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Erschienen in: European Spine Journal 2/2013

01.02.2013 | Original Article

A longitudinal study for incidence of low back pain and radiological changes of lumbar spine in asymptomatic Japanese military young adults

verfasst von: Osamu Nemoto, Akira Kitada, Satoko Naitou, Yoshifumi Tsuda, Keitarou Matsukawa, You Ukegawa

Erschienen in: European Spine Journal | Ausgabe 2/2013

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Abstract

Introduction

The relation between radiological abnormalities on lumbar spine and low back pain (LBP) has been debated, presumably because of potential biases related to heterogeneity in selection of the subjects, radiological abnormalities at entry, or its cross-sectional observation in nature. Therefore, the aim of this study of a selected population of asymptomatic Japanese Self Defense Forces (JSDF) young adults male with normal lumbar radiographs was to investigate the incidence of newly developed lumbar degenerative changes at middle age and to study their association to LBP.

Subjects and methods

In 1990, 84 JSDF male military servicemen aged 18 years, without a history of LBP and radiological abnormal findings, were enrolled. After 20 years, 84 subjects were underwent repeated X-ray and completed questionnaires on current LBP and lifestyle factors.

Results

The prevalence of LBP was demonstrated 59 %, with 85 % of them showing mild pain. Analysis of lumbar radiographs revealed that 48 % had normal findings and 52 % had degenerative changes. The association between LBP and life style factors was not demonstrated. Lumbar spine in subjects with LBP was more degenerated than in those without. Although disc space narrowing and LBP did not achieve a statistical significance, a significant correlation existed between vertebral osteophyte and LBP in univariate and multivariate analysis (OR 3.0; 95 % CI 1.227–7.333).

