Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?

KURT, Emine Eda; Erdem, Hatice Rana; dadalı, yeliz; KÜÇÜKALİ TÜRKYILMAZ, Aysegül; TUNCAY, FİGEN

Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?

Emine Eda KURT, (Ahi Evran Üniversitesi,Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Anabilimdalı, Kırşehir, Türkiye)

Aysegül KÜÇÜKALİ TÜRKYILMAZ, (Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Rize, Türkiye)

Yeliz DADALI, (Ahi Evran Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Kırşehir, Türkiye)

Hatice Rana ERDEM, (Ahi Evran Üniversitesi,Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Anabilimdalı, Kırşehir, Türkiye)

Figen TUNCAY (Ahi Evran Üniversitesi,Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Anabilimdalı, Kırşehir, Türkiye)

Eurasian Journal of Medicine

4 1

Yıl: 2016 Cilt: 48 Sayı: 3 Sayfa Aralığı: 177 - 180 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?

Öz:

Amaç: Lumbosakral transizyonel vertebra (LSTV) ve spina bifida okülta (SBO) lumbosacral omurgada sıklıkla görülür. Lomber disk herniasyonu (LDH) ve / veya bel ağrısı ile ilişkisinin varlığı mevcut literatürde tartışılmıştır ancak bir fikir birliği yoktur. Bu çalışmanın amacı, kronik bel ağrısı olan genç hastalarda LSTV ve SBO sıklığı ile LDH sıklığı arasındaki ilişkiyi değerlendirmektir.Çalışma tasarımı: Kesitsel.Gereç ve Yöntemler: 20 - 40 yaş arası bel ağrısı olan ve ağrısı 12 haftadan uzun süre devam eden toplam 1094 hasta çalışmaya alındı. Çalışmaya katılan tüm hastalar standart pelvis grafisi ve lomber vertebra manyetik rezonans görüntülemesi ile değerlendirildi. Ağrının şiddeti görsel analog skala ile ve bel ağrısının günlük yaşam aktivitelerine etkisi Oswestry dizabilite indeksi ile ölçülmüştür. Hastalar iki gruba ayrıldı: Grup 1, LDH'si olmayan hastalardan oluşuyordu ve Grup 2, LDH'li hastalardan oluşuyordu. Ek olarak, bu iki grup, üç alt gruba ayrılmıştır: Non-LSTV-SBO, LSTV ve SBO.Bulgular: Lomber disk herniasyon grubu grup 2'de LSTV sıklığının anlamlı olarak yüksek (p=0.004) olduğu görüldü. Buna ek olarak LDH'lı olan ve olmayan grupta da LSVT varlığının bel ağrısı (p<0.001, p<0.001) ve dizabilite (p<0.001, p<0.001) riskini arttırmaktaydı. Bununla birlikte SBO varlığı, her iki grupta da bel ağrısını (p=0.251, p=0.200) ve dizabiliteyi (p=0.134, p=0.161) arttırmamaktadır.Sonuç: Yaşları 20 - 40 arasında değişen kronik bel ağrısı olan genç hastalarda, LDH ve LSTV sıklığı arasında bir ilişki saptanmıştır. Ayrıca, LSTV varlığının bel ağrısı ve sakatlık riskini arttırdığı görülmüştür

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Kronik Bel Ağrılı Genç Hastalarda Lomber Disk Herniasyonu ve Klinik Parametreler Transizyonel Vertebra ve Spina Bifida Okülta ile İlgili midir?

Öz:

