Document Detail

Disk degeneration of the upper lumbar disks is associated with hip pain.
MedLine Citation:
PMID:  23135791     Owner:  NLM     Status:  MEDLINE    
PURPOSE: A possible cause of hip pain is the presence of radiating pain from the higher lumbar spine. Identification of factors associated with hip pain arising from the lumbar spine would aid the physician. The first step in identifying possible factors is to look at the association between hip pain and osteoarthritis of the lumbar spine.
METHODS: In an open population based study of people 55 years and older (Rotterdam study), 2,819 lumbar radiographs were scored for the presence and severity of individual radiographic features of disk degeneration. Hip osteoarthritis was scored on anteroposterior pelvic radiographs, and questionnaires including self-reported hip pain were taken. Logistic regression adjusted for possible confounders was used to determine the association between self-reported hip pain and the individual radiographic features of lumbar disk degeneration.
RESULTS: The presence of dis space narrowing grade ≥1 at level L1/L2 was significantly associated with hip pain in the last month (men OR = 2.0; 95 % CI 1.1-3.8 and women OR = 1.7; 95 % CI 1.1-2.5). The presence of disk space narrowing grade ≥1 at level L2/L3 was only significantly associated with hip pain in women. The strength of the associations increased for self-reported chronic hip pain, especially in men (L1/L2 OR = 2.5; 95 % CI 1.3-5.0). The presence of disk space narrowing at the lower levels (L3/L4/L5/S1) was not significantly associated with hip pain.
CONCLUSION: Our data provide evidence for an association between hip pain and disk space narrowing at disk level L1/L2 and L2/L3. In case of uncertainty of the cause of hip pain, evaluation of lumbar radiographs may help to identify those hip pain patients who might have pain arising from the lumbar spine.
Evelien I T de Schepper; Jurgen Damen; Pieter K Bos; Albert Hofman; Bart W Koes; Sita M Bierma-Zeinstra
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2012-11-08
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  22     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-04-22     Completed Date:  2014-02-04     Revised Date:  2014-04-01    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  721-6     Citation Subset:  IM    
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MeSH Terms
Arthralgia / etiology*,  radiography
Cohort Studies
Hip Joint* / radiography
Intervertebral Disc Degeneration / complications*,  radiography
Linear Models
Lumbar Vertebrae* / radiography
Middle Aged
Osteoarthritis, Spine / complications*,  radiography
Prospective Studies
Retrospective Studies
Self Report
Severity of Illness Index
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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