Does location of vertebral deformity within the spine influence back pain and disability?

W. Cockerill, A. A. Ismail, C. Cooper, C. Matthis, H. Raspe, A. J. Silman, T. W. O'Neill, D. Agnusdei, K. Bergmann, J. Dequeker, D. Felsenberg, J. A. Kanis, G. Kruskemper, E. Weiland, L. Kaldis, J. Mews, D. Finn, T. Lauermann, K. Weber, P. GeusensI. Jajic, S. Havelka, P. Vavrincova, A. Letkovska, P. Masaryk, P. D. Delmas, F. Marchand, D. Banzer, S. Kirschner, W. Reisinger, J. Janott, H. Schatz, J. Franke, C. Scheidt-Nave, R. Zeigler, K. Abendroth, B. Felsch, A. Antoniou, G. Lyritis, C. Kiss, G. Poór, C. Gennari, S. Ortolani, A. Hofman, H. A P Pols, J. A. Falch, H. E. Meyer, S. Czekalski, T. Miazgowski, K. Hoszowski, R. S. Lorenc, A. Aroso, A. Lopez Vaz, L. I. Benevolenskaya, E. E. Mikhailov, D. Roig Escofet, M. Ruiz Martin, M. Sosa, M. Diaz Curiel, A. Rapado, J. B. Cannata Andia, J. B. Diaz Lopez, O. Johnell, B. Nilsson, G. Dilsen, D. M. Reid, A. K. Bhalla, F. Ring, C. Todd, R. Williams, J. Reeve, R. Eastell, A. D. Woolf

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objective - Vertebral deformity is associated with back pain and disability. The aim of tiffs analysis was to determine whether location within the spine influences the strength of association between vertebral deformity, back pain and disability. Methods - Men and women aged 50 years and over were recruited from population registers in 30 European centres. Subjects were invited for an interviewer administered questionnaire, and for lateral spinal radiographs. The questionnaire included questions about back pain, general health and functional ability. The spinal radiographs were evaluated morphometrically and vertebral deformity defined according to the McGloskey-Kanis method. Results - 756 (11.7%) men and 885 (11.8%) women had evidence of one or more vertebral deformities. Among women with a single deformity, after adjusting for age and centre, those with a lumbar deformity were more likely than those with a thoracic deformity to report back pain, both currently (OR = 1.4; 95% CI 1.0, 2.0) and in the past year (OR = 1.5; 95% CI 1.0, 2.3). No association was observed in men. Among women with two deformities, those with adjacent deformities were more likely than those with non-adjacent deformities to report poor general health (OR = 2.2; 95%CI 0.9, 5.6), impaired functional ability (OR = 1.9; 95%CI 0.8, 4.7) and current back pain (OR = 2.1; 95%CI 0.9, 4.9), though none of these associations were statistically significant. By contrast, among men, non-adjacent deformities were associated with impaired functional ability compared with those with adjacent deformities. Conclusions - Location within the spine influences the strength of association between self reported health factors and vertebral deformity.

Original languageEnglish
Pages (from-to)368-371
Number of pages4
JournalAnnals of the Rheumatic Diseases
Volume59
Issue number5
DOIs
Publication statusPublished - 2000

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Back Pain
Spine
Health
Registries
Thorax
Interviews
Surveys and Questionnaires

ASJC Scopus subject areas

  • Rheumatology
  • Immunology

Cite this

Cockerill, W., Ismail, A. A., Cooper, C., Matthis, C., Raspe, H., Silman, A. J., ... Woolf, A. D. (2000). Does location of vertebral deformity within the spine influence back pain and disability? Annals of the Rheumatic Diseases, 59(5), 368-371. https://doi.org/10.1136/ard.59.5.368

