Degenerative Lumbar Disc and Facet Disease in Older Adults: Prevalence and Clinical Correlates

A case-control study of older adults with and without chronic low back pain (CLBP). Compare and describe the radiographic severity of degenerative disc and facet disease in the lumbosacral spine of community-dwelling older adults with and without CLBP and to examine the relationship between spinal p...

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Veröffentlicht in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2009-05, Vol.34 (12), p.1301-1306
Hauptverfasser: HICKS, Gregory E, MORONE, Natalia, WEINER, Debra K
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container_title Spine (Philadelphia, Pa. 1976)
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creator HICKS, Gregory E
MORONE, Natalia
WEINER, Debra K
description A case-control study of older adults with and without chronic low back pain (CLBP). Compare and describe the radiographic severity of degenerative disc and facet disease in the lumbosacral spine of community-dwelling older adults with and without CLBP and to examine the relationship between spinal pathology and pain. Degenerative spinal pathology is often implicated as the primary reason for CLBP in older adults. Despite evidence that spinal pathology may be ubiquitous in older adults regardless of pain status, radiography continues to be heavily used in the diagnostic process. Participants in this case-control study included 162 older adults (> or =65) with CLBP and an age and gender matched pain-free group of 158 people. CLBP was characterized as pain of at least moderate intensity occurring daily or almost everyday for at least 3 months. Radiographic severity of disc and facet disease was graded using a reliable and valid system. Results demonstrated that the presence of degenerative disc and facet pathology in older adults is ubiquitous, regardless of clinical status, with greater than 90% demonstrating some level of degeneration. Higher radiographic severity scores were associated with the presence of CLBP. In fact, presence of severe disc pathology was associated with 2-fold greater odds of having CLBP. But, radiographic severity of disc and facet disease was not associated with pain severity among those with CLBP. From a research perspective, radiographic evaluation of spinal pathology provides additional information about older adults with CLBP compared to pain-free individuals, but its clinical utility for diagnostic purposes is still in question.
doi_str_mv 10.1097/BRS.0b013e3181a18263
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Compare and describe the radiographic severity of degenerative disc and facet disease in the lumbosacral spine of community-dwelling older adults with and without CLBP and to examine the relationship between spinal pathology and pain. Degenerative spinal pathology is often implicated as the primary reason for CLBP in older adults. Despite evidence that spinal pathology may be ubiquitous in older adults regardless of pain status, radiography continues to be heavily used in the diagnostic process. Participants in this case-control study included 162 older adults (&gt; or =65) with CLBP and an age and gender matched pain-free group of 158 people. CLBP was characterized as pain of at least moderate intensity occurring daily or almost everyday for at least 3 months. Radiographic severity of disc and facet disease was graded using a reliable and valid system. Results demonstrated that the presence of degenerative disc and facet pathology in older adults is ubiquitous, regardless of clinical status, with greater than 90% demonstrating some level of degeneration. Higher radiographic severity scores were associated with the presence of CLBP. In fact, presence of severe disc pathology was associated with 2-fold greater odds of having CLBP. But, radiographic severity of disc and facet disease was not associated with pain severity among those with CLBP. 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Prion diseases ; Disease Progression ; Female ; Humans ; Intervertebral Disc Displacement - diagnostic imaging ; Intervertebral Disc Displacement - epidemiology ; Intervertebral Disc Displacement - pathology ; Joint Diseases - diagnostic imaging ; Joint Diseases - epidemiology ; Joint Diseases - pathology ; Low Back Pain - diagnostic imaging ; Low Back Pain - epidemiology ; Low Back Pain - pathology ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - pathology ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Pain Measurement ; Prevalence ; Radiography ; Radiology - methods ; Severity of Illness Index ; Sex Distribution ; Spinal Stenosis - diagnostic imaging ; Spinal Stenosis - epidemiology ; Spinal Stenosis - pathology ; Zygapophyseal Joint - pathology</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2009-05, Vol.34 (12), p.1301-1306</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c368t-9d9ae957e4b1f0f0cf43c22db50519819e44947f7d1777925994f0cccc47ee413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21551153$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19455005$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HICKS, Gregory E</creatorcontrib><creatorcontrib>MORONE, Natalia</creatorcontrib><creatorcontrib>WEINER, Debra K</creatorcontrib><title>Degenerative Lumbar Disc and Facet Disease in Older Adults: Prevalence and Clinical Correlates</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A case-control study of older adults with and without chronic low back pain (CLBP). Compare and describe the radiographic severity of degenerative disc and facet disease in the lumbosacral spine of community-dwelling older adults with and without CLBP and to examine the relationship between spinal pathology and pain. Degenerative spinal pathology is often implicated as the primary reason for CLBP in older adults. Despite evidence that spinal pathology may be ubiquitous in older adults regardless of pain status, radiography continues to be heavily used in the diagnostic process. Participants in this case-control study included 162 older adults (&gt; or =65) with CLBP and an age and gender matched pain-free group of 158 people. CLBP was characterized as pain of at least moderate intensity occurring daily or almost everyday for at least 3 months. Radiographic severity of disc and facet disease was graded using a reliable and valid system. 