Prevalence and Risk Factors for Lumbar Spondylosis and Its Association with Low Back Pain among Rural Korean Residents.

Content Provider	Europe PMC
Author	Lee, Sung Yeon Cho, Nam H. Jung, Young Ok Seo, Young Il Kim, Hyun Ah
Copyright Year	2017
Abstract	ObjectiveThe purpose of this study was to investigate the prevalence of and the relevant risk factors for lumbar spondylosis (LS) among middle-aged and elderly rural Korean residents and to explore the association between radiographic LS and lower back pain (LBP) in relation to age and gender.MethodsThis community-based, cross-sectional study evaluated 1512 subjects with available radiograph. The prevalence of LBP was obtained using a questionnaire and disability resulting from LBP was measured using a validated Korean version of the Oswestry disability index (ODI). In lumbar spine radiographs, vertebral levels from L1/2 to L4/5 were evaluated for the presence of osteophytes and joint-space narrowing (JSN), and Kellgren-Lawrence (KL) grading was applied.ResultsOf 4261 subjects aged 40–79 years, data from 1512 subjects were included. The prevalence of radiographic LS indicated by grade ≥2 osteophytes and JSN were 53.9 and 15.8%, respectively. Seventy-three percent of subjects had KL grade ≥2 spondylosis and LBP was present in 36.5% of subjects. Although LS was more common among males, the prevalence of LBP was higher among females. Age, male gender and history of hand or knee arthritis were risk factors for LS. LS was significantly associated with LBP mostly among females over 60 years old and correlated with the ODI after adjusting for age and gender.ConclusionOur study among rural Korean residents revealed a high prevalence of LS and LBP. The association between LS and LBP was observed mostly among females and LS was significantly correlated with the severity of back pain.
ISSN	20053711
Journal	Journal of Korean Neurosurgical Society
Volume Number	60
PubMed Central reference number	PMC5223767
Issue Number	1
PubMed reference number	28061494
e-ISSN	15987876
DOI	10.3340/jkns.2016.0505.007
Language	English
Publisher	Korean Neurosurgical Society
Publisher Date	2016-12-29
Access Restriction	Open
Rights License	This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2017 The Korean Neurosurgical Society
Subject Keyword	Prevalence Risk factors Lumbar spondylosis Lower back pain
Content Type	Text
Resource Type	Article
Subject	Neuroscience Neurology (clinical) Surgery