Does location of vertebral deformity within the spine influence back pain and disability? / Cockerill, W.; Ismail, A. A.; Cooper, C.; Matthis, C.; Raspe, H.; Silman, A. J.; O'Neill, T. W.; Agnusdei, D.; Bergmann, K.; Dequeker, J.; Felsenberg, D.; Kanis, J. A.; Kruskemper, G.; Weiland, E.; Kaldis, L.; Mews, J.; Finn, D.; Lauermann, T.; Weber, K.; Geusens, P.; Jajic, I.; Havelka, S.; Vavrincova, P.; Letkovska, A.; Masaryk, P.; Delmas, P. D.; Marchand, F.; Banzer, D.; Kirschner, S.; Reisinger, W.; Janott, J.; Schatz, H.; Franke, J.; Scheidt-Nave, C.; Zeigler, R.; Abendroth, K.; Felsch, B.; Antoniou, A.; Lyritis, G.; Kiss, C.; Poór, G.; Gennari, C.; Ortolani, S.; Hofman, A.; Pols, H. A P; Falch, J. A.; Meyer, H. E.; Czekalski, S.; Miazgowski, T.; Hoszowski, K.; Lorenc, R. S.; Aroso, A.; Lopez Vaz, A.; Benevolenskaya, L. I.; Mikhailov, E. E.; Roig Escofet, D.; Ruiz Martin, M.; Sosa, M.; Diaz Curiel, M.; Rapado, A.; Cannata Andia, J. B.; Diaz Lopez, J. B.; Johnell, O.; Nilsson, B.; Dilsen, G.; Reid, D. M.; Bhalla, A. K.; Ring, F.; Todd, C.; Williams, R.; Reeve, J.; Eastell, R.; Woolf, A. D.

In: Annals of the Rheumatic Diseases, Vol. 59, No. 5, 2000, p. 368-371.