Objective: Lumbosacral transitional vertebra (LSTV) and spina bifida occulta (SBO) are widespread within the lumbosacral spine. Their connection to lumbar disc herniation (LDH) and/or lower back pain has been debated in the current literature; however, there is no consensus. The purpose of this study is to evaluate the relationship between the frequency of LSTV and SBO with that of LDH among young patients with chronic lower back pain.Study Design: Cross-sectional.Materials and Methods: A total of 1094 patients with lower back pain, aged between 20 and 40 years, with lower back pain history persisting for longer than 12 weeks were studied. All the patients in the study were evaluated with standard pelvic radiographs and lumbar vertebra magnetic resonance imaging. The severity of pain was measured using the visual analog scale, and the effect of lower back pain on daily life activities was measured using the Oswestry disability index. The patients were separated into two groups: Group 1 consisted of patients without LDH, and Group 2 consisted of patients with LDH. Additionally, these two groups were separated into three subgroups: Non-LSTV-SBO, LSTV, and SBO. Results: It was determined that LSTV frequency was significantly higher (p=0.004) in the lumbar disc herniation group 2. In addition, the existence of LSTV increased the risk of lower back pain (p<0.001, p<0.001) and disability (p<0.001, p<0.001) in young patients with and without LDH or not. However, the presence of SBO did not increase lower back pain (p=0.251, p=0.200) and disability (p=0.134, p=0.161) in both groups.Conclusion: A relationship was detected between the frequency of LDH and LSTV in young patients with chronic lower back pain between the ages of 20 and 40 years. Also, the presence of LSTV was found to increase the risk of lower back pain and disability

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

Furlan AD, Clarke J, Esmail R, et al. A critical review of reviews on the treatment of chronic low back pain. Spine 2001; 26: 155-62. [CrossRef]
Otani K, Konno S, Kikuchi S. Lumbosacral transi- tional vertebra and nerve root symptoms. J Bone Joint Surg Br 2001; 83: 1137-40. [CrossRef]
Bonaiuti D, Faccenda İ, Flores A. Sacralisation of the 5th lumbar vertebra and backache: what's the pos- sible relationship? Med Lav 1997; 88: 226-36.
Taskaynatan MA, İzci Y, Ozgul A, Hazneci B, Dursun H, Kalyon TA. Clinical Significance of Congenital Lumbosacral Malformations in Young Male Population With Prolonged Low Back Pain. Spine 2005; 30: 210-3. [CrossRef]
Seçer M, Muradov JM, Dalgiç A. Evaluation of Congenital Lumbosacral Malformations and Neurological Findings in Patients with Low Back Pain. Turkish Neurosurgery 2009; 19: 145-8.
Saluja PG. The incidence of spina bifida occulta in a historic and a modern London, population. J Anat 1988; 158: 91-3.
Gregerson DM. Clinical consequences of spina bifida occulta. J Manipulative Physiol Ther 1997; 20: 546-50.
Bertolotti M. Contributo alla conoscenza dei vizi differenzazione regionale del rachide con speciale riguardo all assimilazione sacrale della V. lombare. Radiol Med 1917; 4: 113-44.
Castellvi AE, Goldstein LA, Chan DPK. Lumbosacral transitional vertebra and their relationship with lumbar extradural defects. Spine 1983; 9: 493-5. [CrossRef]
Aihara T, Takahashi K, Ono Y, et al. Does the morphology of the iliolumbar ligament affect lum- bosacral disc degeneration? Spine 2002; 27: 503-40. [CrossRef]
Aihara T, Takahashi K, Ogasawara A, et al. Intervertebral disc degeneration associated with lumbosacral transitional vertebrae: a clinical and ana- tomical study. J Bone Joint Surg Br 2005; 87: 687-91. [CrossRef]
Bron JL, Barend JVR, Wuisman PIJM. The clinical significance of lumbosacral transitional anomalies. Acta Orthopaedica Belgica 2007; 73: 687-95.
Uçar D, Uçar BY, Coşar Y, et al. Retrospective Cohort Study of the Prevalence of Lumbosacral Transitional Vertebra in a Wide and Well- Represented Population. Arthritis 2013; 2013: p. 5.
Fardon DF, Milette PC. Nomenclature and classifica- tion of lumbar disc pathology: recommendations of the combined task forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology. Spine 2001; 26: 93-113. [CrossRef]
Wewers ME, Lowe NK. A critical review of visual analoque scales in the measurement of clinical phenomena. Research in nursing & health 1990; 13: 227-36. [CrossRef]
Fritz JM, İrrgang JJ. A comparison of a modified ODİ Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Physical Therapy 2001; 81: 776-88.
Yakut E, Duger T, Oksuz C, et al. Validation of the Turkish Version of the ODİ Disability Index for Patients with Low Back Pain. Spine 2004; 29: 581-5. [CrossRef]
Tini PG, Wieser C, Zinn WM. The transitional vertebra of the lumbosacral spine: its radiologi- cal classification, incidence, prevalence, and clinical significance. Rheumatol Rehabil 1977; 16: 180-5. [CrossRef]
Tang M, Yang X, Yang S, et al. Lumbosacral transi- tional vertebra in a population-based study of 5860 individuals: prevalence and relationship to low back pain. Eur J Radiol 2014; 83: 1679-82. [CrossRef]
Avrahami E, Frishman E, Fridman Z, Azor M. Spina bifida occulta of S1 is not an innocent finding. Spine 1994; 19: 12-5. [CrossRef]
Milicic G, Krolo I, Anticevic D, et al. Causal connec- tion of non-specific low back pain and disc degen- eration in children with transitional vertebra and/ or Spina bifida occulta: role of magnetic resonance- -prospective study. Coll Antropol 2012; 36: 627-33.
Konin GP. Walz DM. Lumbosacral Transitional Vertebra: Classification, İmaging Findings, and Clinical Relevance American Journal of Neuroradiology 2010; 31: 1778-86.
Brault J, Smith J, Currier B. Partial lumbosacral transitional vertebra resection for contralateral facetogenic pain. Spine 2001; 26: 226-9. [CrossRef]
Nardo L, Alizai H, Virayavanich W, et al. Lumbosacral transitional vertebrae: association with low back pain. Radiology 2012; 265: 497-503. [CrossRef]

