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Lumbar foraminal stenosis was associated with back pain and leg pain: epidemiological evidence from a population-based cohort.
Ding, Shuchen; Chen, Lunhao; Fu, Chudi; Liu, Miao; Yuan, Ying; Battié, Michele C; Wang, Yue.
Afiliación
  • Ding S; Department of Orthopaedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, 79# Qingchun Road, Hangzhou, Zhejiang, 310003, China.
  • Chen L; Center of Orthopedics, The 903rd Hospital of People's Liberation Army, Hangzhou, Zhejiang, China.
  • Fu C; Department of Orthopaedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, 79# Qingchun Road, Hangzhou, Zhejiang, 310003, China.
  • Liu M; Center of Orthopedics, The 903rd Hospital of People's Liberation Army, Hangzhou, Zhejiang, China.
  • Yuan Y; Department of Radiology, The 903rd Hospital of People's Liberation Army, Hangzhou, Zhejiang, China.
  • Battié MC; Department of Orthopaedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, 79# Qingchun Road, Hangzhou, Zhejiang, 310003, China.
  • Wang Y; Faculty of Health Sciences, School of Physical Therapy, Western University, London, ON, Canada.
Neuroradiology ; 66(9): 1649-1656, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38871880
ABSTRACT

OBJECTIVES:

To determine the characteristics of lumbar foraminal stenosis (LFS) on magnetic resonance (MR) images and their association with back pain and radiating leg pain in a population-based sample of Chinese subjects.

METHODS:

This study was an extension of the Hangzhou Lumbar Spine Study, a cross-sectional study focusing on back pain and lumbar spine MR imaging findings. Questionnaire data, including demographics, lifestyle, occupational exposures, back pain and radiating leg pain were included. On lumbar spine MR images, disc degeneration was assessed using Pfirrmann grade and Modic changes were evaluated. Using Lee's scale, the L3-S1 intervertebral foramina were evaluated, with grade 2-3 representing substantial LFS and grade 0-1 no LFS. Characteristics of LFS were noted, and associations of LFS with back pain and radiating leg pain were examined.

RESULTS:

Among the 644 study subjects, 141 (21.9%) had at least one LFS, and its occurrence was associated with greater age (OR = 1.93 for each 10 years, p < 0.001). Substantial LFS was associated with the presence of back pain (OR = 1.92, p = 0.001) and the intensity of the worst back pain (Coef = 8.30, p < 0.001) over the past 12 months, and disabling back pain during their lifetime (OR = 2.25, p < 0.001). Substantial LFS was also associated with leg pain (OR = 14.27, p < 0.001), with a sensitivity of 75.7% for the presence of radiating leg pain and a specificity of 81.4%.

CONCLUSION:

Substantial LFS on MR images was a common age-related degenerative phenotype in adults, and appears to be an independent risk factor for back pain and leg pain.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis Espinal / Imagen por Resonancia Magnética / Dolor de Espalda / Vértebras Lumbares Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Neuroradiology Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis Espinal / Imagen por Resonancia Magnética / Dolor de Espalda / Vértebras Lumbares Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Neuroradiology Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Alemania