Analysis of low back pain in adults with scoliosis

Details

Ressource 1Request a copy Sous embargo indéterminé.
State: Public
Version: author
License: Not specified
Serval ID
serval:BIB_6714A90948F6
Type
Article: article from journal or magazin.
Collection
Publications
Title
Analysis of low back pain in adults with scoliosis
Journal
Spine (Phila Pa 1976)
Author(s)
Gremeaux V., Casillas J. M., Fabbro-Peray P., Pelissier J., Herisson C., Perennou D.
ISSN
1528-1159 (Electronic)
ISSN-L
0362-2436
Publication state
Published
Issued date
2008
Volume
33
Number
4
Pages
402-5
Language
english
Notes
Gremeaux, Vincent
Casillas, Jean-Marie
Fabbro-Peray, Pascale
Pelissier, Jacques
Herisson, Christian
Perennou, Dominic
eng
Spine (Phila Pa 1976). 2008 Feb 15;33(4):402-5. doi: 10.1097/BRS.0b013e318163fa42.
Abstract
STUDY DESIGN: Prospective study of self-assessed symptom severity. OBJECTIVES: To carry out a comparative semiological analysis of pain in scoliotic and nonscoliotic adults with low back pain, and to study the factors that correlate with the severity of pain in scoliotic patients. SUMMARY OF BACKGROUND DATA: Low back pain is a frequent complaint in subjects with adult lumbar scoliosis. Few studies have taken an interest in the semiological specificities of lumbar pain in such patients. METHODS: Fifty adults with lumbar scoliosis and suffering from chronic low back pain and 50 nonscoliotic adults with chronic low back pain, matched for age and gender underwent a standard examination. The characteristics of the pain described in the 2 groups were compared. Relationships between the features of the scoliosis and the intensity of the pain were sought. RESULTS: There was no difference between the 2 groups with regard to pain severity (duration and intensity). The pain evolved more steadily in scoliotic patients. Inguinal pain (P < 0.001) and cruralgia (P < 0.05) were particularly associated with scoliosis. In scoliotics, the severity of the low back pain correlated well with the radiologic aspects: Cobb angle (P < 0.05), vertebral rotation (P < 0.05) and rotatory olisthesis (P < 0.05). Cruralgia was significantly associated with the presence of rotatory dislocation (P < 0.01). CONCLUSION: The pain felt by scoliotic adults has several semiological features, in particular the frequency of inguinal pain and cruralgia. Lumbar scoliosis with a great curvature and/or rotatory olisthesis increases the intensity of low back pain in adults. These findings suggest that the magnitude of the curvature and the existence of rotatory olisthesis must be targeted for prevention and treatment of the chronic low back pain in subjects with a lumbar scoliosis.
Keywords
Adult, Aged, Aged, 80 and over, Chi-Square Distribution, Female, Humans, Linear Models, Low Back Pain/*etiology/physiopathology, Lumbar Vertebrae, Male, Middle Aged, Pain Measurement, Prospective Studies, Scoliosis/*complications/physiopathology, Severity of Illness Index
Pubmed
Create date
26/11/2019 11:35
Last modification date
06/05/2020 5:26
Usage data