Lee Sung Yeon, Cho Nam H, Jung Young Ok, Seo Young Il, Kim Hyun Ah
Division of Rheumatology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Department of Preventive Medicine, Ajou University School of Medicine, Suwon, Korea.
J Korean Neurosurg Soc. 2017 Jan 1;60(1):67-74. doi: 10.3340/jkns.2016.0505.007. Epub 2016 Dec 29.
The purpose of this study was to investigate the prevalence of and the relevant risk factors for lumbar spondylosis (LS) among middle-aged and elderly rural Korean residents and to explore the association between radiographic LS and lower back pain (LBP) in relation to age and gender.
This community-based, cross-sectional study evaluated 1512 subjects with available radiograph. The prevalence of LBP was obtained using a questionnaire and disability resulting from LBP was measured using a validated Korean version of the Oswestry disability index (ODI). In lumbar spine radiographs, vertebral levels from L1/2 to L4/5 were evaluated for the presence of osteophytes and joint-space narrowing (JSN), and Kellgren-Lawrence (KL) grading was applied.
Of 4261 subjects aged 40-79 years, data from 1512 subjects were included. The prevalence of radiographic LS indicated by grade ≥2 osteophytes and JSN were 53.9 and 15.8%, respectively. Seventy-three percent of subjects had KL grade ≥2 spondylosis and LBP was present in 36.5% of subjects. Although LS was more common among males, the prevalence of LBP was higher among females. Age, male gender and history of hand or knee arthritis were risk factors for LS. LS was significantly associated with LBP mostly among females over 60 years old and correlated with the ODI after adjusting for age and gender.
Our study among rural Korean residents revealed a high prevalence of LS and LBP. The association between LS and LBP was observed mostly among females and LS was significantly correlated with the severity of back pain.
本研究旨在调查韩国农村中老年居民腰椎病（LS）的患病率及相关危险因素，并探讨影像学腰椎病与下背痛（LBP）之间在年龄和性别方面的关联。
这项基于社区的横断面研究评估了1512名有可用X光片的受试者。使用问卷获取下背痛的患病率，并使用经过验证的韩文版奥斯威斯利功能障碍指数（ODI）测量下背痛导致的残疾情况。在腰椎X光片中，评估L1/2至L4/5椎体水平是否存在骨赘和关节间隙变窄（JSN），并应用凯尔格伦-劳伦斯（KL）分级。
在4261名40-79岁的受试者中，纳入了1512名受试者的数据。≥2级骨赘和JSN所表明的影像学腰椎病患病率分别为53.9%和15.8%。73%的受试者KL分级≥2级腰椎病，36.5%的受试者存在下背痛。虽然腰椎病在男性中更常见，但下背痛的患病率在女性中更高。年龄、男性性别以及手或膝关节炎病史是腰椎病的危险因素。腰椎病主要在60岁以上女性中与下背痛显著相关，在调整年龄和性别后与ODI相关。
我们在韩国农村居民中的研究显示腰椎病和下背痛的患病率很高。腰椎病与下背痛之间的关联主要在女性中观察到，且腰椎病与背痛的严重程度显著相关。
