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Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review

Patients with scoliosis have a high prevalence of back pain (BP). It is possible that scoliosis patients present with specific features when experiencing back or leg pain pathology. The aim of this systematic review is to report the signs, symptoms and associated features of BP in patients with scol...

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Autores principales: Zaina, Fabio, Marchese, Rosemary, Donzelli, Sabrina, Cordani, Claudio, Pulici, Carmelo, McAviney, Jeb, Negrini, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455254/
https://www.ncbi.nlm.nih.gov/pubmed/37629224
http://dx.doi.org/10.3390/jcm12165182
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author Zaina, Fabio
Marchese, Rosemary
Donzelli, Sabrina
Cordani, Claudio
Pulici, Carmelo
McAviney, Jeb
Negrini, Stefano
author_facet Zaina, Fabio
Marchese, Rosemary
Donzelli, Sabrina
Cordani, Claudio
Pulici, Carmelo
McAviney, Jeb
Negrini, Stefano
author_sort Zaina, Fabio
collection PubMed
description Patients with scoliosis have a high prevalence of back pain (BP). It is possible that scoliosis patients present with specific features when experiencing back or leg pain pathology. The aim of this systematic review is to report the signs, symptoms and associated features of BP in patients with scoliosis compared to adults without scoliosis during adulthood. From inception to 15 May 2023, we searched the following databases: PubMed, EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus. We found 10,452 titles, selected 25 papers for full-text evaluation and included 8 in the study. We found that scoliosis presents with asymmetrical pain, most often at the curve’s apex, eventually radiating to one leg. Radiating symptoms are usually localised on the front side of the thigh (cruralgia) in scoliosis, while sciatica is more frequent in non-scoliosis subjects. These radiating symptoms relate to rotational olisthesis. The type and localization of the curve have an impact, with lumbar and thoracolumbar curves being more painful than thoracic. Pain in adults with scoliosis presents specific features: asymmetrical localization and cruralgia. These were the most specific features. It remains unclear whether pain intensity and duration can differentiate scoliosis and non-scoliosis-related pain in adults.
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spelling pubmed-104552542023-08-26 Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review Zaina, Fabio Marchese, Rosemary Donzelli, Sabrina Cordani, Claudio Pulici, Carmelo McAviney, Jeb Negrini, Stefano J Clin Med Systematic Review Patients with scoliosis have a high prevalence of back pain (BP). It is possible that scoliosis patients present with specific features when experiencing back or leg pain pathology. The aim of this systematic review is to report the signs, symptoms and associated features of BP in patients with scoliosis compared to adults without scoliosis during adulthood. From inception to 15 May 2023, we searched the following databases: PubMed, EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus. We found 10,452 titles, selected 25 papers for full-text evaluation and included 8 in the study. We found that scoliosis presents with asymmetrical pain, most often at the curve’s apex, eventually radiating to one leg. Radiating symptoms are usually localised on the front side of the thigh (cruralgia) in scoliosis, while sciatica is more frequent in non-scoliosis subjects. These radiating symptoms relate to rotational olisthesis. The type and localization of the curve have an impact, with lumbar and thoracolumbar curves being more painful than thoracic. Pain in adults with scoliosis presents specific features: asymmetrical localization and cruralgia. These were the most specific features. It remains unclear whether pain intensity and duration can differentiate scoliosis and non-scoliosis-related pain in adults. MDPI 2023-08-09 /pmc/articles/PMC10455254/ /pubmed/37629224 http://dx.doi.org/10.3390/jcm12165182 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 Systematic Review
Zaina, Fabio
Marchese, Rosemary
Donzelli, Sabrina
Cordani, Claudio
Pulici, Carmelo
McAviney, Jeb
Negrini, Stefano
Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review
title Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review
title_full Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review
title_fullStr Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review
title_full_unstemmed Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review
title_short Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review
title_sort current knowledge on the different characteristics of back pain in adults with and without scoliosis: a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455254/
https://www.ncbi.nlm.nih.gov/pubmed/37629224
http://dx.doi.org/10.3390/jcm12165182
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