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Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain.
Kojima, Shoji; Ikemoto, Tatsunori; Arai, Young-Chang; Hirasawa, Atsuhiko; Deie, Masataka; Takahashi, Nobunori.
Afiliación
  • Kojima S; Department of Orthopaedic Surgery, Aichi Medical University, Nagakute 480-1195, Japan.
  • Ikemoto T; Department of Orthopaedic Surgery, Aichi Medical University, Nagakute 480-1195, Japan.
  • Arai YC; Multidisciplinary Pain Center, Aichi Medical University, Nagakute 480-1195, Japan.
  • Hirasawa A; Department of Orthopaedic Surgery, Aichi Medical University, Nagakute 480-1195, Japan.
  • Deie M; Department of Orthopaedic Surgery, Aichi Medical University, Nagakute 480-1195, Japan.
  • Takahashi N; Department of Orthopaedic Surgery, Hiroshima Citizens Hospital, Hiroshima 730-8518, Japan.
Healthcare (Basel) ; 11(16)2023 Aug 21.
Article en En | MEDLINE | ID: mdl-37628552
BACKGROUND: This study aimed to investigate the location and distribution of pain in adults with chronic low back pain (LBP) with degenerative lumbar scoliosis (DLS) according to coronal deformities. METHODS: We enrolled 100 adults with chronic LBP and DLS, dividing them into two groups, a right-convex DLS group (n = 50) and a left-convex DLS group (n = 50). Dominant pain location was analyzed by dividing it into three parts-left side, right side, and center-and pain areas were identified using the pain drawing method; then, a heat map was created for each group. An association between pain location and convex side was analyzed as the primary outcome. Additionally, we assessed pain characteristics and radiological parameters, such as the curve structure and degree of degeneration. We used the Mann-Whitney U test or the chi-squared test to compare the clinical characteristics of the two groups, and generalized linear models were utilized to determine which variables were associated with pain severity or pain area. RESULTS: The results indicated that there was no significant difference between the two groups in terms of the association between the curve structure, pain severity and location. In multivariate analysis, although we did not find any variables associated with pain severity, we observed that age and a left-convex DLS were negatively correlated with pain area among all participants. The heat map demonstrated that individuals with chronic LBP frequently experienced pain in the central lumbar region, regardless of the coronal curve structure. CONCLUSIONS: Our findings suggest that degenerative coronal lumbar deformities may not have a specific pain pattern associated with a curved structure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Healthcare (Basel) Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Healthcare (Basel) Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Suiza