Steinberg E L, Luger E, Arbel R, Menachem A, Dekel S
Department of Orthopaedic Surgery "B", Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Clin Radiol. 2003 Dec;58(12):985-9. doi: 10.1016/s0009-9260(03)00296-4.
To determine whether there is an association between lumbar spine radiographic findings and reported current and/or past lower back pain (LBP).
Four hundred and sixty-four age-matched (mean age 18 years+/-2 months) consecutive male army recruits were examined. Half of them had a history of episodes of LBP. An orthopaedic evaluation (including radiographs of the lumbar spine) is part of the routine medical examination for all military recruits. Two senior orthopaedic surgeons and one radiologist who performed the morphological measurements assessed the radiographs.
We found an increased frequency of right-sided scoliosis, lumbar lordosis, sacral lumbarization, wedge vertebra, bilateral spondylolysis of L5 and/or a sagittal diameter of less than 12 mm among the recruits with LBP. No such association was found with spina bifida, left-sided scoliosis, hemi-lumbarization, sacralization and hemi-sacralization, Schmorl's nodules or mild degenerative changes.
Given that radiographic screening shows that LBP is more common in those with spinal deformity it may be a reasonable means of predicting which individuals are more likely to develop LBP.
确定腰椎影像学检查结果与报告的当前和/或过去下背痛（LBP）之间是否存在关联。
对464名年龄匹配（平均年龄18岁±2个月）的连续男性新兵进行检查。其中一半有LBP发作史。骨科评估（包括腰椎X线片）是所有新兵常规体检的一部分。两名资深骨科医生和一名进行形态学测量的放射科医生对X线片进行评估。
我们发现LBP新兵中右侧脊柱侧弯、腰椎前凸、骶椎腰化、楔形椎体、L5双侧椎弓根峡部裂和/或矢状径小于12mm的发生率增加。未发现与脊柱裂、左侧脊柱侧弯、半腰椎化、骶化和半骶化、施莫尔氏结节或轻度退变改变有此类关联。
鉴于影像学筛查显示LBP在脊柱畸形患者中更常见，这可能是预测哪些个体更易发生LBP的合理方法。
