Document Detail


Prevalence of low back pain and lumbar spine degenerative disorders. Questionnaire survey and clinical-radiological analysis of a representative Hungarian population.
MedLine Citation:
PMID:  19997731     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A cross-sectional epidemiological study via personal interviews was performed regarding low back pain and its related clinical aspects in a Hungarian sample of 10,000 people. Joining the international campaign of the "Bone and Joint Decade", our aim was to give data on low back pain prevalence and to explore the underlying possible clinical conditions in a Central European adult and adolescent population. Ten thousand people aged 14-65, selected randomly by the Hungarian central office of statistics from three counties of the south-western Hungarian region, were surveyed using a special questionnaire focusing on low back pain and other degenerative spinal symptoms. People with low back pain complaints and written consent were asked to participate in a further clinical investigation, where radiological and clinical assessment was performed. A total of 4,389 persons (44.1%) reported low back pain in the last month at the time of the survey. Work absenteeism due to low back pain affected 2,140 persons (21.5%). A total of 292 people (2.9%) had already undergone spinal surgery. Upon request 682 people came for a clinical follow-up, where thorough physical examination and radiological analysis was performed and results were statistically interpreted. The Oswestry disability index (ODI) in the examined group of patients averaged 35.1%; radiological degenerative signs were observed in 392/682 (57.5%). Individuals with signs of radiological degeneration had a statistically significant higher ODI value, age, and a higher, yet not significantly increased BMI value than radiographically negative patients (p < 0.05). Co-existence of hip and knee osteoarthritis was also investigated. Higher osteoarthritis prevalence was found in individuals with radiographic signs of spinal degeneration. Details of the survey and clinical investigations are discussed.
Authors:
Gábor Horváth; Gabriella Koroknai; Barnabás Acs; Péter Than; Tamás Illés
Publication Detail:
Type:  Journal Article     Date:  2009-12-08
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-10     Completed Date:  2011-03-10     Revised Date:  2011-12-21    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1245-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, University of Pécs, Hungary. honya75@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Comorbidity
Cross-Sectional Studies
Disability Evaluation
Female
Humans
Hungary / epidemiology
Intervertebral Disc Displacement / epidemiology*,  physiopathology,  radiography
Low Back Pain / epidemiology*,  physiopathology,  radiography
Lumbar Vertebrae / pathology*,  radiography
Male
Middle Aged
Osteoarthritis, Hip / epidemiology
Osteoarthritis, Knee / epidemiology
Prevalence
Questionnaires
Young Adult

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


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