.

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Clinical and radiological features of lumbar degenerative spondylolisthesis who complicates osteoarthritis of the knee

Cited by 5 publications

References 26 publications

Association of lower back pain(LBP) and knee osteoarthritis(KOA); a systematic review

Association of lower back pain(LBP) and knee osteoarthritis(KOA); a systematic review

Correlation between fat infiltration of paraspinal muscle and L4 degenerative lumbar spondylolisthesis in asymptomatic adults

Exploring the correlation between knee osteoarthritis and musculoskeletal ultrasound manifestations based on changes in traditional Chinese medical syndrome types

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