CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e861-e867
DOI: 10.1055/s-0044-1792115
Artigo Original
Coluna

Relationship between a Radiographic Grading Scale of Degenerative Lumbar Disease and Quality of Life

Article in several languages: português | English
1   Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
2   Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, Brasil
,
2   Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, Brasil
3   Grupo Brasileiro de Estudo de Coluna, São Paulo, SP, Brasil
,
3   Grupo Brasileiro de Estudo de Coluna, São Paulo, SP, Brasil
,
1   Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
3   Grupo Brasileiro de Estudo de Coluna, São Paulo, SP, Brasil
,
1   Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
3   Grupo Brasileiro de Estudo de Coluna, São Paulo, SP, Brasil
,
1   Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
3   Grupo Brasileiro de Estudo de Coluna, São Paulo, SP, Brasil
› Author Affiliations
Financial Support The authors declare that the did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.

Abstract

Objective To evaluate the correlation between a radiographic scale of lumbar degenerative disease and the Oswestry Disability Index (ODI).

Methods A cross-sectional study in which the ODI quality of life questionnaire and the radiographic parameters for the classification of lumbar degenerative disease into different grades were compared to try to establish a relationship between them.

Results The relationship between the radiographic parameters and quality of life indicators does not behave homogeneously, considering the different grades of the lumbar grading scale. Grade-2 lumbar degenerative disease showed a statistically significant relationship with the worsening of the ODI quality of life score.

Conclusion The lumbar degenerative disease grading scale used in the present study showed a relevant clinical potential, as it presented a significant relationship with the quality of life measured by the ODI score in part of the groups evaluated.



Publication History

Received: 14 May 2024

Accepted: 05 September 2024

Article published online:
21 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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  • Referências

  • 1 Boos N, Weissbach S, Rohrbach H, Weiler C, Spratt KF, Nerlich AG. Classification of age-related changes in lumbar intervertebral discs: 2002 Volvo Award in basic science. Spine (Phila Pa 1976) 2002; 27 (23) 2631-2644
  • 2 Osti OL, Vernon-Roberts B, Fraser RD. 1990 Volvo Award in experimental studies. Anulus tears and intervertebral disc degeneration. An experimental study using an animal model. Spine (Phila Pa 1976) 1990; 15 (08) 762-767
  • 3 Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet 2017; 389 (10070): 736-747
  • 4 Pratali R, Diebo B, Schwab F. Adult spine deformity - An overview of radiographic and clinical considerations. Coluna/Columna 2017; 16 (02) 149-152
  • 5 Schwab F, Dubey A, Gamez L. et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine (Phila Pa 1976) 2005; 30 (09) 1082-1085
  • 6 Terran J, Schwab F, Shaffrey CI. et al; International Spine Study Group. The SRS-Schwab adult spinal deformity classification: assessment and clinical correlations based on a prospective operative and nonoperative cohort. Neurosurgery 2013; 73 (04) 559-568
  • 7 Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F. The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976) 2005; 30 (18) 2024-2029
  • 8 Lafage R, Schwab F, Challier V. et al; International Spine Study Group. Defining Spino-Pelvic Alignment Thresholds: Should Operative Goals in Adult Spinal Deformity Surgery Account for Age?. Spine (Phila Pa 1976) 2016; 41 (01) 62-68
  • 9 Lafage V, Schwab F, Patel A, Hawkinson N, Farcy JP. Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine (Phila Pa 1976) 2009; 34 (17) E599-E606
  • 10 Pratali RR, Battisti R, Oliveira CEAS, Maranho DAC, Herrero CFPS. Correlation between the Severity of the Lumbar Degenerative Disease and Sagittal Spinopelvic Alignment. Rev Bras Ortop 2022; 57 (01) 41-46
  • 11 de Vasconcelos IT, Sant'Anna DA, de Oliveira CEAS, Herrero CFPS, de Rezende Pratali R. Grading scale of lumbar degenerative disease in full spine x-ray. Coluna/Columna 2019; 18 (01) 32-36
  • 12 Blanke KM, Kuklo TR, O'Brien MF, Lenke LG. Clinical Photographs and Radiographic Methodology to Evaluate Spinal Deformity. In: O'Brien MF, Kuklo MR, Blanke MM. et al. editors. Radiographic Measurement Manual. USA: Medtronic Sofamor Danek USA, Inc; 2008: 11-30
  • 13 Fairbank JCT, Pynsent PB. The oswestry disability index. Spine 2000; 25 (22) 2940-2952 , discussion 2952
  • 14 Vigatto R, Alexandre NM, Correa Filho HR. Development of a Brazilian Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity. Spine (Phila Pa 1976) 2007; 32 (04) 481-486
  • 15 Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, Cohen SP. Low back pain. Lancet 2021; 398 (10294): 78-92
  • 16 Yang H, Haldeman S, Lu ML, Baker D. Low Back Pain Prevalence and Related Workplace Psychosocial Risk Factors: A Study Using Data From the 2010 National Health Interview Survey. J Manipulative Physiol Ther 2016; 39 (07) 459-472
  • 17 Schwab F, Ungar B, Blondel B. et al. Scoliosis Research Society-Schwab adult spinal deformity classification: a validation study. Spine (Phila Pa 1976) 2012; 37 (12) 1077-1082
  • 18 Pizones J, Martin-Buitrago MP, Sánchez Perez-Grueso FJ. et al; ESSG European Spine Study Group. Untreated Thoracic Curve in Adult Idiopathic Scoliosis: What Are Patients' Concerns?. Spine (Phila Pa 1976) Deform 2016; 4 (06) 439-445
  • 19 Diebo BG, Shah NV, Boachie-Adjei O. et al. Adult spinal deformity. Lancet 2019; 394 (10193): 160-172
  • 20 Farshad-Amacker NA, Farshad M, Winklehner A, Andreisek G. MR imaging of degenerative disc disease. Eur J Radiol 2015; 84 (09) 1768-1776