Low back pain and scoliosis; [Bel aǧrisi ve skolyoz]
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Date
2000
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Abstract
In this study we aimed to investigate the factors that could be effective in the evolution of scoliosis in adults and the relation of scoliosis and low back pain by comparing the presence of scoliosis in healthy volunteers. 209 patients with low back pain were scheduled together with 50 volunteers. All of them underwent clinical evaluation and then A-P and lateral dorsal and lumbosacral vertebrae radiograms were obtained. The status of sacroiliac joints were also observed in the radiographs. No significant difference was detected concerning the presence of scoliosis, the degree of scoliotic curves, localizations and directions between patients with low back pain and controls. Significant increase in the radiolucency of vertebrae was detected in the scoliotic group; apart from this no relation was found regarding osteoporosis and degenerative disease of the spine between patients with and without scoliosis. Degenerative stigmata in sacroiliac joints were present more often in patients with scoliosis. As a result although no direct relation could be found between low back pain and adult dorsolumbar scoliosis, the fact that detecting radiolucency of vertebrae significantly higher in scoliotics could put osteoporosis as a factor responsible in the older age groups. The degeneration of sacroiliac joints and its relation to scoliosis apparently need further investigations.