Department of Radiation Medicine, University of Nigeria Medical School, Nsukka, Nigeria.
Department of Community Medicine, University of Nigeria Medical School, Nsukka, Nigeria.
Arch Osteoporos. 2018 Oct 7;13(1):104. doi: 10.1007/s11657-018-0477-x.
Low back pain (LBP) is a common presenting complaint in our hospital in Enugu Nigeria. Three hundred thirty-three radiographs of patients with LBP were studied. A lot of them had bony outgrowths (osteophytes) on the spine. Plain radiograph of the spine is useful in studying these patients' condition.
Low back pain (LBP) is one of the common symptoms which bring patients to hospital and ultimately to radiology department for medical assistance. Plain radiographs of lumbar spine are usually the initial imaging tools requested by clinicians. The objective of this study is to evaluate commonest finding in patients with LBP to guide physicians for improved management.
This work was a retrospective study. Plain films of these patients with LBP at the University of Nigeria Teaching Hospital, Enugu, were assessed by two radiologists. Findings documented and analyzed using IBM'S SPSS 22. Association was determined using chi-square with level of significance, p < 0.05.
Total number of radiographs reviewed was 333. One hundred and eighty-three (55.0%) patients were females. Age ranged from 14 to 101 years. Mean age of 53.4 ± 15.9 years. Disc space was normal in majority (55.3%, 184/333) of patients; narrowing was observed in most others (43.2%, 144/333), about half of the narrowing occurring along with vacuum phenomenon. Osteophytes were commonest finding in a total of 284/333 (85.3%) existing alone or in combination with other findings. Proportion of patients with osteophytes was highest in sixth to eighth decade of life (98.8% of 61-80 age group), followed by 41-60 age group (92.9%). This association between age group and the presence of osteophytes was statistically significant (p < 0.000). Anterior vertebral body was affected in 85.0% (284/333) of patients.
Osteophytes are common radiologic features in LBP. Anterior vertebral body is most affected. It is commoner in the older age group. Plain radiograph is an invaluable imaging tool in the management of LBP in this part of the world.
在尼日利亚埃努古的医院，下腰痛（LBP）是一种常见的就诊主诉。我们研究了 333 例 LBP 患者的 X 光片。他们中的许多人脊柱上有骨赘（骨赘）。脊柱的 X 光平片有助于研究这些患者的病情。
下腰痛（LBP）是一种常见症状，会导致患者到医院就诊，最终到放射科寻求医疗帮助。腰椎 X 光片通常是临床医生最初要求的影像学检查手段。本研究的目的是评估 LBP 患者最常见的发现，以指导医生进行更好的治疗。
这是一项回顾性研究。对在尼日利亚大学教学医院就诊的 LBP 患者的 X 光片由两位放射科医生进行评估。记录发现并使用 IBM 的 SPSS 22 进行分析。使用卡方检验确定关联，显著性水平 p<0.05。
共检查 X 光片 333 张。183 名（55.0%）患者为女性。年龄从 14 岁到 101 岁不等。平均年龄为 53.4±15.9 岁。大多数患者的椎间盘间隙正常（55.3%，184/333）；大多数其他患者的椎间盘间隙变窄（43.2%，144/333），约一半的变窄伴有真空现象。骨赘是最常见的发现，共有 284/333 例（85.3%）存在，单独或与其他发现同时存在。在 61-80 岁年龄组（98.8%）中，骨赘患者的比例最高，其次是 41-60 岁年龄组（92.9%）。这种年龄组与骨赘存在之间的关联具有统计学意义（p<0.000）。85.0%（284/333）的患者前椎体受累。
骨赘是 LBP 的常见放射学特征。前椎体最易受影响。它在老年人群中更为常见。X 光平片是本地区 LBP 治疗中非常有价值的影像学工具。
