Bone Mineral Content, Gender, Body Posture, and Build in Relation to Back Pain in Middle Age

Bergenudd, Hans; Nilsson, Bo; Udén, Alf; Willner, Stig

doi:10.1097/00007632-198906000-00005

Cited by 56 publications

(42 citation statements)

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“…Some authors have shown a correlation between the size of the kyphosis and pain or disability [17,31,43,45]. This study and also others could not detect any such correlation [3,16]. It has been shown earlier that the size of the kyphosis is multi-factorial [9,11,14,16,28,38,50].…”

Section: Influence Of Kyphosis and Lordosiscontrasting

confidence: 44%

Previous vertebral compression fractures add to the deterioration of the disability and quality of life after an acute compression fracture

2009

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Prevalent vertebral compression fracture(s) have been reported as having a negative impact on pain, disability, and quality of life. But no study has evaluated the effect of previous fracture on the course of acute compression fractures. The aim of the present study was to compare the natural course of the acute compression fracture in patients with (n = 51) and without (n = 56) previous vertebral compression fracture(s). The study is a retrospective analysis of a prospective cohort followed with postal questionnaires during a 12-month period after an acute fracture event. Eligible patients were those over 40 years of age, who were admitted to the emergency unit because of back pain and had an X-ray confirmed acute vertebral body fracture. A total of 107 patients were included in the study. The pain, disability (von Korff pain and disability scores), ADL (Hannover ADL score), and quality of life (QoL) (EQ-5D) were measured after 3 weeks, and 3, 6, and 12 months. The X-rays from the first visit to the emergency unit were evaluated. The difference of the scores between the groups with and without previous fracture was statistically significant (P \ 0.05) at 3 weeks, 6 and 12 months for von Korff disability score, at all occasions for EQ-5D and at 3-12 months for Hannover ADL score, but only at 12 months for the von Korff pain intensity score. In both the groups all scores had improved in a statistically significant way at 3 months. The number of previous fractures was related to all the outcome scores in a statistically significant way (P \ 0.05) except von Korff pain intensity score at 3 weeks and 3 months and von Korff disability score at 3 months. In conclusion, disability, ADL, and QoL scores, but not pain intensity score, were significantly worse in the patients with previous fracture from the fracture episode through the first 12 months. However, the improvements during the followup year seen in both groups were of a similar magnitude. The presence or absence of a previous fracture in an acutely fractured patient will influence the prognosis and thus possibly also the indications for treatments.

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Section: Influence Of Kyphosis and Lordosiscontrasting

confidence: 44%

Previous vertebral compression fractures add to the deterioration of the disability and quality of life after an acute compression fracture

2009

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“…Third, the relative interfacet distance was wider in females than males. 126 Several other studies have observed the degree of standing lumbar lordosis in the female spine to be 26%-28% greater than the male spine; 30,139,210 however, no information was provided on the parous history of those females. Interestingly, changes in mass distribution in the body due to increased body mass index showed little 85,137 or no effect on lumbar lordosis in males or females.…”

Section: Sexual Dimorphism and The Lumbar Spinementioning

confidence: 99%

Etiology of lumbar lordosis and its pathophysiology: a review of the evolution of lumbar lordosis, and the mechanics and biology of lumbar degeneration

Sparrey

Bailey

Safaee

et al. 2014

FOC

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The goal of this review is to discuss the mechanisms of postural degeneration, particularly the loss of lumbar lordosis commonly observed in the elderly in the context of evolution, mechanical, and biological studies of the human spine and to synthesize recent research findings to clinical management of postural malalignment. Lumbar lordosis is unique to the human spine and is necessary to facilitate our upright posture. However, decreased lumbar lordosis and increased thoracic kyphosis are hallmarks of an aging human spinal column. The unique upright posture and lordotic lumbar curvature of the human spine suggest that an understanding of the evolution of the human spinal column, and the unique anatomical features that support lumbar lordosis may provide insight into spine health and degeneration. Considering evolution of the skeleton in isolation from other scientific studies provides a limited picture for clinicians. The evolution and development of human lumbar lordosis highlight the interdependence of pelvic structure and lumbar lordosis. Studies of fossils of human lineage demonstrate a convergence on the degree of lumbar lordosis and the number of lumbar vertebrae in modern Homo sapiens. Evolution and spine mechanics research show that lumbar lordosis is dictated by pelvic incidence, spinal musculature, vertebral wedging, and disc health. The evolution, mechanics, and biology research all point to the importance of spinal posture and flexibility in supporting optimal health. However, surgical management of postural deformity has focused on restoring posture at the expense of flexibility. It is possible that the need for complex and costly spinal fixation can be eliminated by developing tools for early identification of patients at risk for postural deformities through patient history (genetics, mechanics, and environmental exposure) and tracking postural changes over time.

