青少年腰部疼痛的原因:一项回顾性研究
Imana Rhoden1, Jeremy Simon1, Adam T Chrusch1
1Rothman Orthopaedics, Thomas Jefferson University, Philadelphia, PA.
概括
这项研究调查了1932名患者的青少年腰部疼痛 (LBP) 的原因. 磁盘疾病和脊椎解剖是常见的,观察到基于性别的患病率差异.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科医学 儿科医学
- 流行病学 流行病学
背景情况:
- 青少年腰部疼痛 (LBP) 是一个越来越令人担忧的多因素病因.
- 了解LBP的具体原因和人口变化对于有效管理至关重要.
- 之前的研究还没有完全阐明青少年LBP原因的范围.
研究的目的:
- 研究10-19岁青少年的腰部疼痛 (LBP) 的病因.
- 为了确定与LBP相关的最常见的诊断,在这个年龄组.
- 分析特定LBP病理的流行情况的基于性别的差异.
主要方法:
- 对1932名患有LBP的10-19岁患者的回顾性图表审查.
- 排除患有需要紧急手术或替代诊断的创伤的患者.
- 诊断的分类使用国际疾病分类,第10版 (ICD-10) 和临床验证.
主要成果:
- 最常见的诊断是非特异性LBP (42.81%),其次是磁盘疾病 (27.64%) 和脊椎解剖 (14.54%).
- 妇女患非特异性腰痛和椎间盘疾病的发病率更高.
- 男性的脊椎解剖发生率更高.
结论:
- 这项研究提供了对青少年LBP病因的更清晰的理解.
- 与磁盘相关的问题在这个年龄组中比以前报告的更为普遍.
- 在青少年中特定的LBP诊断的分布中存在显著的基于性别的差异.
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