| Popis: |
Background There is a lack of information about the meaning of mild vertebral body deformities and its relationship with back pain. Many patients with this kind of wedges are sent to rheumatology clinics to assess the possibility to start treatment for secondary prevention of osteoporosis fractures. Objectives The present study aims to determine the relationship of the number of medical consultations due to dorsal or lumbar pain and two categorical variables: Presence or absence of mild vertebral wedge (Genant’s first level of classification) and Kellgren-Lawrence’s osteoarthritis classification levels I-II and III-IV. Methods We conducted a retrospective follow-up of 1131 patients with and without mild vertebral body deformities along three years to compare the frequency of axial pain episodes assessed in emergency units and their chance to evolve to moderate or severe wedges. Results : In the group without deformities, the cumulative incidence of dorsal or lumbar pain episodes was 7.2% per year, and the incidence density was 7805 cases per 100 patients-year. In the group with mild deformities, the cumulative incidence of dorsal or lumbar pain episodes was 7.0% per year, and the incidence density was 7318 cases per 100 patient-year (p=0.77 and 0.58, respectively). We grouped patients according to their osteoarthritis severity. The cumulative incidence of dorsal and lumbar pain episodes along the period of observation, in patients with a spinal Kellgren-Lawrence’s osteoarthritis degree I-II and III-IV were 19.8% (CI95% 12.10%>27.49%) and 31.5% (CI95% 18.27%>44.72%), respectively (p Conclusions Our results point that back pain incidence is not related to the presence of mild vertebral wedges but the severity of axial osteoarthritis. Also, the behaviour of starting a secondary osteoporosis prevention treatment after the detection of a mild vertebral wedge is not supported by our results. Disclosure of Interest None declared |
