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Most common radiologic signs with low back pain and its applicability in pre-employment medical screening
DOI:
https://doi.org/10.18041/2322-634X/rc_salud_ocupa.1.2018.5049Abstract
Lower back pain generates high socioeconomic costs, understood as sick leaves, loss of working hours, increase in healthcare assistance and complementary tests and treatments. Consequently, lumbar pathology is considered one of the most important action taking points for prevention in occupational safety and health. From this perspective, the relevance of this topic led the authors of this work to perform a literature review to show the most frequent radiographic findings of the lumbar spine in relation to the possibility of generating future lower back pain. Therefore, providing the basis for decision making by the evaluating physician in the pre-occupational safety assessment. Radiographic features such as narrowing of spinal discs space, spondylolisthesis and scoliosis above 10 degrees, have shown to have significant and direct association with lower back pain.
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References
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33. Raastad J, Reiman M, Coeytaux R, Ledbetter L, Goode A. The association between lumbar spine radiographic features and low back pain: a systematic review and meta-analysis. Semin Arthritis Rheum. 2015; 44(5): 571-585.
34. Bart G, Johnson C & Moreau W. Is Physical Activity Contraindicated for Individuals with Scoliosis? A Systematic Literature Review. Journal of Chiropractic Medicine. 2009; 8 (1):25–37.
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36. Ministerio del trabajo. Decreto 1507 de 2014 por el cual se expide el Manual Único para la Calificación de la Pérdida de la Capacidad Laboral y Ocupacional. Diario oficial: Colombia; 2014.
2. Staal J, Hlobil H, Van Tulder M, Waddell G, Burton A, Koes B, et al. Occupational health guidelines for the management of low back pain: An international comparison. Occup Environ Med. 2003; 60(9): 618-26.
3. Helfenstein M, Goldenfum M, Siena C. Occupational low back pain. Rev Assoc Med Bras. 2010; 56(5): 583-589. doi: 10.1590/ S0104-42302010000500022.
4. Iguti A, Hoehne E. Lombalgias e trabalho. Rev Bras Saúde Ocup. 2003; 28(107): 78-87.
5. Ministerio de la Protección Social; Pontificia Universidad Javeriana. Guía de atención integral basada en la evidencia para dolor lumbar inespecífico y enfermedad discal relacionados con la manipulación manual de cargas y otros factores de riesgo en el lugar de trabajo. Bogotá, Colombia: Pontificia Universidad Javeriana; 2006.
6. Ruiz SF, Guzman AL, Tello MM, Navarrete GPJ. La radiografía simple en el estudio del dolor de la columna vertebral. Radiol. 2010; 52(2): 126–137.
7. Igbinedion B, Akhigbe A. Correlations of radiographic findings in patients with low back pain. Nigerian Medical J. 2011; 52(1): 28-34.
8. Helfenstein M, Goldenfum M, Siena, C. Occupational low back pain. Rev. Assoc. Med. Bras. 2010, 56 (5):583-589.
9. Atlas S, Deyo R. Evaluating and managing acute low back pain in the primary care setting. J Gen Intern Med. 2001;16(2):120–131. 10. Kinkade S. Evaluation and treatment of acute low back pain. Am Fam Physician. 2007;75(8):1181–1188.
11. Brigano J, Macedo C. Análise da mobilidade lombar e influência da terapia manual e cinesioterapia na lombalgia. Semina: Ciênc Biol Saúde. 2005; 26(2):75-82.
12. Cardia MCG. Implantação e avaliação de um programa de treinamento postural: o caso das telefonistas da TELPA. Tese de Mestrado do Programa de Pós-Graduação em Engenharia de Produção. João Pessoa:
Universidade Federal da Paraíba; 1999.
13. Marras W. Occupacion allow back disorder causation and control. Ergonomics. 2000; 43(7):880-902.
14. Andersson GBJ. Epidemiological features of chronic lowback pain. Lancet. 1999; 354(9178): 581-5.
15. Tannor AY. Lumbar spine X-ray as a standard investigation for all low back pain in Ghana: is it evidence based?. Ghana Med J. 2017; 51(1): 24-29.
16. Shelerud RA. Epidemiology of occupational low back pain. Clin Occup Environ Med. 2006; 5(3): 501-28.
17. Lateef H, Patel D. What is the role of imaging in acute low back pain? Curr Rev Musculoskeletal Med. 2009; 2(2): 69-73.
