1990 Volvo Award in Clinical Sciences: Lumbar Spinal Pathology in Cadaveric Material in Relation to History of Back Pain, Occupation, and Physical Loading
1990 Volvo Award in Clinical Sciences: Lumbar Spinal Pathology in Cadaveric Material in Relation to History of Back Pain, Occupation, and Physical Loading
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DOI：
10.1097/00007632-199008000-00002
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发表时间：
1990-08
期刊：
影响因子：
3
通讯作者：
T. Videman;Markku Mikael Nurminen;J. Troup
中科院分区：
文献类型：
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作者：
T. Videman;Markku Mikael Nurminen;J. Troup
对86具男性尸体进行影像学和骨学检查，以了解对称性椎间盘退变、纤维环破裂、终板缺损、椎体骨赘和小关节骨关节病的发生情况，这些男性尸体的职业、体力负荷和背痛史均来自男性的家庭。背痛史和脊柱病理学参数与最高和最低程度的物理负荷有关。在多变量分析中，背部损伤史与对称性椎间盘退变、纤维环破裂和椎体骨赘病的发生相关。对称性椎间盘退变与久坐不动的工作有关，椎体骨赘与繁重的工作有关。在控制了其他协变量的影响后，背痛史与职业性体力负荷有关。结果表明，最少的病理源于中等或混合的物理负荷，但最少的背部疼痛与久坐不动的工作。
The occurrence of symmetric disc degeneration, anular ruptures, end-plate defects, vertebral body osteophytosis, and facet joint osteoarthrosis was examined radiographically and osteologically in 86 male cadavers for whom occupational, physical loading, and back pain histories were obtained from the men's families. History of back pain and the parameters of spinal pathology were related to the highest and lowest degrees of physical loading. In multivariate analyses, history of back injury was related to the occurrence of symmetric disc degeneration, anular ruptures, and vertebral osteophytosis. Symmetric disc degeneration was associated with sedentary work, and vertebral osteophytosis was related to heavy work. History of back pain was related to occupational physical loading after control for the effects of the other covariates. The results indicate that the least pathology stemmed from moderate or mixed physical loading, but the least back pain was associated with sedentary work.