Facet joint parameters which may act as risk factors for chronic low back pain

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Abstract

Background

Facet orientation (FO) and facet tropism (FT) are two important structural parameters of lumbar facet joint. The purpose of this study was to evaluate the association between facet joint parameters and chronic low back pain (LBP).

Methods

From June 2017 to January 2019, a total of 542 cases were enrolled in this study. There were 237 males and 305 females with a mean age of 35.8 years (range 18~59 years). All the cases were divided into a LBP group (LBP group) and a non-LBP group (N-LBP group) in this study. We compared their clinical parameters and facet joint parameters between two groups.

Results

The LBP group was composed of 190 male and 252 female, whose ages ranged from 17 to 59 years (35.6 ±7.9 y). The N- LBP group was composed of 47 male and 53 female, whose ages ranged from 18 to 59 years (35.9 ± 7.5 y). Of these parameters, BMI ( P = 0.008) and FT ( P = 0.003) at all three levels were found to be significantly associated with incidence of chronic LBP ( P < 0.05), but FO were only found to be significant at L3-L4 level and L5-S1 level ( P < 0.05). Logistic regression analysis showed that high BMI and large FT were significant risk factors for chronic LBP ( P < 0.05), and FT were found to might be independent risk factors for chronic LBP.

Conclusion

FT may play a more important role in the pathogenesis of chronic LBP.

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Most cited references 37

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Expenditures and health status among adults with back and neck problems.

Brook I Martin, Richard A Deyo, Sohail K Mirza … (2008)

Back and neck problems are among the symptoms most commonly encountered in clinical practice. However, few studies have examined national trends in expenditures for back and neck problems or related these trends to health status measures. To estimate inpatient, outpatient, emergency department, and pharmacy expenditures related to back and neck problems in the United States from 1997 through 2005 and to examine associated trends in health status. Age- and sex-adjusted analysis of the nationally representative Medical Expenditure Panel Survey (MEPS) from 1997 to 2005 using complex survey regression methods. The MEPS is a household survey of medical expenditures weighted to represent national estimates. Respondents were US adults (> 17 years) who self-reported back and neck problems (referred to as "spine problems" based on MEPS descriptions and International Classification of Diseases, Ninth Revision, Clinical Modification definitions). Spine-related expenditures for health services (inflation-adjusted); annual surveys of self-reported health status. National estimates were based on annual samples of survey respondents with and without self-reported spine problems from 1997 through 2005. A total of 23 045 respondents were sampled in 1997, including 3139 who reported spine problems. In 2005, the sample included 22 258 respondents, including 3187 who reported spine problems. In 1997, the mean age- and sex-adjusted medical costs for respondents with spine problems was $4695 (95% confidence interval [CI], $4181-$5209), compared with $2731 (95% CI, $2557-$2904) among those without spine problems (inflation-adjusted to 2005 dollars). In 2005, the mean age- and sex- adjusted medical expenditure among respondents with spine problems was $6096 (95% CI, $5670-$6522), compared with $3516 (95% CI, $3266-$3765) among those without spine problems. Total estimated expenditures among respondents with spine problems increased 65% (adjusted for inflation) from 1997 to 2005, more rapidly than overall health expenditures. The estimated proportion of persons with back or neck problems who self-reported physical functioning limitations increased from 20.7% (95% CI, 19.9%-21.4%) to 24.7% (95% CI, 23.7%-25.6%) from 1997 to 2005. Age- and sex-adjusted self-reported measures of mental health, physical functioning, work or school limitations, and social limitations among adults with spine problems were worse in 2005 than in 1997. In this survey population, self-reported back and neck problems accounted for a large proportion of health care expenditures. These spine-related expenditures have increased substantially from 1997 to 2005, without evidence of corresponding improvement in self-assessed health status.

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Low back pain.

Anthony Delitto, Steven Z George, Linda R. Van Dillen … (2012)

The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization’s International Classification of Functioning, Disability, and Health (ICF). The purpose of these low back pain clinical practice guidelines, in particular, is to describe the peer-reviewed literature and make recommendations related to (1) treatment matched to low back pain subgroup responder categories, (2) treatments that have evidence to prevent recurrence of low back pain, and (3) treatments that have evidence to influence the progression from acute to chronic low back pain and disability.

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Non-Specific Low Back Pain

Jean-François Chenot, Bernhard Greitemann, Bernd Kladny … (2017)

For many years, low back pain has been both the leading cause of days lost from work and the leading indication for medical rehabilitation. The goal of the German Disease Management Guideline (NDMG) on nonspecific low back pain is to improve the treatment of patients with this condition.

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Author and article information

Contributors

Zhonghai Li:

ORCID: http://orcid.org/0000-0003-4735-1193

lizhonghaispine@126.com

Journal

Journal ID (nlm-ta): J Orthop Surg Res

Journal ID (iso-abbrev): J Orthop Surg Res

Title: Journal of Orthopaedic Surgery and Research

Publisher: BioMed Central (London )

ISSN (Electronic): 1749-799X

Publication date (Electronic): 24 May 2020

Publication date PMC-release: 24 May 2020

Publication date Collection: 2020

Volume: 15

Electronic Location Identifier: 185

Affiliations

[1 ]GRID grid.452435.1, Department of Orthopaedics, , First Affiliated Hospital of Dalian Medical University, ; No. 5, Longbin Road, Dalian, 116600 People’s Republic of China

[2 ]Key Laboratory of Molecular Mechanism for Repair and Remodeling of Orthopaedic Diseases, Liaoning Province, People’s Republic of China

[3 ]GRID grid.460018.b, ISNI 0000 0004 1769 9639, Department of Spinal Surgery, , Shandong Provincial Hospital Affiliated to Shandong University, ; Jinan, People’s Republic of China

Author information

Zhonghai Li http://orcid.org/0000-0003-4735-1193

Article

Publisher ID: 1706

DOI: 10.1186/s13018-020-01706-6

PMC ID: 7245951

PubMed ID: 32448378

SO-VID: 8e05a83c-d0ba-4081-8bad-e56179094eb1

License:

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/. The Creative Commons Public Domain Dedication waiver ( http://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.

History

Date received : 31 January 2020

Date accepted : 13 May 2020

Funding

Funded by: Program for Liaoning Innovative Talents in University (CN)

Award ID: XLYC1807131

Award Recipient : Zhonghai Li

Funded by: the Natural Science Foundation of Liaoning Province

Award ID: 20170540294

Award Recipient : Zhonghai Li

Funded by: Teaching reform research project of Dalian Medical University

Award ID: DYLX19010

Award Recipient : Zhonghai Li

Custom metadata

ScienceOpen disciplines: Surgery

Keywords: low back pain (lbp),risk factor,lumbar facet joint,facet orientation (fo),facet tropism (ft),osteoarthritis (oa)

Data availability:

ScienceOpen disciplines: Surgery

Keywords: low back pain (lbp), risk factor, lumbar facet joint, facet orientation (fo), facet tropism (ft), osteoarthritis (oa)

Facet joint parameters which may act as risk factors for chronic low back pain

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Abstract

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Conclusion

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Most cited references 37

Expenditures and health status among adults with back and neck problems.

Low back pain.

Non-Specific Low Back Pain

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