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Associations between Degenerative Lumbar Scoliosis Structures and Pain Distribution in Adults with Chronic Low Back Pain. | LitMetric

AI Article Synopsis

  • This study investigated chronic low back pain (LBP) in adults with degenerative lumbar scoliosis (DLS) by analyzing pain location and distribution related to the curve's direction (right or left).
  • A total of 100 participants were divided into two groups based on their DLS, and pain locations were assessed using a pain drawing method, resulting in a heat map showing pain predominantly in the central lumbar region.
  • The results indicated no significant link between curve structure and pain severity, but age and left-convex DLS were found to be negatively correlated with pain area, suggesting that coronal deformities do not exhibit a specific pain pattern.

Article Abstract

Background: This study aimed to investigate the location and distribution of pain in adults with chronic low back pain (LBP) with degenerative lumbar scoliosis (DLS) according to coronal deformities.

Methods: We enrolled 100 adults with chronic LBP and DLS, dividing them into two groups, a right-convex DLS group (n = 50) and a left-convex DLS group (n = 50). Dominant pain location was analyzed by dividing it into three parts-left side, right side, and center-and pain areas were identified using the pain drawing method; then, a heat map was created for each group. An association between pain location and convex side was analyzed as the primary outcome. Additionally, we assessed pain characteristics and radiological parameters, such as the curve structure and degree of degeneration. We used the Mann-Whitney U test or the chi-squared test to compare the clinical characteristics of the two groups, and generalized linear models were utilized to determine which variables were associated with pain severity or pain area.

Results: The results indicated that there was no significant difference between the two groups in terms of the association between the curve structure, pain severity and location. In multivariate analysis, although we did not find any variables associated with pain severity, we observed that age and a left-convex DLS were negatively correlated with pain area among all participants. The heat map demonstrated that individuals with chronic LBP frequently experienced pain in the central lumbar region, regardless of the coronal curve structure.

Conclusions: Our findings suggest that degenerative coronal lumbar deformities may not have a specific pain pattern associated with a curved structure.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454018PMC
http://dx.doi.org/10.3390/healthcare11162357DOI Listing

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