Dataset Information

Relationship between X-ray findings of lumbar spondylosis and knee pain.

ABSTRACT:

Background

The aim of this study was to investigate the correlation between radiographic measurement in lumbar spine and clinical information including symptoms or results of functional testing using a baseline data of longitudinal cohort study.

Methods

A total of 314 elderly subjects were recruited from 5 orthopedic clinics or affiliated facilities. Data for the present investigation were collected via an interviewer-administered questionnaire, which included questions on past medical history, drug history, pain area. And also results of functional testing and X-ray imaging of the lumbar spine were collected. Analysis was carried out to determine any correlation between results of X-ray imaging of the lumbar spine and other collected data, and sorted regarding Akaike Information Criterion (AIC). The correlations among these variables and odds ratio were also analyzed.

Results

T12/L1% disc height showed a minimum AIC value with buttock pain (-?4.57) and history of vertebral fracture (-?4.05). The L1/L2, L2/L3, and L3/L4% disc height had a minimal AIC value with knee pain (-?4.11, -?13.3, -?3.15, respectively), and odds ratio of knee pain were 3.5, 3.8, and 2.7, respectively.

Conclusions

Correlation was recognized between the T12/L1% disc height and both buttock pain and previous vertebral fractures, and the L1/L2, L2/L3, and L3/L4% disc height showed a correlation with knee pain. Especially the L2/L3% disc height and knee pain had a strong correlation. It was suggested that these findings may provide additional basis to the concept that lumbar spinal lesion associates with knee pain clinically.

SUBMITTER: Uehara K

PROVIDER: S-EPMC6698333 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Publications

Relationship between X-ray findings of lumbar spondylosis and knee pain.

Uehara Kosuke K Akai Masami M Doi Tokuhide T Oka Hiroyuki H Iwaya Tsutomu T

BMC musculoskeletal disorders 20190817 1

<h4>Background</h4>The aim of this study was to investigate the correlation between radiographic measurement in lumbar spine and clinical information including symptoms or results of functional testing using a baseline data of longitudinal cohort study.<h4>Methods</h4>A total of 314 elderly subjects were recruited from 5 orthopedic clinics or affiliated facilities. Data for the present investigation were collected via an interviewer-administered questionnaire, which included questions on past me ...[more]

PMID: 31421680

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Project description:BackgroundLow back pain from lumbar spondylosis affects a large proportion of the population. In select cases, lumbar fusion may be considered. However, cohort studies have not shown clear differences in long-term outcomes between PSF, TLIF, ALIF, and AP fusion. Thus, differences in perioperative complications might affect choice between these procedures for the given diagnosis. The current study seeks to compare perioperative adverse events for patients with lumbar spondylosis treated with single-level: posterior spinal fusion (PSF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), or combined anterior and posterior lumbar fusion (AP fusion).MethodsPatients with a diagnosis of lumbar spondylosis who underwent single-level lumbar fusion without decompression were identified in the 2010-2016 National Quality Improvement Program (NSQIP) database. Patients were categorized based on their procedure (PSF, TLIF, ALIF, or AP fusion). Unadjusted Fisher's exact and Pearson's chi-squared tests were used to compare demographics and comorbid factors. Analysis was secondarily done with propensity score matching to address potential differences in patient selection between the study cohorts.ResultsIn total, 1816 patients were identified: PSF n=322, TLIF n=800, ALIF n=460, AP fusion n=234. The procedures did not have different thirty-day individual or aggregated (any, serious, minor, or infection) adverse events. Further, propensity score matched analysis also revealed no differences in individual or aggregated thirty-day perioperative events.ConclusionThe current study demonstrates a lack of difference in thirty-day perioperative adverse events for different fusion procedures performed for lumbar spondylosis, consistent with prior longer-term outcome studies. These findings suggest that patient/surgeon preference and other factors not captured here should be considered to determine the best surgical technique for the select patients with the given diagnosis who are considered for lumbar fusion.Summary sentenceUsing the NSQIP 2010-2016 databases, this study showed that perioperative adverse events were similar for different surgical approaches of single-level fusion for single-level lumbar spondylosis.

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Dataset Information

Relationship between X-ray findings of lumbar spondylosis and knee pain.

Background

Methods

Results

Conclusions

Publications

Relationship between X-ray findings of lumbar spondylosis and knee pain.

Similar Datasets

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