Generalized Joint Laxity is Associated with Primary Occurrence and Treatment Outcome of Lumbar Disc Herniation.
10.4082/kjfm.2015.36.3.141
- Author:
Woo Jin HAN
1
;
Hong Bae KIM
;
Gun Woo LEE
;
Jung Heum CHOI
;
Won Jin JO
;
Sun Mi LEE
Author Information
1. Department of Family Medicine, Myongji Hospital, Goyang, Korea. smlee@mjh.or.kr
- Publication Type:Original Article
- Keywords:
Intervertebral Disc Displacement;
Lumbar Vertebrae;
Joint Instability
- MeSH:
Body Mass Index;
Humans;
Intervertebral Disc Displacement;
Joint Instability*;
Low Back Pain;
Lower Extremity;
Lumbar Vertebrae;
Male;
Outcome Assessment (Health Care);
Prevalence;
Treatment Outcome*;
Visual Analog Scale
- From:Korean Journal of Family Medicine
2015;36(3):141-145
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: We investigated relationships between generalized joint laxity and primary lumbar disc herniation occurrence and compared clinical outcomes after conservative treatment in lumbar disc herniation patients with and without generalized joint laxity. METHODS: The study group included 128 men, and the control group included 276 men matched for age and body mass index with the study group. The primary outcome measure was the presence or absence of generalized joint laxity using the Beighton scale. Clinical outcomes measured by the visual analog scale and the Oswestry disability index 2 years after conservative treatment were the secondary outcome measure. RESULTS: Generalized joint laxity prevalence was 13.2% in the study group and 5.1% in the control group, a significant difference (P=0.01). Spearman correlation analysis revealed that weight (r=0.162, P=0.03), body mass index (r=0.131, P=0.03), and generalized joint laxity (r=0.372, P<0.01) significantly correlated with lumbar disc herniation occurrence. In multivariate regression analysis, generalized joint laxity was the only significant lumbar disc herniation predictor (P=0.002; 95% confidence interval, 1.08 to 5.26). Generalized joint laxity in lumbar disc herniation patients was associated with worse clinical outcomes after conservative treatment measured by visual analog scale scores for lower extremity pain (P=0.02), lower back pain (P=0.03), and Oswestry disability index scores (P=0.03). CONCLUSION: Generalized joint laxity might be associated with lumbar disc herniation occurrence and might also be a negative predictor of worse clinical outcomes after conservative treatment.
