Epidemiology and associated radiographic spinopelvic parameters of symptomatic degenerative lumbar scoliosis: are radiographic spinopelvic parameters associated with the presence of symptoms or decreased quality of life in degenerative lumbar scoliosis?
Epidemiology and associated radiographic spinopelvic parameters of symptomatic degenerative lumbar scoliosis: are radiographic spinopelvic parameters associated with the presence of symptoms or decreased quality of life in degenerative lumbar scoliosis?
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DOI：
10.1007/s00586-015-4256-8
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发表时间：
2016-08-01
影响因子：
2.8
通讯作者：
Takagishi, Kenji
中科院分区：
文献类型：
--
作者：
Iizuka, Yoichi;Iizuka, Haku;Takagishi, Kenji
为了调查放射学退行性腰椎侧凸 (DLS) 和症状性 DLS 的流行病学，并阐明放射学脊柱骨盆参数对 DLS 受试者症状存在和生活质量 (QOL) 的影响。我们获得了 254 名普通人群患者的年龄、性别、慢性腰痛 (CLBP) 和腰椎管狭窄 (LSS) 筛查、生活质量评估和胸腰椎 X 射线照片对于这项研究。评估了 DLS 和症状性 DLS 的患病率，并分析了与症状相关的因素，并分析了 DLS 受试者的生活质量。影像学和症状性 DLS 的患病率分别为 19.2% 和 7.8%。女性 (p = 0.018) 和骶骨坡度降低 (p = 0.025) 与 DLS 受试者中 CLBP 的存在相关。较高的年龄也与这些受试者中 LSS 的存在相关 (p = 0.007)，而 Cobb 角被发现接近显着性极限 (p = 0.063)。骶骨-股骨-耻骨角和科布角分别与 EuroQol-5 维度实用评分（r = 0.314，p = 0.014）和 EuroQol-视觉模拟量表评分（r = -0.291，p = 0.043）相关。腰椎前凸和体重指数分别与日本骨科协会背痛问卷中的腰椎功能（r = 0.285，p = 0.047）和腿部疼痛视觉模拟量表（r = 0.328，p = 0.022）相关。本研究中放射学 DLS 的患病率约为 20%，大约 40% 的 DLS 受试者有症状。一些脊柱骨盆参数可能会影响 DLS 受试者的症状发生和生活质量。
To investigate the epidemiology of radiographic degenerative lumbar scoliosis (DLS) and symptomatic DLS and clarify the impact of radiographic spinopelvic parameters on the presence of symptoms and quality of life (QOL) in DLS subjects.We obtained the age, gender, screening for chronic low back pain (CLBP) and lumbar spinal stenosis (LSS), QOL assessments and X-rays of the thoracolumbar spine from 254 patients from the general population for this study. The prevalence of DLS and symptomatic DLS were estimated and factors associated with symptoms, and the QOL in the DLS subjects was analysed.The prevalence of radiographic and symptomatic DLS was 19.2 and 7.8 %, respectively. A female gender (p = 0.018) and decreased sacral slope (p = 0.025) were associated with the presence of CLBP in the DLS subjects. A higher age was also associated with the presence of LSS in these subjects (p = 0.007), whereas the Cobb angle was found to be close the limit for significance (p = 0.063). The sacro-femoral-pubic angle and Cobb angle correlated with the EuroQol-5 dimensions utility score (r = 0.314, p = 0.014) and EuroQol-visual analogue scale score (r = -0.291, p = 0.043), respectively. Lumbar lordosis and body mass index correlated with the lumbar function (r = 0.285, p = 0.047) and visual analogue scale for leg pain (r = 0.328, p = 0.022) on the Japanese Orthopaedic Association Back Pain Questionnaire, respectively.The prevalence of radiographic DLS in this study was approximately 20 % and roughly 40 % of the DLS subjects had symptoms. Some spinopelvic parameters may impact the occurrence of symptoms and the QOL in DLS subjects.