青少年腰痛的原因：一项回顾性研究

IF 2 Q2 REHABILITATION

Archives of rehabilitation research and clinical translation Pub Date : 2025-06-01 DOI:10.1016/j.arrct.2025.100433

Imana Rhoden MD, Jeremy Simon MD, Adam T. Chrusch MD, David Stolzenberg DO, Christopher Mehallo DO, Grant Thomas BS

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引用次数: 0

摘要

目的补充科学文献中有关青少年背痛病因的证据。DesignA回顾性图表审查进行了超过3年的时间。图表最初使用国际疾病分类第十次修订版（ICD-10）诊断，随后缩小到10-19岁的年龄范围。此外，有创伤需要紧急脊柱手术或其他诊断（如髋关节疼痛）的患者被排除在外。本研究是在美国一家大型私人多专业骨科诊所进行的。这包括在多个人口区域的30个不同的流动办公室地点。参与者包括年龄在10至19岁之间且有腰痛（LBP）记录的患者。共纳入N = 1932例患者，男女比例为1.1/1。该研究历时3年（2015-2018）。InterventionsNot适用。主要观察指标临床医生作出最终诊断，经图表和影像学检查证实。结果共纳入患者1932例，其中女性1010例（52.3%），男性922例（47.7%）。医师审稿人将诊断分为综合类别。无特殊原因的腰痛是最常见的诊断，共有827例（42.81%）。在诊断为LBP的患者中，女性占447例（54.0%），而男性占380例（46.0%）。椎间盘疾病是第二常见的诊断，共有534名研究参与者（27.64%）。在整个磁盘队列中，女性多于男性，分别为304例（30.10%）和230例（24.95%）。峡部裂是第三常见的诊断，共有281例（14.54%）。男性患病率高于女性，分别为192例（20.82%）和89例（8.81%）。结论对全身性腰痛的病因有了更清晰的认识。研究结果显示，与以前的数据相比，椎间盘相关问题的发生率更高，并强调了已确定病理的性别差异。

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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Causes of Adolescent Low Back Pain: A Retrospective Study

Objective

To add to the body of evidence in the scientific literature with respect to the etiology of adolescent back pain.

Design

A retrospective chart review was conducted over a 3 year period. Charts were initially rendered using International Classification of Disease, 10th Revision (ICD-10) diagnosis, and subsequently narrowed down to age range of 10-19 years. Additionally, patients with documented trauma requiring emergent spinal surgery or an alternative diagnosis (eg, hip pain) were excluded.

Setting

This study was performed in a large United States based private multispecialty orthopedic practice. This includes 30 different ambulatory office locations in multiple demographic regions.

Participants

Patients ages 10 to 19 years old who presented with documented low back pain (LBP) were included. A total of N = 1932 patients were included with a 1.1/1 women to men ratio. The study was conducted over a 3 year period (2015-2018).

Interventions

Not applicable.

Main Outcome Measures

Final diagnosis reached by clinician, verified by chart and imaging review.

Results

A total of 1932 patients were included: 1010 (52.3%) women and 922 (47.7%) men. Physician reviewers grouped the diagnoses into comprehensive categories. LBP without a specific cause was the most common diagnosis with 827 patients (42.81%). Women accounted for 447 (54.0%) of the patients diagnosed with LBP, whereas men accounted for 380 (46.0%). Disk disease was the second most common diagnosis representing 534 study participants (27.64%). There were more women than men in the overall disk cohort with 304 (30.10%) and 230 (24.95%), respectively. Spondylolysis was the third most common diagnosis with 281 patients (14.54%). The prevalence was higher for men than women, 192 (20.82%) and 89 (8.81%), respectively.

Conclusions

A clearer understanding of the various etiologies associated with general LBP was obtained. The findings reveal a higher occurrence of disk-related issues compared with previous data and highlight gender-based differences in the identified pathologies.

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来源期刊

Archives of rehabilitation research and clinical translation Medicine and Dentistry (General)

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

8 weeks