18. Mehmet S, Johongir M. Evaluation of congenital lumbosacral malformations and neurological findings in patients with low back pain. Turkish Neurosurgery. 2009;19(2): 145-148.
19. Nardo L, Alizai H, Virayavanich W, Liu F, Hernandez A, Lynch J, et. al., Lumbosacral transitional vertebrae: association with low back pain. Radiology. 2012; 265(2): 497–503.
20. Shur N, Corrigan A, Agrawal K, Desai A, Gnanasegaran G. Radiological and radionuclide imaging of degenerative disease of the facet joints. Indian J Nuclear Medicine. 2015; 30(3): 191–198.
21. Hasz MW. Diagnostic testing for degenerative disc disease. Adv Orthop. 2012; 2012: 413913.
22. Kushchayev SV, Glushko T, Jarraya M, Schuleri KH, Preul MC, Brooks ML, et al. ABCs of the degenerative spine. Insights Imaging. 2018; 9(2): 253-274.
23. Takatalo J, Karppinen J, Taimela S, Niinimäki J, Laitinen J, Blanco SB, et al. Association of abdominal obesity with lumbar disc degeneration—a magnetic resonance imaging study. PLoS ONE. 2013; 8: e56244.
24. Pimenta L, Bellera AF, León PM, Diaz ORC. Clasificación radiográfica de la degeneración facetaria lumbar: Evaluación intra e interobservador. Acta Ortopédica Mex. 2005; 19(3): 95-98.
25. Kuramoto A, Chang L, Grahm J & Holmes, S. Lumbar spinal stenosis with exacerbation of back pain with extension: potential contraindication for supine MRI with sedation. J Neuroimaging. 2011; 21(1), 92–94.
26. Genevay S, Atlas S. Lumbar spinal stenosis. Best practice & research. Clinical Rheumatology. 2010; 24(2): 253–265.
27. Lundin O, Hellström M, Nilsson I, Swärd L. Back pain and radiological changes in the thoraco-lumbar spine of athletes. A long-term follow-up. Scand J Med Sci Sports. 2001; 11(2): 103-9.
28. Zukotynski K, Curtis C, Grant F, Micheli L, Treves T. The value of SPECT in the detection of stress injury to the pars interarticularis in patients with low back pain. J Orthop Surg Res. 2010; 5: 13.
29. Leone A, Cianfoni A, Cerase A, Magarelli N, Bonomo L. Lumbar spondylolysis: a review. Skeletal Radiology, 2011; 40(6): 683-700.
30. Rajnics P, Templier A, Skalli W, Lavaste F, Illés T. The Association of Sagittal Spinal and Pelvic Parameters in Asymptomatic Persons and Patients with Isthmic Spondylolisthesis. J Spinal Dis Tech. 2010; 15(1): 24-30.
31. Kalichman L, Kim D, Li L, Guermazi A, Berkin V, Hunter D. Spondylolysis and spondylolisthesis: prevalence and association with low back pain in the adult community-basedpopulation. Spine. 2009; 34(2): 199-205.
32. Walker J. Back pain: pathogenesis, diagnosis and management NS672. Back pain: pathogenesis, diagnosis and management. Nursing Standard. 2012; 27(14): 49-56.
33. Raastad J, Reiman M, Coeytaux R, Ledbetter L, Goode A. The association between lumbar spine radiographic features and low back pain: a systematic review and meta-analysis. Semin Arthritis Rheum. 2015; 44(5): 571-585.
34. Bart G, Johnson C & Moreau W. Is Physical Activity Contraindicated for Individuals with Scoliosis? A Systematic Literature Review. Journal of Chiropractic Medicine. 2009; 8 (1):25–37.
35. Veintemillas M, BeltránV, Rivera L, Marín A, Melloni P, Valls R. Alteraciones de la alineación vertebral. Radiología. 2016; 58(1): 115-27.
36. Ministerio del trabajo. Decreto 1507 de 2014 por el cual se expide el Manual Único para la Calificación de la Pérdida de la Capacidad Laboral y Ocupacional. Diario oficial: Colombia; 2014.
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Published
2018-06-30
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- 2018-06-30 (2)
- 2018-06-30 (1)
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Review article
How to Cite
Oliveros Ribero, Z., Delgado Paez, R., & Ramirez, J. E. (2018). Most common radiologic signs with low back pain and its applicability in pre-employment medical screening. Revista Colombiana De Salud Ocupacional, 8(1), 5049-5049. https://doi.org/10.18041/2322-634X/rc_salud_ocupa.1.2018.5049
