Spine radiographs in patients with low-back pain. An epidemiological study in men.

Frymoyer, John W.; Newberg, Arthur H.; Pope, Malcolm H.; Wilder, David G.; Clements, Janice H.; MacPherson, Bruce R.

doi:10.2106/00004623-198466070-00011

Cited by 221 publications

(97 citation statements)

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“…No investigation reporting this relationship with a comparable long follow-up and validated outcome measures has been published up today. Despite a wide range of radiographic anomalies and clinical outcome measures were examined in previous studies, most frequently association has been found between the severity of loss of disc height, particularly at the L4-L5 level, and severe LBP, in both discectomized and non-operated patients [9,12,16,27,32,34,36]. Other studies failed to find any clinical radiographic correlation in patients with previous lumbar discectomy [11,19,26,28,33].…”

Section: Discussionmentioning

confidence: 97%

Frequency and clinical meaning of long-term degenerative changes after lumbar discectomy visualized on imaging tests

et al. 2009

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The aim of this retrospective controlled study was to evaluate radiographic degeneration in the lumbar spine of patients who had undergone lumbar discectomy minimum 21 years earlier and its clinical meaning. Indeed, no previous investigation on degenerative changes occurring after lumbar discectomy with a comparable long follow-up has been published. The study participants consisted of 50 patients who had undergone discectomy for lumbar disc herniation. The mean length of follow-up was 25.3 ± 3.0 years. Patients were assessed by Short Form-36 Health Survey (SF-36), Oswestry Disability Index, and a study-specific questionnaire. Radiographic views of the lumbar spine were obtained from all patients and compared to those of 50 asymptomatic controls. A five-step published classification was used to assess the increasing severity of radiographic changes. CT or MRI scans were also available for 27 patients who had undergone discectomy. Moderate to severe radiographic changes were present in 45 patients (90%) and 34 controls (68%), respectively (P = 0.013). The most prevalent MRI/CT changes were loss of disc height (89%), facet joint arthritis (89%), and endplate changes (57%). Thirty-two of 33 subjects (97%) reporting pain during the last 12 months had significant degeneration on their radiographs, and the frequency of changes was higher with respect to subjects without pain (P = 0.040).In conclusion, standard lumbar discectomy frequently leads to long-term degenerative changes on imaging tests. The presence of moderate to severe degeneration is associated with self-reported pain.

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Section: Discussionmentioning

confidence: 97%

Frequency and clinical meaning of long-term degenerative changes after lumbar discectomy visualized on imaging tests

et al. 2009

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“…Previous studies have also assessed spino-pelvic alignment in LBP and lumbar disk disease [7][8][9][10][11][12][13][14][15][16][17], but the relationship between sagittal alignment and LBP is still poorly understood. The current paper helps to better understand the relationship between sagittal alignment and LBP because it involves the largest database published so far in the literature on the evaluation of sagittal spino-pelvic alignment in chronic LBP.…”

Section: Discussionmentioning

confidence: 99%

“…Rajnics et al [11] also observed significant differences for SS, PT, and LLbut not PI nor TK-in 50 patients presenting with low back pain and disk herniation compared to 30 healthy subjects. Other studies also reported conflicting results suggesting either decreased [12], increased [13], or normal [14][15][16][17] LL in patients with LBP.…”

Section: Introductionmentioning

confidence: 99%

Sagittal spino-pelvic alignment in chronic low back pain

et al. 2011

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Introduction The differences in sagittal spino-pelvic alignment between adults with chronic low back pain (LBP) and the normal population are still poorly understood. In particular, it is still unknown if particular patterns of sagittal spino-pelvic alignment are more prevalent in chronic LBP. The current study helps to better understand the relationship between sagittal alignment and low back pain. Materials and methods To compare the sagittal spinopelvic alignment of patients with chronic LBP with a cohort of asymptomatic adults. Sagittal spino-pelvic alignment was evaluated in prospective cohorts of 198 patients with chronic LBP and 709 normal subjects. The two cohorts were compared with respect to the sacral slope

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“…Bu ilişki ilk olarak 1917 yılında Bertolotti tarafından tanımlanmıştır (17) . Bazı çalışmalarda, bel ağrısı ve transizyonel vertebra arasında anlamlı korelasyonun olmadığı söylenirken (13,18,19) , bazı çalışmalar böyle bir korelasyonun olduğunu gösterilmiştir (2,14,20,21) . Wigh ve ark.…”

Section: Discussionunclassified

Prevalance evaluation of lumbosacral transitional vertebrae in kahramanmaras population by large-scale screening

Kılınçoğlu¹

2017

Okmeydani Medical Journal

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Spine radiographs in patients with low-back pain. An epidemiological study in men.

Cited by 221 publications

References 0 publications

Frequency and clinical meaning of long-term degenerative changes after lumbar discectomy visualized on imaging tests

Frequency and clinical meaning of long-term degenerative changes after lumbar discectomy visualized on imaging tests

Sagittal spino-pelvic alignment in chronic low back pain

Prevalance evaluation of lumbosacral transitional vertebrae in kahramanmaras population by large-scale screening

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