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“…On the other hand, they reported that there was no relationship between low back pain and BMD according to the BMD measurements of forehands in patients with chronic low back pain (36). In another study (37), it was reported that there was no relationship between BMD of the patients with low back pain, low back pain reports, and disability, whereas in our study, a significant relationship was determined between both severity of degenerative disc disease and disability and lumbar spine and femoral neck T-scores.…”

Section: Discussionmentioning

confidence: 97%

Genç ve Orta Yaş Erkeklerde Kronik Bel Ağrısı ve Kemik Mineral Yoğunluğu Arasındaki İlişki

...

2012

Tftr

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Objective: In this study, we investigated the relationship between chronic low back pain and bone mineral density in a young and middle-aged male population. Materials and Methods: A total of 104 male patients with chronic low back pain were enrolled in the study. All subjects completed the Oswestry Disability Index (ODI). Additionally, the intervertebral disc degeneration (DD) was graded according to the Thompson's classification. After bone mineral density was measured the patients were divided into two groups: normal (n=50) and low (n=54) bone density groups. In addition, for comparing the data of patient sub-groups, bone mineral density was measured in 30 healthy subjects. Results: T and Z-scores of the L2 -L4 and the femoral neck were found to be significantly lower in the patient group compared to the control group. In the patient group, there was a positive correlation between the ODI score and the DD score. There were negative correlations between both the ODI score and the DD score and L2-L4 and femoral neck T scores and Z-score. The DD and ODI scores were found to be significantly higher in a patient with low bone density compared to a patient with normal bone density. Conclusion: We think that the low bone mineral density in young and middle-aged male patients with chronic lower back pain is related to disability and physical inactivity. Turk J Phys Med Re hab 2012;58:294-8. Key Words: Chronic low back pain; lumbar disc degeneration; bone mineral density; physical inactivity; disability; male Özet Amaç: Bu çalışmada genç ve orta yaş erkek popülasyonunda kronik bel ağrısı ve kemik mineral yoğunluğu arasındaki ilişki incelenmiştir. Gereç ve Yöntem: Çalışmaya alınan kronik bel ağrılı toplam 104 erkek hasta Oswestry Disability Index (ODI) sorgulama formunu doldurdu. Ayrıca, intervertebral disk dejenerasyonu Thompson's klasifikasyonuna göre derecelendirildi. Hastalar kemik mineral yoğunluğu (KMY) ölçüldükten sonra normal kemik dansiteli (n=50) ve düşük kemik dansiteli (n=54) olmak üzere iki gruba ayrıldı. Ek olarak hasta alt gruplarının verileri ile karşılaştırılmak üzere 30 sağlıklıda da KMY ölçümü yapıldı. Bulgular: L2-L4 ve femur boynu T ve Z skorları, hasta grubunda kontrol grubuna kıyasla anlamlı derecede daha düşük olarak bulundu. Hasta grubunda, ODI skoru ve DD skoru arasında pozitif korelasyon vardı. Hem ODI skoru hem de DD skoru ile L2-L4 ve femur boynu T ve Z skorları arasında negatif korelasyonlar vardı. DD ve ODI skorları normal kemik dansiteli hasta ile kıyaslandığında, düşük KMY'li hastada anlamlı derecede daha yüksek olarak bulundu. Sonuç: Biz, kronik bel ağrılı genç ve orta yaş erkek hastalardaki düşük KMY'nin, fiziksel aktivite azlığı ve yetersizliğe bağlı olduğunu düşünüyoruz. Türk Fiz T›p Re hab Derg

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Bone Mineral Content, Gender, Body Posture, and Build in Relation to Back Pain in Middle Age

Cited by 56 publications

References 0 publications

Previous vertebral compression fractures add to the deterioration of the disability and quality of life after an acute compression fracture

Previous vertebral compression fractures add to the deterioration of the disability and quality of life after an acute compression fracture

Etiology of lumbar lordosis and its pathophysiology: a review of the evolution of lumbar lordosis, and the mechanics and biology of lumbar degeneration

Genç ve Orta Yaş Erkeklerde Kronik Bel Ağrısı ve Kemik Mineral Yoğunluğu Arasındaki İlişki

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