Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? A 25-year prospective cohort study of 640 school children.

摘要: Study Design This report was based on a 25-year prospective cohort study and designed as self-administered questionnaire with low back pain the main topic. Objective To identify whether radiologic changes in thoracic lumbar spine history of adolescent period represent risk factors for adults. Summary Background Data Six-hundred-forty 14-year-old school children were examined x-rays registered by doctor regarding pain. Methods All short journals from doctor's registration reviewed. primary information basis investigation 25 years later. Results Eleven percent had adolescence, results showed an 84% lifetime prevalence these subjects adults increased frequency last month week before they answered questionnaire, compared rest cohort. These problems associated morbidity decreased working capacity. Thirteen abnormalities, mainly Scheuermann changes, adolescents, no positive correlation to this period. Unlike other reports, our did not confirm between x-ray lower adolescents higher prevaience Stepwise logistic regression analyses that growth familial occurrence disease are important later life, observed probability 88% if both present. Conclusion suggests is “a real problem,” trend toward aggravation time passes. Thus, implementing preventive measures schools may be very important.