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Meninges. Spinal cord</subject><subject>Chronic Disease - epidemiology</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - diagnostic imaging</subject><subject>Intervertebral Disc Displacement - epidemiology</subject><subject>Intervertebral Disc Displacement - pathology</subject><subject>Joint Diseases - diagnostic imaging</subject><subject>Joint Diseases - epidemiology</subject><subject>Joint Diseases - pathology</subject><subject>Low Back Pain - diagnostic imaging</subject><subject>Low Back Pain - epidemiology</subject><subject>Low Back Pain - pathology</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Pain Measurement</subject><subject>Prevalence</subject><subject>Radiography</subject><subject>Radiology - methods</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Spinal Stenosis - diagnostic imaging</subject><subject>Spinal Stenosis - epidemiology</subject><subject>Spinal Stenosis - pathology</subject><subject>Zygapophyseal Joint - pathology</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhi1ERZfCP0DIF7ilePwRxxyQypZCpZWKWrhiOc6kGHmd1k5W4t_j0lX58MWy_Mw7o3kIeQHsGJjRb95fXh2znoFAAR046HgrHpEVKN41AMo8JismWt5wKdpD8rSUH4yxVoB5Qg7BSKUYUyvy7RSvMWF2c9gh3Szb3mV6GoqnLg30zHmc757oCtKQ6EUcMNOTYYlzeUs_Z9y5iMnjb3odQwreRbqecsboZizPyMHoYsHn-_uIfD378GX9qdlcfDxfn2waL9pubsxgHBqlUfYwspH5UQrP-dArpsB0YFBKI_WoB9BaG66MkZWqR2pECeKIvLvPvVn6LQ4e05xdtDc5bF3-aScX7L8_KXy319PO8q7Vyuga8HofkKfbBctst3UJGKNLOC3Ftpp3sg5RQXkP-jyVknF8aALM3omxVYz9X0wte_n3gH-K9iYq8GoPuFJ3OGaXfCgPHAelqlUhfgFes5e-</recordid><startdate>20090520</startdate><enddate>20090520</enddate><creator>HICKS, Gregory E</creator><creator>MORONE, Natalia</creator><creator>WEINER, Debra K</creator><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090520</creationdate><title>Degenerative Lumbar Disc and Facet Disease in Older Adults: Prevalence and Clinical Correlates</title><author>HICKS, Gregory E ; MORONE, Natalia ; WEINER, Debra K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-9d9ae957e4b1f0f0cf43c22db50519819e44947f7d1777925994f0cccc47ee413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - pathology</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Chronic Disease - epidemiology</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - diagnostic imaging</topic><topic>Intervertebral Disc Displacement - epidemiology</topic><topic>Intervertebral Disc Displacement - pathology</topic><topic>Joint Diseases - diagnostic imaging</topic><topic>Joint Diseases - epidemiology</topic><topic>Joint Diseases - pathology</topic><topic>Low Back Pain - diagnostic imaging</topic><topic>Low Back Pain - epidemiology</topic><topic>Low Back Pain - pathology</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Pain Measurement</topic><topic>Prevalence</topic><topic>Radiography</topic><topic>Radiology - methods</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>Spinal Stenosis - diagnostic imaging</topic><topic>Spinal Stenosis - epidemiology</topic><topic>Spinal Stenosis - pathology</topic><topic>Zygapophyseal Joint - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HICKS, Gregory E</creatorcontrib><creatorcontrib>MORONE, Natalia</creatorcontrib><creatorcontrib>WEINER, Debra K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HICKS, Gregory E</au><au>MORONE, Natalia</au><au>WEINER, Debra K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Degenerative Lumbar Disc and Facet Disease in Older Adults: Prevalence and Clinical Correlates</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2009-05-20</date><risdate>2009</risdate><volume>34</volume><issue>12</issue><spage>1301</spage><epage>1306</epage><pages>1301-1306</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A case-control study of older adults with and without chronic low back pain (CLBP). 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Results demonstrated that the presence of degenerative disc and facet pathology in older adults is ubiquitous, regardless of clinical status, with greater than 90% demonstrating some level of degeneration. Higher radiographic severity scores were associated with the presence of CLBP. In fact, presence of severe disc pathology was associated with 2-fold greater odds of having CLBP. But, radiographic severity of disc and facet disease was not associated with pain severity among those with CLBP. From a research perspective, radiographic evaluation of spinal pathology provides additional information about older adults with CLBP compared to pain-free individuals, but its clinical utility for diagnostic purposes is still in question.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>19455005</pmid><doi>10.1097/BRS.0b013e3181a18263</doi><tpages>6</tpages></addata></record>
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subjects Age Distribution
Aged
Aged, 80 and over
Aging - pathology
Biological and medical sciences
Case-Control Studies
Cerebrospinal fluid. Meninges. Spinal cord
Chronic Disease - epidemiology
Cohort Studies
Comorbidity
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Disease Progression
Female
Humans
Intervertebral Disc Displacement - diagnostic imaging
Intervertebral Disc Displacement - epidemiology
Intervertebral Disc Displacement - pathology
Joint Diseases - diagnostic imaging
Joint Diseases - epidemiology
Joint Diseases - pathology
Low Back Pain - diagnostic imaging
Low Back Pain - epidemiology
Low Back Pain - pathology
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - pathology
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Pain Measurement
Prevalence
Radiography
Radiology - methods
Severity of Illness Index
Sex Distribution
Spinal Stenosis - diagnostic imaging
Spinal Stenosis - epidemiology
Spinal Stenosis - pathology
Zygapophyseal Joint - pathology
title Degenerative Lumbar Disc and Facet Disease in Older Adults: Prevalence and Clinical Correlates
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