Guilherme Augusto Foizer, Vagner Cleyton de Paiva, Carlos Gorios, Alberto Cliquet, João Batista de Miranda
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SMOKING AND MODIC CHANGES IN PATIENTS WITH CHRONIC LOW BACK PAIN: A COMPARATIVE STUDY.
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.
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.