Discussion and conclusions

This longitudinal study demonstrated the significant association between vertebral osteophyte and incidence of mild LBP in initially asymptomatic and radiologically normal subjects. These data provide the additional information concerning the pathology of LBP, but further study is needed to clarify the clinical relevance.
Literatur
1.
Zurück zum Zitat Harreby M, Neergaard K, Hesselsoe G, Kjer J (1995) Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? Spine 20(21):2298–2302PubMedCrossRef Harreby M, Neergaard K, Hesselsoe G, Kjer J (1995) Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? Spine 20(21):2298–2302PubMedCrossRef
2.
Zurück zum Zitat Mattila VM, Sillanpaa P, Visuri T, Pihlajamaki H (2008) Incidence and trends of low back pain hospitalization during military service- An analysis of 387070 Finnish young males. BMC Musculoskeletal Disord 10:10 Mattila VM, Sillanpaa P, Visuri T, Pihlajamaki H (2008) Incidence and trends of low back pain hospitalization during military service- An analysis of 387070 Finnish young males. BMC Musculoskeletal Disord 10:10
3.
Zurück zum Zitat Mattila VM, Sahi T, Jormanainen V, Pihlajamaki H (2008) Low back pain and its risk indicators: a survey of 7040 Finnish male conscripts. Eur Spine J 17(1):64–69PubMedCrossRef Mattila VM, Sahi T, Jormanainen V, Pihlajamaki H (2008) Low back pain and its risk indicators: a survey of 7040 Finnish male conscripts. Eur Spine J 17(1):64–69PubMedCrossRef
4.
Zurück zum Zitat Torgerson WR, Dotter WE (1976) Comparative roentogenographic study of the asymptomatic and symptomatic lumbar spine. J Bone Joint Surg Am 58(6):850–853PubMed Torgerson WR, Dotter WE (1976) Comparative roentogenographic study of the asymptomatic and symptomatic lumbar spine. J Bone Joint Surg Am 58(6):850–853PubMed
5.
Zurück zum Zitat Hult (1954) Cervical, dorsal and lumbar spinal syndromes. Acta Orthop Scandinavica 17:1–102 Hult (1954) Cervical, dorsal and lumbar spinal syndromes. Acta Orthop Scandinavica 17:1–102
6.
Zurück zum Zitat Borenstein DG, O’Mara JW, Boden SD, Lauerman WC, Jacobson A, Platenberg C, Schellinger D, Wiesel SW (2001) The value of magnetic resonance imaging of the lumbar spine to predict low back pain in asymptomatic subjects. J Bone Joint Surg Am 83(9):1306–1311PubMed Borenstein DG, O’Mara JW, Boden SD, Lauerman WC, Jacobson A, Platenberg C, Schellinger D, Wiesel SW (2001) The value of magnetic resonance imaging of the lumbar spine to predict low back pain in asymptomatic subjects. J Bone Joint Surg Am 83(9):1306–1311PubMed
7.
Zurück zum Zitat Hassette G, Hart DJ, Manek NJ, Doyle DV, Spector TD (2003) Risk factors for progression of lumbar spine disc degeneration. Arthritis Rheum 48(11):3112–3117CrossRef Hassette G, Hart DJ, Manek NJ, Doyle DV, Spector TD (2003) Risk factors for progression of lumbar spine disc degeneration. Arthritis Rheum 48(11):3112–3117CrossRef
8.
Zurück zum Zitat Macnab I (1971) The traction spur. An indicator of segmental instability. J Bone Joint Surg Am 53(4):663–670 Macnab I (1971) The traction spur. An indicator of segmental instability. J Bone Joint Surg Am 53(4):663–670
9.
Zurück zum Zitat Lane NY, Nevitt MC, Genant H, Hochberg MC (1993) Reliability of new indices of radiographic osteoarthritis of the hand and hip lumbar disc degeneration. J Rheumatol 20(11):1911–1918PubMed Lane NY, Nevitt MC, Genant H, Hochberg MC (1993) Reliability of new indices of radiographic osteoarthritis of the hand and hip lumbar disc degeneration. J Rheumatol 20(11):1911–1918PubMed
10.
Zurück zum Zitat Schmitt H, Dubljanin E, Schneider S (2004) Radiographic changes in the lumbar spine in former elite athletes. Spine 29(22):2554–2559PubMedCrossRef Schmitt H, Dubljanin E, Schneider S (2004) Radiographic changes in the lumbar spine in former elite athletes. Spine 29(22):2554–2559PubMedCrossRef
11.
Zurück zum Zitat Granhed H, Morelli B (1988) Low back pain among retired wrestlers and heavyweight lifters. Am J Sports Med 16(5):530–533PubMedCrossRef Granhed H, Morelli B (1988) Low back pain among retired wrestlers and heavyweight lifters. Am J Sports Med 16(5):530–533PubMedCrossRef
12.
Zurück zum Zitat Lundin O, Hellstrom M, Nilsson I, Sward L (2001) Back pain and radiological changes in the thoraco-lumbar spine of athletes. A long-term follow up. Scand J Med Sci Sports 11(2):103–109PubMedCrossRef Lundin O, Hellstrom M, Nilsson I, Sward L (2001) Back pain and radiological changes in the thoraco-lumbar spine of athletes. A long-term follow up. Scand J Med Sci Sports 11(2):103–109PubMedCrossRef
