RELATIONSHIP BETWEEN DISABILITY AND RADIOGRAPHIC FINDINGS OF LUMBAR DISK DEGENERATION IN SAMPLE OF IRAQI PATIENTS WITH MECHANICAL LOW BACKACHE

KHUDAIR AL-BEDRI; RIYAM ALI MEFTEN; ZAINAB A. MAHMOOD

doi:10.22159/ajpcr.2021.v14i2.40166

Authors

KHUDAIR AL-BEDRI Department of ???, Consultant Internist and Rheumatologist, College of Medicine, University of Baghdad, Baghdad, Iraq.
RIYAM ALI MEFTEN Baghdad Teaching Hospital, Rheumatology Unit, Baghdad, Iraq.
ZAINAB A. MAHMOOD Department of Medicine, College of Medicine, University of Basra, Basra, Iraq.

DOI:

https://doi.org/10.22159/ajpcr.2021.v14i2.40166

Keywords:

Back pain, Lumbar disk Degeneration, Disability

Abstract

Objectives: Disability related to chronic low back pain (LBP) is a complex and multidimensional phenomenon all over the world. The prevalence of backache in middle age and elderly is up to 84%. This study aims to evaluate the associations of X-ray features of lumbar disk degeneration with severity of disability among patients with mechanical LBP.

Methods: A cross-sectional study was conducted on a total of 300 patients with chronic mechanical LBP. Severity of disability was measured using Modified Oswestry Disability Index and intensity of backache was assessed using numeric rating scale (0–10). X-ray features of lumbar disc degeneration according to Lane classification and spondylolisthesis were assessed in lateral recumbent lumbar X-rays.

Results: The mean age of our sample was 52.45±7.87 and 71.7% of involved patients were women. Most patients were recorded as overweight or obese. The findings of disk space narrowing were mild in 65.7%, moderate in 28.7%, and severe in 5.6%, where the presence of osteophytes were small in 76.9%, moderate in 20.5%, and large in 2.6%. Regarding disability, two-third of cases were focused on minimal disability, followed by moderate, severe, and crippled as (26%), (6%), and (2%), respectively. There was highly significant association between women and pain radiation to legs (p=0.004). Obesity and overweight had meaningless effects on all markers.

Conclusions: The severity of disability was significantly more in women, high intensity of lower back pain, presence of pain radiating to legs, moderate/severe disk space narrowing on X-ray, and disk degenerative disease score on X-ray, while age, presence of osteophytes and spondylolisthesis, body mass index, and pain duration were not associated with severity of disability.

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