Spinal stenosis prevalence and association with symptoms: the Framingham Study.
Spinal stenosis prevalence and association with symptoms: the Framingham Study.
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DOI：
10.1016/j.spinee.2009.03.005
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发表时间：
2009-07
期刊：
影响因子：
4.5
通讯作者：
Hunter, David J.
中科院分区：
文献类型：
--
作者：
Kalichman, Leonid;Cole, Robert;Kim, David H.;Li, Ling;Suri, Pradeep;Guermazi, Ali;Hunter, David J.
腰椎管狭窄症 (LSS) 在一般人群中的患病率及其与腰痛 (LBP) 的关系仍不清楚。 1) 评估基于社区样本的计算机断层扫描 (CT) 观察到的先天性和获得性 LSS 的患病率； 2）评估LSS和LBP之间的关联。横断面观察研究。这项研究是弗雷明汉心脏研究的辅助项目。 3529 名参与者接受了多排 CT 扫描。 191 人参加了这项研究。使用自我报告问卷评估过去 12 个月的腰痛情况。 LSS（先天性和后天性）使用两个切点进行表征：12 mm 为相对 LSS，10 mm 为绝对 LSS。使用多元逻辑回归，我们检查了 LSS 和 LBP 之间的关联，并调整了性别、年龄和 BMI。在先天性组中，4.7% 的患者出现相对 LSS，2.6% 的患者出现绝对 LSS。获得性 LSS 的发生率分别为 22.5% 和 7.3%。获得性LSS的患病率随着年龄的增长而增加：<40岁，相对和绝对LSS的患病率分别为20.0%和4.0%；在 60-69 岁年龄段，患病率分别为 47.2% 和 19.4%。绝对 LSS 的存在与 LBP 相关，比值比为 3.16（95% CI：1.05-9.53）。对基于社区的样本中先天性和获得性 LSS 的患病率进行了表征。获得性狭窄的患病率随着年龄的增长而增加。 LSS 与 LBP 的风险增加三倍相关。
The prevalence of lumbar spinal stenosis (LSS) in the general population and association with low back pain (LBP) remains unclear. 1) to evaluate the prevalence of congenital and acquired LSS observed on computed tomography (CT) in a community-based sample; 2) to evaluate the association between LSS and LBP. Cross-sectional observational study. This study was an ancillary project to the Framingham Heart Study. 3529 participants underwent multi-detector CT. 191 were enrolled in this study. LBP in the preceding 12 months was evaluated using a self-report questionnaire. LSS (congenital and acquired) was characterized using two cut-points: 12 mm for relative LSS, and 10 mm for absolute LSS. Using multiple logistic regression we examined the association between LSS and LBP, adjusting for sex, age and BMI. In the congenital group, relative LSS was found in 4.7% and absolute LSS in 2.6% of patients. Acquired LSS was found in 22.5% and in 7.3%, respectively. Acquired LSS showed increasing prevalence with age: <40 years, the prevalence of relative and absolute LSS was 20.0% and 4.0%, respectively; in those 60–69 years the prevalence was 47.2% and 19.4%, respectively. The presence of absolute LSS was associated with LBP with an odds ratio of 3.16 (95% CI: 1.05–9.53). The prevalence of congenital and acquired LSS in a community-based sample was characterized. The prevalence of acquired stenosis increased with age. LSS is associated with a three-fold higher risk of experiencing LBP.
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DOI：
10.2106/00004623-199072030-00013
发表时间：
1990-03-01
影响因子：
5.3
作者：
BODEN, SD;DAVIS, DO;WIESEL, SW
通讯作者：
WIESEL, SW
影响因子：
2.8
作者：
Jansson, KÅ;Blomqvist, P;Németh, G
通讯作者：
Németh, G
影响因子：
39.2
作者：
Jarvik, JG;Deyo, RA
通讯作者：
Deyo, RA
影响因子：
3.2
作者：
KUORINKA, I;JONSSON, B;JORGENSEN, K
通讯作者：
JORGENSEN, K
影响因子：
3
作者：
Fanuele, JC;Birkmeyer, NJO;Weinstein, JN
通讯作者：
Weinstein, JN