APA	KURT E, KÜÇÜKALİ TÜRKYILMAZ A, dadalı y, Erdem H, TUNCAY F (2016). Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. , 177 - 180.
Chicago	KURT Emine Eda,KÜÇÜKALİ TÜRKYILMAZ Aysegül,dadalı yeliz,Erdem Hatice Rana,TUNCAY FİGEN Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. (2016): 177 - 180.
MLA	KURT Emine Eda,KÜÇÜKALİ TÜRKYILMAZ Aysegül,dadalı yeliz,Erdem Hatice Rana,TUNCAY FİGEN Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. , 2016, ss.177 - 180.
AMA	KURT E,KÜÇÜKALİ TÜRKYILMAZ A,dadalı y,Erdem H,TUNCAY F Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. . 2016; 177 - 180.
Vancouver	KURT E,KÜÇÜKALİ TÜRKYILMAZ A,dadalı y,Erdem H,TUNCAY F Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. . 2016; 177 - 180.
IEEE	KURT E,KÜÇÜKALİ TÜRKYILMAZ A,dadalı y,Erdem H,TUNCAY F "Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?." , ss.177 - 180, 2016.
ISNAD	KURT, Emine Eda vd. "Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?". (2016), 177-180.

APA	KURT E, KÜÇÜKALİ TÜRKYILMAZ A, dadalı y, Erdem H, TUNCAY F (2016). Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. Eurasian Journal of Medicine, 48(3), 177 - 180.
Chicago	KURT Emine Eda,KÜÇÜKALİ TÜRKYILMAZ Aysegül,dadalı yeliz,Erdem Hatice Rana,TUNCAY FİGEN Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. Eurasian Journal of Medicine 48, no.3 (2016): 177 - 180.
MLA	KURT Emine Eda,KÜÇÜKALİ TÜRKYILMAZ Aysegül,dadalı yeliz,Erdem Hatice Rana,TUNCAY FİGEN Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. Eurasian Journal of Medicine, vol.48, no.3, 2016, ss.177 - 180.
AMA	KURT E,KÜÇÜKALİ TÜRKYILMAZ A,dadalı y,Erdem H,TUNCAY F Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. Eurasian Journal of Medicine. 2016; 48(3): 177 - 180.
Vancouver	KURT E,KÜÇÜKALİ TÜRKYILMAZ A,dadalı y,Erdem H,TUNCAY F Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?. Eurasian Journal of Medicine. 2016; 48(3): 177 - 180.
IEEE	KURT E,KÜÇÜKALİ TÜRKYILMAZ A,dadalı y,Erdem H,TUNCAY F "Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?." Eurasian Journal of Medicine, 48, ss.177 - 180, 2016.
ISNAD	KURT, Emine Eda vd. "Are Transitional Vertebra and Spina Bifida Occulta Related with Lumbar Disc Herniation and Clinical Parameters in Young Patients with Chronic Low Back Pain?". Eurasian Journal of Medicine 48/3 (2016), 177-180.