Low back pain characteristics in adolescent patients with early-stage spondylolysis: a prospective study.
Early diagnosis
Early-stage spondylolysis
Self-reported questionnaire
Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980
Informations de publication
Date de publication:
17 Sep 2024
17 Sep 2024
Historique:
received:
06
05
2024
accepted:
29
08
2024
revised:
09
08
2024
medline:
18
9
2024
pubmed:
18
9
2024
entrez:
17
9
2024
Statut:
aheadofprint
Résumé
Early-stage spondylolysis (ESS) is a common cause of acute low back pain (LBP) in adolescents. When treating patients with ESS, early diagnosis is essential, yet difficult without magnetic resonance imaging. This study evaluates a self-reported questionnaire for detecting ESS. We evaluated a total of 69 adolescents (≤ 18 years old) with acute LBP (≤ 1 month) with plain radiography, magnetic resonance imaging and a questionnaire including the following parameters: exercise frequency per week, daily training time, the necessity for stopping sports activity, pain-producing situations, pain quality, pain response to hyperextension or hyperflexion, pain location, and pain extent. Patients with obvious pathological findings other than ESS (e.g., disk herniation or infection) were excluded. The correlation of each question and gender, regarding ESS was determined, to evaluate the value of the originally developed questionnaire. 24 out of 69 patients were diagnosed with ESS (ESS group), with a mean age of 13.9 years old and 21 males and 3 females in the group. 45 patients had NS-LBP, with a mean age of 14.6 years old, and 28 males and 17 females in the group. Correlation analyses showed weak associations between ESS and higher frequency of exercise per week, longer training time per day, and pain-producing situations. There was also a moderate association between ESS and male gender. Exercise frequency, training time, pain-provoking situations, and gender could be important factors to detect ESS within this questionnaire.
Identifiants
pubmed: 39289192
doi: 10.1007/s00586-024-08478-1
pii: 10.1007/s00586-024-08478-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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