SMOKING AND MODIC CHANGES IN PATIENTS WITH CHRONIC LOW BACK PAIN: A COMPARATIVE STUDY.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243205e278628

Guilherme Augusto Foizer, Vagner Cleyton de Paiva, Carlos Gorios, Alberto Cliquet, João Batista de Miranda

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Abstract

Objective: To compare the prevalence of smokers among patients with chronic low back pain, in the presence and absence of Modic changes, also the correlation between smoking history and progression of the Modic scale.

Methods: Observational study, case-control type, with the inclusion of 340 vertebral segments in a total of 68 patients, separated into groups: with Modic (case group) and without Modic (control group). The odds ratio between the groups was verified using the Chi-Square test. Degree of correlation between smoking history (packs/year) and the degree of disc degeneration using Max-Modic and Sum-Modic, using Spearman's non-parametric test.

Results: The Modic group (MG) was 54% female and 46% male, with an average smoking history of 13.84 pack-years and an average of 1.42 altered segments per patient.

Conclusion: An increased risk for Modic changes was found among smoking patients (odds ratio [OR] 4.09; 95% CI, 1.26-12.31; p < 0.01) and significant correlation between Max-Modic, sum-Modic and smoking history. Level of Evidence III, Retrospective comparative study.

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慢性腰背痛患者的吸烟和模态变化：一项比较研究。

目的比较慢性腰背痛患者中存在和不存在莫迪克病变时吸烟者的比例，以及吸烟史与莫迪克量表进展之间的相关性：观察研究，病例对照型，共纳入 68 名患者的 340 个椎体节段，分为两组：有莫迪克病变组（病例组）和无莫迪克病变组（对照组）。两组之间的几率比用 Chi-Square 检验进行验证。吸烟史（包/年）与椎间盘退变程度之间的相关程度采用 Max-Modic 和 Sum-Modic，使用斯皮尔曼非参数检验：结果：莫迪克组（MG）中女性占 54%，男性占 46%，平均吸烟史为 13.84 包/年，每位患者平均有 1.42 个椎间盘改变节段：结论：吸烟患者发生 Modic 病变的风险增加（几率比 [OR] 4.09；95% CI，1.26-12.31；P < 0.01），Max-Modic、sum-Modic 与吸烟史之间存在显著相关性。证据等级 III，回顾性比较研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.