Document Type : Original Article
Authors
1 Assistance Professor of orthopedic, Department of Orthopedics, Golestan Teaching Hospital, Ahvaz University of Medical Sciences, Ahvaz, Iran
2 Department of Orthopedics, Golestan Teaching Hospital, Ahvaz University of Medical Sciences, Ahvaz, Iran
3 Assistance Professor of Health Policy, Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Abstract
Abstract
Background: Adult spinal deformity is a common public health issue worldwide which is caused by changes in normal curves of spine and can lead to axial spine pain. This study measures changes in normal curves of spine specially, thoracic kyphosis and lumbar lordosis and correlate them with subjective axial pain scores in order to find that.
Methods: This is a descriptive-analytical epidemiological study that was conducted in Ahvaz Golestan Hospital. In this study 52 patients were selected with non-randomized Convenience Sampling of patients with axial spine pain referred to Golestan hospital between October 2023 and June 2024. Thoracic kyphosis and lumbar lordosis were detected in the patients selected using long standing radiographs. Then using pelvic incidence ∆TK and ∆LL calculated and their relation to axial spine pain were studied. We Used Pearson correlating coefficient to study the relation between spine related measurements and VAS score cause after collecting the data normal distribution of the data was detected that was not surprising cause we see such pattern in normal people data too.
Results: On average, lumbar lordosis in these people indicated a mean decrease of 10 degrees compared to normal lumbar lordosis calculated for them. And average thoracic kyphosis indicated a mean increase of 15 degrees compared to normal thoracic kyphosis calculated for them. In the study of the global pain scale and comparing the intensity of pain with changes in thoracic kyphosis (∆TK) and lumbar lordosis (∆LL), axial pain was most associated with changes in thoracic kyphosis (∆TK) (p value < 0.001).
Conclusion: Thus, in the treatment of axial spine pain, the intensity of pain is more related to changes in thoracic kyphosis rather than lumbar lordosis. This can help researchers to propose further studies on the effect of correcting thoracic kyphosis more accurately in order to obtain better axial spine pain relief.
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