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慢性机械性下腰痛患者骨关节炎放射学征象程度与功能状态的相关性

Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain.

作者信息

Ashraf Alireza, Farahangiz Siamak, Pakniat Jahromi Bita, Setayeshpour Nazanin, Naseri Mahshid

机构信息

Department of Physical Medicine and Rehabilitation, Shiraz Burn Research Center, Shiraz University of Medical Sciences, Shiraz, 71348-44119 Iran.

Department of Radiology, Shiraz University of Medical Sciences, Shiraz, 71348-44119 Iran.

出版信息

Malays J Med Sci. 2014 Mar;21(2):28-33.

Abstract

BACKGROUND

Osteoarthritis is the most intervening factors in producing mechanical low back pain (LBP). We aimed to evaluate the correlation between radiologic signs of osteoarthritis and functional status in patients with chronic mechanical LBP.

METHODS

Severity of osteoarthritis and disability were evaluated with Kellgren and Lawrence Grading Scale (K&L) by simple lumbar X-ray and Oswestry Disability Questionnaire (ODQ) respectively.

RESULTS

Although there was no significant correlation between ODQ and K&L score in general, the correlation was seen in female group (P = 0.024, r = 0.207).

CONCLUSION

Mechanical LBP provides more disability in females suffering from more advanced osteoarthritis.

摘要

背景

骨关节炎是导致机械性下腰痛(LBP)的最主要干预因素。我们旨在评估慢性机械性LBP患者骨关节炎的影像学征象与功能状态之间的相关性。

方法

分别通过简单的腰椎X线检查使用凯尔格伦和劳伦斯分级量表(K&L)评估骨关节炎的严重程度,以及使用奥斯威斯利残疾问卷(ODQ)评估残疾情况。

结果

总体而言,ODQ与K&L评分之间虽无显著相关性,但在女性组中存在相关性(P = 0.024,r = 0.207)。

结论

机械性LBP在患有更严重骨关节炎的女性中导致更多残疾。

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Lumbar facet joint osteoarthritis: a review.腰椎小关节骨关节炎:综述
Semin Arthritis Rheum. 2007 Oct;37(2):69-80. doi: 10.1016/j.semarthrit.2007.01.007. Epub 2007 Mar 26.
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