Risk Factors for Low Back Pain and Spine Surgery

Kardouni, Joseph R.; Shing, Tracie L.; Rhon, Daniel I.

doi:10.1016/j.amepre.2016.06.005

Cited by 18 publications

(4 citation statements)

References 41 publications

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“…In line with other studies, negative social interactions and social relations were found to be related to sleep quality (Elfering et al, 2016;Pereira et al, 2016;Pereira, Meier and Elfering, 2013). The association of sleep problems and musculoskeletal pain was confirmed before in large epidemiologic studies (Aghayev et al, 2010); specifically with respect to back pain (Kardouni, Shing and Rhon, 2016;Shmagel, Foley and Ibrahim, 2016). Thereby, sleep problems may arise as a consequence of musculoskeletal pain (Aghayev et al, 2010), as pain is known to Note.…”

Section: Discussionsupporting

confidence: 67%

Emotion Work and Musculoskeletal Pain in Supermarket Cashiers: A Test of a Sleep-Mediation Model

Kottwitz

Salathé

Buser

2017

Scandinavian Journal of Work and Organizational Psychology

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Repetitive movement and a lack of postural change are known risk factors for musculoskeletal pain in cashiers. This study tests emotional dissonance -the demand to keep being polite to impolite customers -as an additional risk factor. Furthermore, sleep problems are expected to mediate the link between emotion work and musculoskeletal pain. Data contains 103 female supermarket cashiers from three supermarkets of a large retailer responded to a questionnaire (participation rate 60.6%). An open question asked for the most negative job facets in daily work. Standardized questionnaire were used to assess emotional dissonance, sleep problems and musculoskeletal pain. Responses to the open question showed experience of unkind customers as the most prevalent negative experience at work reported by 47.6% of cashiers, followed by prolonged sitting (8.7%). Emotional dissonance was a significant predictor of neck and back pain when BMI, age, part-time work, and change of hand function during their shift (work rotation) were controlled (β = .30, p < .01). Moreover, sleep problems were confirmed as a mediator with respect to neck and back pain (B = .21, SE = .10, CI = 02-.22). No mediation was found in prediction of pain in arms and shoulders or hips, legs, and feet. Emotional dissonance in work of cashiers appeared as a unique risk factor of neck and back pain. Work design should pay more attention to the social demands of cashier work.

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Section: Discussionsupporting

confidence: 67%

Emotion Work and Musculoskeletal Pain in Supermarket Cashiers: A Test of a Sleep-Mediation Model

Kottwitz

Salathé

Buser

2017

Scandinavian Journal of Work and Organizational Psychology

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“…The current results show that 0.69% of LBP subjects (1,805 cases out of 130,089 subjects) underwent surgery during the observed period whereas a similarly conducted study in U.S. soldiers reported a surgery rate of 1.94% (7,446 cases out of 383,586 subjects) [ 46 ]. As widely known, spinal surgery rates vary greatly across countries and regions, although the prevalence of spinal disorders is similar worldwide [ 47 , 48 ], which may be explained by differences in medical service accessibility, economic development, clinician education, etc.…”

Section: Discussionmentioning

confidence: 76%

Impact of acupuncture treatment on the lumbar surgery rate for low back pain in Korea: A nationwide matched retrospective cohort study

et al. 2018

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IntroductionLow back pain (LBP) is a globally prevalent disorder with high social significance. Invasive surgical procedures are increasingly being used to treat LBP despite a lack of solid evidence supporting their long-term benefits. This nationwide retrospective cohort study investigated the association between acupuncture treatment and lumbar surgery rate in patients with LBP.MethodsUsing the National Health Insurance Service Sample Cohort Database for 2002–2013, we identified newly diagnosed LBP patients in Korea between 2004 and 2010 and divided them into an acupuncture group and control group according to whether or not they received acupuncture. Propensity scores based on age, sex, income, and Charlson Comorbidity Index were matched between the two study groups. The lumbar surgery rate in the two years following the first visit (control group) or the first acupuncture session (acupuncture group) was calculated. In addition to the overall analysis, stratified analyses were also conducted in different age, sex, and income strata. Sensitivity analyses were further performed using varying definitions of acupuncture treatment.ResultsAfter matching, 130,089 subjects were included in each study group. The lumbar surgery rate was significantly lower in the acupuncture group than in the control group (hazard ratio [HR] 0.633, 95% confidence interval [CI] 0.576–0.696). Decrease in HR was consistently observed in the acupuncture group for all age strata, except for patients in their 20s (HR 1.031, 95% CI 0.804–1.323). HR for lumbar surgery tended to be further reduced in the older age groups upon acupuncture treatment, with no apparent sex-related differences. Lowered HR in the acupuncture group was continuously observed across all income groups; the higher income group showed a tendency of greater decrease. Sensitivity analyses showed that the number of acupuncture sessions had no major impact on the likelihood of lumbar surgery, but also that more intensive acupuncture treatment was associated with further reduction in lumbar surgery rates.ConclusionThe present results found that administration of acupuncture treatment is associated with lower lumbar surgery rates for LBP patients in Korea. Prospective studies are warranted in the future to further investigate the effect of acupuncture treatment on lumbar surgery incidence.

