Prevalence of spondyloarthritis among patients who underwent lumbar disc herniation surgery

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dc.contributor.authorSoysal Gündüz Ö.
dc.contributor.authorAkar S.
dc.contributor.authorSolmaz D.
dc.contributor.authorCan G.
dc.contributor.authorÖnen F.
dc.contributor.authorAkkoç N.
dc.date.accessioned2024-07-22T08:08:04Z
dc.date.available2024-07-22T08:08:04Z
dc.date.issued2020
dc.description.abstractObjectives: This study aims to estimate the prevalence of spondyloarthritis (SpA) among patients who had been surgically treated for lumbar disc herniation (LDH), according to the modified New York (mNY) criteria for the diagnosis of ankylosing spondylitis and Amor, the European Spondyloarthropathy Study Group (ESSG), the Assessment of Spondyloarthritis International Society (ASAS) classification criteria for SpA. Patients and methods: The study included 321 patients (142 males, 179 females; mean age 49±10.8 years; range, 18 to 79 years) who underwent LDH surgery between April 2008 and May 2012 in the neurosurgery clinic of our hospital. Patients were contacted by phone on at least two attempts. Totally, 123 patients accepted to come to the outpatient clinic, while the remaining 198 agreed to be interviewed on the phone. Patients who agreed to come to the outpatient rheumatology clinic underwent clinical examination, and pelvic X-ray and magnetic resonance imaging (MRI) scan of the sacroiliac joints when indicated. Results: Inflammatory back pain was diagnosed in 108 patients (34%) and 40 patients (13%) according to Calin criteria and the ASAS criteria, respectively. Prevalence of SpA among all patients was estimated as 17.7% according to the ESSG criteria, and 8.7% according to Amor criteria. Five of the 308 pelvic radiographs had definite radiographic sacroiliitis as required by the mNY criteria. Four patients had a characteristic pattern of bone marrow edema on MRI examination in accordance with the ASAS definitions. The overall prevalence of sacroiliitis (MRI sacroiliitis+X-ray sacroiliitis) among the patients who came to the clinic was 7.3% ([4+5]/123). Conclusion: The relatively increased prevalence of SpA among patients who underwent LDH surgery indicates the necessity of increasing awareness on the new concept of axial SpA for specialists treating patients with low back pain. © 2020 Turkish League Against Rheumatism. All rights reserved.
dc.identifier.DOI-ID10.46497/ArchRheumatol.2020.7323
dc.identifier.issn21485046
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14242
dc.language.isoEnglish
dc.publisherTurkish League Against Rheumatism (TLAR)
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectadult
dc.subjectaged
dc.subjectankylosing spondylitis
dc.subjectarthroscopic surgery
dc.subjectAssessment of Spondyloarthritis International Society classification
dc.subjectawareness
dc.subjectbackache
dc.subjectBath ankylosing spondylitis disease activity index
dc.subjectBath ankylosing spondylitis functional index
dc.subjectcontrolled study
dc.subjectdisease classification
dc.subjecteducation
dc.subjectfemale
dc.subjecthuman
dc.subjectimage analysis
dc.subjectlow back pain
dc.subjectlumbar disk
dc.subjectlumbar disk hernia
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmusculoskeletal disease assessment
dc.subjectneurologic examination
dc.subjectnuclear magnetic resonance imaging
dc.subjectOswestry Disability Index
dc.subjectpelvic examination
dc.subjectprevalence
dc.subjectquestionnaire
dc.subjectReview
dc.subjectsacroiliac joint
dc.subjectsacroiliitis
dc.subjectsmoking
dc.subjectspondylarthritis
dc.subjectspondyloarthropathy
dc.subjecttelephone interview
dc.subjectthorax radiography
dc.titlePrevalence of spondyloarthritis among patients who underwent lumbar disc herniation surgery
dc.typeReview

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