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Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain

Background: This study aimed to investigate the location and distribution of pain in adults with chronic low back pain (LBP) with degenerative lumbar scoliosis (DLS) according to coronal deformities. Methods: We enrolled 100 adults with chronic LBP and DLS, dividing them into two groups, a right-con...

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Autores principales: Kojima, Shoji, Ikemoto, Tatsunori, Arai, Young-Chang, Hirasawa, Atsuhiko, Deie, Masataka, Takahashi, Nobunori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454018/
https://www.ncbi.nlm.nih.gov/pubmed/37628552
http://dx.doi.org/10.3390/healthcare11162357
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author Kojima, Shoji
Ikemoto, Tatsunori
Arai, Young-Chang
Hirasawa, Atsuhiko
Deie, Masataka
Takahashi, Nobunori
author_facet Kojima, Shoji
Ikemoto, Tatsunori
Arai, Young-Chang
Hirasawa, Atsuhiko
Deie, Masataka
Takahashi, Nobunori
author_sort Kojima, Shoji
collection PubMed
description Background: This study aimed to investigate the location and distribution of pain in adults with chronic low back pain (LBP) with degenerative lumbar scoliosis (DLS) according to coronal deformities. Methods: We enrolled 100 adults with chronic LBP and DLS, dividing them into two groups, a right-convex DLS group (n = 50) and a left-convex DLS group (n = 50). Dominant pain location was analyzed by dividing it into three parts—left side, right side, and center—and pain areas were identified using the pain drawing method; then, a heat map was created for each group. An association between pain location and convex side was analyzed as the primary outcome. Additionally, we assessed pain characteristics and radiological parameters, such as the curve structure and degree of degeneration. We used the Mann–Whitney U test or the chi-squared test to compare the clinical characteristics of the two groups, and generalized linear models were utilized to determine which variables were associated with pain severity or pain area. Results: The results indicated that there was no significant difference between the two groups in terms of the association between the curve structure, pain severity and location. In multivariate analysis, although we did not find any variables associated with pain severity, we observed that age and a left-convex DLS were negatively correlated with pain area among all participants. The heat map demonstrated that individuals with chronic LBP frequently experienced pain in the central lumbar region, regardless of the coronal curve structure. Conclusions: Our findings suggest that degenerative coronal lumbar deformities may not have a specific pain pattern associated with a curved structure.
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spelling pubmed-104540182023-08-26 Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain Kojima, Shoji Ikemoto, Tatsunori Arai, Young-Chang Hirasawa, Atsuhiko Deie, Masataka Takahashi, Nobunori Healthcare (Basel) Article Background: This study aimed to investigate the location and distribution of pain in adults with chronic low back pain (LBP) with degenerative lumbar scoliosis (DLS) according to coronal deformities. Methods: We enrolled 100 adults with chronic LBP and DLS, dividing them into two groups, a right-convex DLS group (n = 50) and a left-convex DLS group (n = 50). Dominant pain location was analyzed by dividing it into three parts—left side, right side, and center—and pain areas were identified using the pain drawing method; then, a heat map was created for each group. An association between pain location and convex side was analyzed as the primary outcome. Additionally, we assessed pain characteristics and radiological parameters, such as the curve structure and degree of degeneration. We used the Mann–Whitney U test or the chi-squared test to compare the clinical characteristics of the two groups, and generalized linear models were utilized to determine which variables were associated with pain severity or pain area. Results: The results indicated that there was no significant difference between the two groups in terms of the association between the curve structure, pain severity and location. In multivariate analysis, although we did not find any variables associated with pain severity, we observed that age and a left-convex DLS were negatively correlated with pain area among all participants. The heat map demonstrated that individuals with chronic LBP frequently experienced pain in the central lumbar region, regardless of the coronal curve structure. Conclusions: Our findings suggest that degenerative coronal lumbar deformities may not have a specific pain pattern associated with a curved structure. MDPI 2023-08-21 /pmc/articles/PMC10454018/ /pubmed/37628552 http://dx.doi.org/10.3390/healthcare11162357 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kojima, Shoji
Ikemoto, Tatsunori
Arai, Young-Chang
Hirasawa, Atsuhiko
Deie, Masataka
Takahashi, Nobunori
Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain
title Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain
title_full Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain
title_fullStr Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain
title_full_unstemmed Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain
title_short Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain
title_sort associations between degenerative lumbar scoliosis structures and pain distribution in adults with chronic low back pain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454018/
https://www.ncbi.nlm.nih.gov/pubmed/37628552
http://dx.doi.org/10.3390/healthcare11162357
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