Research output: Contribution to journalArticle

Cockerill, W, Ismail, AA, Cooper, C, Matthis, C, Raspe, H, Silman, AJ, O'Neill, TW, Agnusdei, D, Bergmann, K, Dequeker, J, Felsenberg, D, Kanis, JA, Kruskemper, G, Weiland, E, Kaldis, L, Mews, J, Finn, D, Lauermann, T, Weber, K, Geusens, P, Jajic, I, Havelka, S, Vavrincova, P, Letkovska, A, Masaryk, P, Delmas, PD, Marchand, F, Banzer, D, Kirschner, S, Reisinger, W, Janott, J, Schatz, H, Franke, J, Scheidt-Nave, C, Zeigler, R, Abendroth, K, Felsch, B, Antoniou, A, Lyritis, G, Kiss, C, Poór, G, Gennari, C, Ortolani, S, Hofman, A, Pols, HAP, Falch, JA, Meyer, HE, Czekalski, S, Miazgowski, T, Hoszowski, K, Lorenc, RS, Aroso, A, Lopez Vaz, A, Benevolenskaya, LI, Mikhailov, EE, Roig Escofet, D, Ruiz Martin, M, Sosa, M, Diaz Curiel, M, Rapado, A, Cannata Andia, JB, Diaz Lopez, JB, Johnell, O, Nilsson, B, Dilsen, G, Reid, DM, Bhalla, AK, Ring, F, Todd, C, Williams, R, Reeve, J, Eastell, R & Woolf, AD 2000, 'Does location of vertebral deformity within the spine influence back pain and disability?', Annals of the Rheumatic Diseases, vol. 59, no. 5, pp. 368-371. https://doi.org/10.1136/ard.59.5.368
Cockerill, W. ; Ismail, A. A. ; Cooper, C. ; Matthis, C. ; Raspe, H. ; Silman, A. J. ; O'Neill, T. W. ; Agnusdei, D. ; Bergmann, K. ; Dequeker, J. ; Felsenberg, D. ; Kanis, J. A. ; Kruskemper, G. ; Weiland, E. ; Kaldis, L. ; Mews, J. ; Finn, D. ; Lauermann, T. ; Weber, K. ; Geusens, P. ; Jajic, I. ; Havelka, S. ; Vavrincova, P. ; Letkovska, A. ; Masaryk, P. ; Delmas, P. D. ; Marchand, F. ; Banzer, D. ; Kirschner, S. ; Reisinger, W. ; Janott, J. ; Schatz, H. ; Franke, J. ; Scheidt-Nave, C. ; Zeigler, R. ; Abendroth, K. ; Felsch, B. ; Antoniou, A. ; Lyritis, G. ; Kiss, C. ; Poór, G. ; Gennari, C. ; Ortolani, S. ; Hofman, A. ; Pols, H. A P ; Falch, J. A. ; Meyer, H. E. ; Czekalski, S. ; Miazgowski, T. ; Hoszowski, K. ; Lorenc, R. S. ; Aroso, A. ; Lopez Vaz, A. ; Benevolenskaya, L. I. ; Mikhailov, E. E. ; Roig Escofet, D. ; Ruiz Martin, M. ; Sosa, M. ; Diaz Curiel, M. ; Rapado, A. ; Cannata Andia, J. B. ; Diaz Lopez, J. B. ; Johnell, O. ; Nilsson, B. ; Dilsen, G. ; Reid, D. M. ; Bhalla, A. K. ; Ring, F. ; Todd, C. ; Williams, R. ; Reeve, J. ; Eastell, R. ; Woolf, A. D. / Does location of vertebral deformity within the spine influence back pain and disability?. In: Annals of the Rheumatic Diseases. 2000 ; Vol. 59, No. 5. pp. 368-371.
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title = "Does location of vertebral deformity within the spine influence back pain and disability?",
abstract = "Objective - Vertebral deformity is associated with back pain and disability. The aim of tiffs analysis was to determine whether location within the spine influences the strength of association between vertebral deformity, back pain and disability. Methods - Men and women aged 50 years and over were recruited from population registers in 30 European centres. Subjects were invited for an interviewer administered questionnaire, and for lateral spinal radiographs. The questionnaire included questions about back pain, general health and functional ability. The spinal radiographs were evaluated morphometrically and vertebral deformity defined according to the McGloskey-Kanis method. Results - 756 (11.7{\%}) men and 885 (11.8{\%}) women had evidence of one or more vertebral deformities. Among women with a single deformity, after adjusting for age and centre, those with a lumbar deformity were more likely than those with a thoracic deformity to report back pain, both currently (OR = 1.4; 95{\%} CI 1.0, 2.0) and in the past year (OR = 1.5; 95{\%} CI 1.0, 2.3). No association was observed in men. Among women with two deformities, those with adjacent deformities were more likely than those with non-adjacent deformities to report poor general health (OR = 2.2; 95{\%}CI 0.9, 5.6), impaired functional ability (OR = 1.9; 95{\%}CI 0.8, 4.7) and current back pain (OR = 2.1; 95{\%}CI 0.9, 4.9), though none of these associations were statistically significant. By contrast, among men, non-adjacent deformities were associated with impaired functional ability compared with those with adjacent deformities. Conclusions - Location within the spine influences the strength of association between self reported health factors and vertebral deformity.",
author = "W. Cockerill and Ismail, {A. A.} and C. Cooper and C. Matthis and H. Raspe and Silman, {A. J.} and O'Neill, {T. W.} and D. Agnusdei and K. Bergmann and J. Dequeker and D. Felsenberg and Kanis, {J. A.} and G. Kruskemper and E. Weiland and L. Kaldis and J. Mews and D. Finn and T. Lauermann and K. Weber and P. Geusens and I. Jajic and S. Havelka and P. Vavrincova and A. Letkovska and P. Masaryk and Delmas, {P. D.} and F. Marchand and D. Banzer and S. Kirschner and W. Reisinger and J. Janott and H. Schatz and J. Franke and C. Scheidt-Nave and R. Zeigler and K. Abendroth and B. Felsch and A. Antoniou and G. Lyritis and C. Kiss and G. Po{\'o}r and C. Gennari and S. Ortolani and A. Hofman and Pols, {H. A P} and Falch, {J. A.} and Meyer, {H. E.} and S. Czekalski and T. Miazgowski and K. Hoszowski and Lorenc, {R. S.} and A. Aroso and {Lopez Vaz}, A. and Benevolenskaya, {L. I.} and Mikhailov, {E. E.} and {Roig Escofet}, D. and {Ruiz Martin}, M. and M. Sosa and {Diaz Curiel}, M. and A. Rapado and {Cannata Andia}, {J. B.} and {Diaz Lopez}, {J. B.} and O. Johnell and B. Nilsson and G. Dilsen and Reid, {D. M.} and Bhalla, {A. K.} and F. Ring and C. Todd and R. Williams and J. Reeve and R. Eastell and Woolf, {A. D.}",
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doi = "10.1136/ard.59.5.368",
language = "English",
volume = "59",
pages = "368--371",
journal = "Annals of the Rheumatic Diseases",
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TY - JOUR

T1 - Does location of vertebral deformity within the spine influence back pain and disability?

AU - Cockerill, W.

AU - Ismail, A. A.

AU - Cooper, C.

AU - Matthis, C.

AU - Raspe, H.

AU - Silman, A. J.

AU - O'Neill, T. W.

AU - Agnusdei, D.

AU - Bergmann, K.

AU - Dequeker, J.

AU - Felsenberg, D.

AU - Kanis, J. A.

AU - Kruskemper, G.

AU - Weiland, E.

AU - Kaldis, L.

AU - Mews, J.

AU - Finn, D.

AU - Lauermann, T.

AU - Weber, K.

AU - Geusens, P.

AU - Jajic, I.

AU - Havelka, S.