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“…Evaluated comorbid conditions included tobacco use and alcohol abuse at any time prior to the minimally invasive decompression, and persistent opioid use for 1 year prior to the minimally invasive decompression. Tobacco use and alcohol abuse were considered to represent those patients who may be poor‐surgical candidates due to an increased risk of perioperative complications 18–20 . Persistent opioid use was considered to identify patients who may have altered pain perception and function, thus impacting the perceived success of a minimally invasive approach and increasing the likelihood of progression to surgical management 21,22 .…”

Section: Methodsmentioning

confidence: 99%

“…Tobacco use and alcohol abuse were considered to represent those patients who may be poor-surgical candidates due to an increased risk of perioperative complications. [18][19][20] Persistent opioid use was considered to identify patients who may have altered pain perception and function, thus impacting the perceived success of a minimally invasive approach and increasing the likelihood of progression to surgical management. 21,22 Certain spinal pathologies were also evaluated that may predispose patients for the failure of minimally invasive techniques or are associated with more severe stenosis, including lumbar spondylosis with myelopathy, lumbar spondylolisthesis, lumbar radiculopathy, and a history of prior surgical intervention (i.e., surgical decompression, hemilaminectomy, laminotomy, or laminectomy).…”

Section: Evaluated Comorbid Conditionsmentioning

confidence: 99%

Incidence of subsequent surgical decompression following minimally invasive approaches to treat lumbar spinal stenosis: A retrospective review

Shahzad,

Hussain,

D'Souza

et al. 2023

Pain Practice

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Background ContextSurgical decompression is the definitive treatment for managing symptomatic lumbar spinal stenosis; however, select patients are poor surgical candidates. Consequently, minimally invasive procedures have gained popularity, but there exists the potential for failure of therapy necessitating eventual surgical decompression.PurposeTo evaluate the incidence and characteristics of patients who require surgical decompression following minimally invasive procedures to treat lumbar spinal stenosis.Study Design/SettingRetrospective review.Patient SamplePatients who underwent minimally invasive procedures for lumbar spinal stenosis (Percutaneous Image‐guided Lumbar Decompression [PILD] or interspinous spacer device [ISD]) progressed to subsequent surgical decompression within 5 years.Outcome MeasuresThe primary outcome was the rate of surgical decompression within 5 years following the minimally invasive approach. Secondary outcomes included demographic and comorbid factors associated with increased odds of requiring subsequent surgery.MethodsPatient data were collected using the PearlDiver‐Mariner database. The rate of subsequent decompression was described as a percentage while univariable and multivariable regression analysis was used for the analysis of predictors.ResultsA total of 5278 patients were included, of which 3222 (61.04%) underwent PILD, 1959 (37.12%) underwent ISD placement, and 97 (1.84%) had claims for both procedures. Overall, the incidence of subsequent surgical decompression within 5 years was 6.56% (346 of 5278 patients). Variables associated with a significantly greater odds ratio (OR) [95% confidence interval (CI)] of requiring subsequent surgical decompression included male gender and a prior history of surgical decompression by 1.42 ([1.14, 1.77], p = 0.002) and 2.10 times ([1.39, 3.17], p < 0.001), respectively. In contrast, age 65 years and above, a diagnosis of obesity, and a Charlson Comorbidity Index score of three or greater were associated with a significantly reduced OR [95% CI] by 0.64 ([0.50, 0.81], p < 0.001), 0.62 ([0.48, 0.81], p < 0.001), and 0.71 times ([0.56, 0.91], p = 0.007), respectively.ConclusionsMinimally invasive procedures may provide an additional option to treat symptomatic lumbar spinal stenosis in patients who are poor surgical candidates or who do not desire open decompression; however, there still exists a subset of patients who will require subsequent surgical decompression. Factors such as gender and prior surgical decompression increase the likelihood of subsequent surgery, while older age, obesity, and a higher Charlson Comorbidity Index score reduce it. These findings aid in selecting suitable surgical candidates for better outcomes in the elderly population with lumbar spinal stenosis.

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Risk Factors for Low Back Pain and Spine Surgery

Abstract: In the presence of comorbidities associated with mental health, sleep, obesity, tobacco use, and alcohol use, LBP shows increased risk of becoming chronic/recurrent and faster time to surgery.

Cited by 18 publications

References 41 publications

Emotion Work and Musculoskeletal Pain in Supermarket Cashiers: A Test of a Sleep-Mediation Model

Emotion Work and Musculoskeletal Pain in Supermarket Cashiers: A Test of a Sleep-Mediation Model

Impact of acupuncture treatment on the lumbar surgery rate for low back pain in Korea: A nationwide matched retrospective cohort study

Incidence of subsequent surgical decompression following minimally invasive approaches to treat lumbar spinal stenosis: A retrospective review

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