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Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study

BACKGROUND: Low back pain (LBP) is a major symptom of symptomatic lumbar spinal stenosis (SLSS). It is important to assess LBP in patients with SLSS to develop better treatment. This study aimed to analyse the factors associated with LBP in patients with SLSS. METHODS: This cross-sectional study inc...

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Autores principales: Ogon, Izaya, Teramoto, Atsushi, Takashima, Hiroyuki, Terashima, Yoshinori, Yoshimoto, Mitsunori, Emori, Makoto, Iba, Kousuke, Takebayashi, Tsuneo, Yamashita, Toshihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175476/
https://www.ncbi.nlm.nih.gov/pubmed/35676704
http://dx.doi.org/10.1186/s12891-022-05483-7
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author Ogon, Izaya
Teramoto, Atsushi
Takashima, Hiroyuki
Terashima, Yoshinori
Yoshimoto, Mitsunori
Emori, Makoto
Iba, Kousuke
Takebayashi, Tsuneo
Yamashita, Toshihiko
author_facet Ogon, Izaya
Teramoto, Atsushi
Takashima, Hiroyuki
Terashima, Yoshinori
Yoshimoto, Mitsunori
Emori, Makoto
Iba, Kousuke
Takebayashi, Tsuneo
Yamashita, Toshihiko
author_sort Ogon, Izaya
collection PubMed
description BACKGROUND: Low back pain (LBP) is a major symptom of symptomatic lumbar spinal stenosis (SLSS). It is important to assess LBP in patients with SLSS to develop better treatment. This study aimed to analyse the factors associated with LBP in patients with SLSS. METHODS: This cross-sectional study included consecutive patients with SLSS aged between 51 and 79 years who had symptoms in one or both the legs, with and without LBP. The participants were classified into two groups: the high group (LBP visual analogue scale [VAS] score ≥ 30 mm) and the low group (LBP VAS score < 30 mm). We performed multiple logistic regression analysis with the high and low groups as dependent variables, and a receiver operating characteristic (ROC) analysis. RESULTS: A total of 80 patients with LSS were included (35 men and 45 women; mean age 64.5 years), with 47 and 30 patients in the high and low groups, respectively. Multivariate logistic regression analysis revealed that the sagittal vertical axis (SVA; + 10 mm; odds ratio, 1.331; 95% confidence interval, 1.051 − 1.660) and pelvic incidence-lumbar lordosis (PI-LL; + 1°; odds ratio, 1.065; 95% confidence interval, 1.019–1.168) were significantly associated with LBP. A receiver operating characteristic analysis revealed cut-off values of 47.0 mm of SVA and 30.5° of PI-LL, respectively. CONCLUSION: Our results indicated that SVA and PI-LL were significant predictors for LBP in SLSS. It is suggested that these parameters should be taken into consideration when assessing LBP in patients with SLSS.
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spelling pubmed-91754762022-06-09 Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study Ogon, Izaya Teramoto, Atsushi Takashima, Hiroyuki Terashima, Yoshinori Yoshimoto, Mitsunori Emori, Makoto Iba, Kousuke Takebayashi, Tsuneo Yamashita, Toshihiko BMC Musculoskelet Disord Research BACKGROUND: Low back pain (LBP) is a major symptom of symptomatic lumbar spinal stenosis (SLSS). It is important to assess LBP in patients with SLSS to develop better treatment. This study aimed to analyse the factors associated with LBP in patients with SLSS. METHODS: This cross-sectional study included consecutive patients with SLSS aged between 51 and 79 years who had symptoms in one or both the legs, with and without LBP. The participants were classified into two groups: the high group (LBP visual analogue scale [VAS] score ≥ 30 mm) and the low group (LBP VAS score < 30 mm). We performed multiple logistic regression analysis with the high and low groups as dependent variables, and a receiver operating characteristic (ROC) analysis. RESULTS: A total of 80 patients with LSS were included (35 men and 45 women; mean age 64.5 years), with 47 and 30 patients in the high and low groups, respectively. Multivariate logistic regression analysis revealed that the sagittal vertical axis (SVA; + 10 mm; odds ratio, 1.331; 95% confidence interval, 1.051 − 1.660) and pelvic incidence-lumbar lordosis (PI-LL; + 1°; odds ratio, 1.065; 95% confidence interval, 1.019–1.168) were significantly associated with LBP. A receiver operating characteristic analysis revealed cut-off values of 47.0 mm of SVA and 30.5° of PI-LL, respectively. CONCLUSION: Our results indicated that SVA and PI-LL were significant predictors for LBP in SLSS. It is suggested that these parameters should be taken into consideration when assessing LBP in patients with SLSS. BioMed Central 2022-06-08 /pmc/articles/PMC9175476/ /pubmed/35676704 http://dx.doi.org/10.1186/s12891-022-05483-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ogon, Izaya
Teramoto, Atsushi
Takashima, Hiroyuki
Terashima, Yoshinori
Yoshimoto, Mitsunori
Emori, Makoto
Iba, Kousuke
Takebayashi, Tsuneo
Yamashita, Toshihiko
Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study
title Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study
title_full Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study
title_fullStr Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study
title_full_unstemmed Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study
title_short Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study
title_sort factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175476/
https://www.ncbi.nlm.nih.gov/pubmed/35676704
http://dx.doi.org/10.1186/s12891-022-05483-7
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