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European Spine Journal

Erschienen in:

01.03.2012 | Original Article

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

verfasst von: Anne Keller, Eleanor Boyle, Thomas A. Skog, J. David Cassidy, Erik Bautz-Holter

Erschienen in: European Spine Journal | Ausgabe 3/2012

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Abstract

Background

There is evidence for an association between Modic type 1 and pain in patients with low back pain (LBP), but little knowledge about its effect on clinical outcomes.

Purpose

(1) To assess the prevalence of Modic changes, (2) to determine if Modic changes influence the clinical course of LBP, and (3) to identify prognostic factors for recovery.

Study design/setting

Prospective clinical cohort study, with a 1-year follow-up. The treatment consisted of brief intervention and instruction in stretching.

Patient’s sample

Two hundred and sixty-nine patients with chronic low back pain.

Outcome measures

Socio-demographic variables, education, profession, self-reported measures, degenerative changes on MRI.

Methods

Linear growth model and Cox regression analysis.

Results

Five percent had a normal MRI, 14 and 50% had Modic 1 and Modic 2 changes. Modic changes were not significant covariates for the clinical course of pain, function or fear avoidance beliefs. Education was a strong prognostic factor for recovery.

Conclusions

Modic changes did not influence the clinical course of back pain and were not prognostic factors for recovery. Education was strongly associated with recovery.

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Titel: Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?
verfasst von: Anne Keller
Eleanor Boyle
Thomas A. Skog
J. David Cassidy
Erik Bautz-Holter
Publikationsdatum: 01.03.2012
Verlag: Springer-Verlag
Erschienen in: European Spine Journal / Ausgabe 3/2012
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-011-1964-6

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Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

Abstract

Background

Purpose

Study design/setting

Patient’s sample

Outcome measures

Methods

Results

Conclusions

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Update Orthopädie und Unfallchirurgie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Background

Purpose

Study design/setting

Patient’s sample

Outcome measures

Methods

Results

Conclusions

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