Analysis of different constitutional, clinical, radiographic factors of 160 patients with low back pain based on own studies, observations and literature
Rapała, A.; Rapała, K.; Lukawski, Sław.
Chirurgia Narzadow Ruchu i Ortopedia Polska 71(1): 5-9
2006
ISSN/ISBN: 0009-479X PMID: 17128765 Document Number: 602398
Low back pain has both different etiopatogenesis and clinical symptoms. The most common reason of pain is degeneration of intervertebral disc. Development of civilisation causes an increase in prevalence and treatment's costs. The aim of this study was to: (1) An assesment of different clinical and radiographic factors amonr patients with low back pain; (2) A comparision of autors own observations with literature. A group of 160 patients with clinical symptoms was analysed. Two groups A and B were distinguished. Group A consisted of 105 persons with centralisation of symptoms, while group B consisted of 55 persons with peripheralisation of pain. The analysis and assesment of several basic and constitutional factors and as well X-rays and MRI findings was done. Statistical analysis was conducted in order to compare a frequency of occurence of studied factors. Results from material analysis and used methods were presented in final conclusions: (1) Centralisation of symptoms was connected with dimishing a pressure on nerve roots; (2) Statistical analysis revealed that among patients with peripheralisation, lateral shift, Lasegue's sign, and MRI were of significant value comparing to patients with centralisation; (3) Psychological problems, compensation demands, and waiting list phenomenon should be taken into consideretion in an assesment of low bac pain.