13.
Zurück zum Zitat Leboeuf-Yde C (1999) Smoking and low back pain. A systematic literature review of 41 journal articles reporting 47 epidemiologic studies. Spine 24(14):1463–1470PubMedCrossRef Leboeuf-Yde C (1999) Smoking and low back pain. A systematic literature review of 41 journal articles reporting 47 epidemiologic studies. Spine 24(14):1463–1470PubMedCrossRef
14.
Zurück zum Zitat Leboeuf-Yde C (2000) Body weight and low back pain. A systematic literature review of 56 journal articles reporting 65 epidemiologic studies. Spine 25(2):226–237PubMedCrossRef Leboeuf-Yde C (2000) Body weight and low back pain. A systematic literature review of 56 journal articles reporting 65 epidemiologic studies. Spine 25(2):226–237PubMedCrossRef
15.
Zurück zum Zitat Leboeuf-Yde C (2000) Alcohol and low back pain: a systematic literature review. J Manipulative Physiol Ther 23(5):343–346PubMedCrossRef Leboeuf-Yde C (2000) Alcohol and low back pain: a systematic literature review. J Manipulative Physiol Ther 23(5):343–346PubMedCrossRef
16.
Zurück zum Zitat Kellgren JH, Lawrence JS (1958) Osteoarthrosis and disc degeneration in an urban population. Ann Rheum Dis 17:388–396PubMedCrossRef Kellgren JH, Lawrence JS (1958) Osteoarthrosis and disc degeneration in an urban population. Ann Rheum Dis 17:388–396PubMedCrossRef
17.
Zurück zum Zitat Frymoyer JW, Newberg A, Pope MH, Wilder DG, Clements J, MacPherson B (1984) Spine radiographs in patients with low back pain. J Bone Joint Surg 66-A(7):1048–1054 Frymoyer JW, Newberg A, Pope MH, Wilder DG, Clements J, MacPherson B (1984) Spine radiographs in patients with low back pain. J Bone Joint Surg 66-A(7):1048–1054
18.
Zurück zum Zitat Livshits G, Popham M, Malkin I, Sambrook PN, MacGregor AJ, Spector T, Williams FM (2011) Lumbar disc degeneration and genetic factors are the main risk factors for low back pain in women: the UK twin spine study. Ann Rheum Dis 70:1740–1745PubMedCrossRef Livshits G, Popham M, Malkin I, Sambrook PN, MacGregor AJ, Spector T, Williams FM (2011) Lumbar disc degeneration and genetic factors are the main risk factors for low back pain in women: the UK twin spine study. Ann Rheum Dis 70:1740–1745PubMedCrossRef
19.
Zurück zum Zitat Cheung KM, Karppinen J, Chan D, Ho DW, Song YQ, Sham P, Cheah KS, Leong JC, Luk KD (2009) Prevalence and pattern of lumbar magnetic resonance imaging changes in a population study of the one thousand forty-three individuals. Spine 34(9):934–940PubMedCrossRef Cheung KM, Karppinen J, Chan D, Ho DW, Song YQ, Sham P, Cheah KS, Leong JC, Luk KD (2009) Prevalence and pattern of lumbar magnetic resonance imaging changes in a population study of the one thousand forty-three individuals. Spine 34(9):934–940PubMedCrossRef
20.
Zurück zum Zitat Liu J, Pei Y, Papasian CJ, Deng HW (2009) Bivariate association analyses for the mixture of continuous and binary traits with the use of extended generalized estimating equations. Genet Epidemiol 33:217–227PubMedCrossRef Liu J, Pei Y, Papasian CJ, Deng HW (2009) Bivariate association analyses for the mixture of continuous and binary traits with the use of extended generalized estimating equations. Genet Epidemiol 33:217–227PubMedCrossRef
21.
Zurück zum Zitat O’Neill TW, McCloskey EV, Kanis JA, Bhalla AK, Reeve J, Reid DM, Todd C, Woolf AD, Silman AJ (1999) The distribution, determinants, and clinical correlates of vertebral osteophytosis: a population based survey. J Rheumatol 26(4):842–848PubMed O’Neill TW, McCloskey EV, Kanis JA, Bhalla AK, Reeve J, Reid DM, Todd C, Woolf AD, Silman AJ (1999) The distribution, determinants, and clinical correlates of vertebral osteophytosis: a population based survey. J Rheumatol 26(4):842–848PubMed
Metadaten
Titel
A longitudinal study for incidence of low back pain and radiological changes of lumbar spine in asymptomatic Japanese military young adults
verfasst von
Osamu Nemoto
Akira Kitada
Satoko Naitou
Yoshifumi Tsuda
Keitarou Matsukawa
You Ukegawa
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
European Spine Journal / Ausgabe 2/2013
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-012-2488-4

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