AU - Vavrincova, P.

AU - Letkovska, A.

AU - Masaryk, P.

AU - Delmas, P. D.

AU - Marchand, F.

AU - Banzer, D.

AU - Kirschner, S.

AU - Reisinger, W.

AU - Janott, J.

AU - Schatz, H.

AU - Franke, J.

AU - Scheidt-Nave, C.

AU - Zeigler, R.

AU - Abendroth, K.

AU - Felsch, B.

AU - Antoniou, A.

AU - Lyritis, G.

AU - Kiss, C.

AU - Poór, G.

AU - Gennari, C.

AU - Ortolani, S.

AU - Hofman, A.

AU - Pols, H. A P

AU - Falch, J. A.

AU - Meyer, H. E.

AU - Czekalski, S.

AU - Miazgowski, T.

AU - Hoszowski, K.

AU - Lorenc, R. S.

AU - Aroso, A.

AU - Lopez Vaz, A.

AU - Benevolenskaya, L. I.

AU - Mikhailov, E. E.

AU - Roig Escofet, D.

AU - Ruiz Martin, M.

AU - Sosa, M.

AU - Diaz Curiel, M.

AU - Rapado, A.

AU - Cannata Andia, J. B.

AU - Diaz Lopez, J. B.

AU - Johnell, O.

AU - Nilsson, B.

AU - Dilsen, G.

AU - Reid, D. M.

AU - Bhalla, A. K.

AU - Ring, F.

AU - Todd, C.

AU - Williams, R.

AU - Reeve, J.

AU - Eastell, R.

AU - Woolf, A. D.

PY - 2000

Y1 - 2000

N2 - Objective - Vertebral deformity is associated with back pain and disability. The aim of tiffs analysis was to determine whether location within the spine influences the strength of association between vertebral deformity, back pain and disability. Methods - Men and women aged 50 years and over were recruited from population registers in 30 European centres. Subjects were invited for an interviewer administered questionnaire, and for lateral spinal radiographs. The questionnaire included questions about back pain, general health and functional ability. The spinal radiographs were evaluated morphometrically and vertebral deformity defined according to the McGloskey-Kanis method. Results - 756 (11.7%) men and 885 (11.8%) women had evidence of one or more vertebral deformities. Among women with a single deformity, after adjusting for age and centre, those with a lumbar deformity were more likely than those with a thoracic deformity to report back pain, both currently (OR = 1.4; 95% CI 1.0, 2.0) and in the past year (OR = 1.5; 95% CI 1.0, 2.3). No association was observed in men. Among women with two deformities, those with adjacent deformities were more likely than those with non-adjacent deformities to report poor general health (OR = 2.2; 95%CI 0.9, 5.6), impaired functional ability (OR = 1.9; 95%CI 0.8, 4.7) and current back pain (OR = 2.1; 95%CI 0.9, 4.9), though none of these associations were statistically significant. By contrast, among men, non-adjacent deformities were associated with impaired functional ability compared with those with adjacent deformities. Conclusions - Location within the spine influences the strength of association between self reported health factors and vertebral deformity.

AB - Objective - Vertebral deformity is associated with back pain and disability. The aim of tiffs analysis was to determine whether location within the spine influences the strength of association between vertebral deformity, back pain and disability. Methods - Men and women aged 50 years and over were recruited from population registers in 30 European centres. Subjects were invited for an interviewer administered questionnaire, and for lateral spinal radiographs. The questionnaire included questions about back pain, general health and functional ability. The spinal radiographs were evaluated morphometrically and vertebral deformity defined according to the McGloskey-Kanis method. Results - 756 (11.7%) men and 885 (11.8%) women had evidence of one or more vertebral deformities. Among women with a single deformity, after adjusting for age and centre, those with a lumbar deformity were more likely than those with a thoracic deformity to report back pain, both currently (OR = 1.4; 95% CI 1.0, 2.0) and in the past year (OR = 1.5; 95% CI 1.0, 2.3). No association was observed in men. Among women with two deformities, those with adjacent deformities were more likely than those with non-adjacent deformities to report poor general health (OR = 2.2; 95%CI 0.9, 5.6), impaired functional ability (OR = 1.9; 95%CI 0.8, 4.7) and current back pain (OR = 2.1; 95%CI 0.9, 4.9), though none of these associations were statistically significant. By contrast, among men, non-adjacent deformities were associated with impaired functional ability compared with those with adjacent deformities. Conclusions - Location within the spine influences the strength of association between self reported health factors and vertebral deformity.

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