Evaluation of bone mineral density in patients with chronic low back pain.

Al-Saeed, Osama; Mohammed, Ahmed; Azizieh, Fawaz; Gupta, Renu · Asian Spine J · 2013

retrospective_cohort · Level III

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Abstract

This was designed as a retrospective study. We investigated the relationship between bone mineral density (BMD) and chronic lower back pain (LBP). In spite of a large number of epidemiological surveys on the prevalence of LBP and BMD measurements completed separately in the general population, the relationship between the two has not been well documented. The study included 171 patients with chronic LBP who underwent the BMD study. The control group was selected from our database regarding BMD without LBP. A total of 678 subjects, aged 18 to 100 years (mean, 49.9±12.9 years) were included in the study, 25% (n=171) of the subjects had LBP. Compared to those patients without LBP, patients exhibiting LBP had statistically significant lower mean weight, hip and spine BMD and T-score. Lower BMD and T-scores were significant regardless of the age group, gender, menopausal status, and obesity classification. Chronic LBP has a negative correlation with hip and spine bone mineral density.