RADIOGRAPHICALLY DETECTABLE DEGENERATIVE CHANGES OF THE LUMBAR SPINE AMONG CONCRETE REINFORCEMENT WORKERS AND HOUSE PAINTERS

被引:58
作者
RIIHIMAKI, H
MATTSSON, T
ZITTING, A
WICKSTROM, G
HANNINEN, K
WARIS, P
机构
[1] LEL Employment Pension Fund, Helsinki
[2] Institute of Occupational Health, Helsinki
[3] Turku Regional Institute of Occupational Health, Turku
关键词
Back accidents; Disc degeneration; Disc space narrowing; Epidemiology; Occupational load; Spondylophytes;
D O I
10.1097/00007632-199002000-00013
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In this study of lumbar degeneration and the role of mechanical loading in its development, lateral lumbar radiographs of 216 concrete reinforcement workers and 201 house painters aged 25-54 years were examined. Disc space narrowing occurred at about 10 years and spondylophytes at about 5 years younger age in the former than in the latter group. Risk ratios (RR) were estimated from the regression coefficients of logistic regression models. RR for the univariate effect of occupation on disc space narrowing was 1.8, and adjustment for age, earlier back accidents, height, body mass index and smoking had only a minor effect on this relationship, adjusted RR 1.8. The crude RR for spondylophytes was 1.5, and the adjusted RR 1.6. Earlier back accidents showed a significant univariate relationship with DSN, but in multivariate analysis this variate did not retain its significance. It was concluded that heavy physical work enhances the degenerative process of the lumbar spine. Materials handling and postural loading are proposed to be occupational factors of importance in the development of both disc space narrowing and spondylophytes. © Lippincott-Raven Publishers.
引用
收藏
页码:114 / 119
页数:6
相关论文
共 32 条
[1]  
Andersson G., Epidemiologic aspects on low-back pain in industry, Spine, 6, pp. 53-60, (1981)
[2]  
Andersson G., Schoultz A., Nathan A., Irstam L., Roentgenographic measurement of lumbar intervertebral disc height, Spine, 6, pp. 154-158, (1981)
[3]  
Baker R.J., Nelder J.A., The GLIM Systemrelease 3, General Linear Interactive Modelling, (1978)
[4]  
Biering-Sorenscn F., Rolsted Hansen F., Schroll M., Runeborg 0: The relation of spinal X-ray to low-back pain and physical activity among 60-year-old men and women, Spine, 10, pp. 445-451, (1985)
[5]  
Billenkamp G., Korperliche Belastung und Spondylosis deformans, Fortschr Rontgenstr, 116, pp. 211-216, (1972)
[6]  
Caplan P.S., Freedman L., Connelly T.P., Degenerative joint disease of the lumbar spine in coal miners: A clinical and X-ray study, Arthritis Rheum, 9, pp. 693-702, (1966)
[7]  
De Palma A.F., Rothman R.H., The Intervertebral Disc, (1970)
[8]  
Fahmi W.H., Trueman G.E., Comparative radiological study of the spines of a primitive population with North Americans and Northern Europeans, J Bone Joint Surg, 47 B, pp. 552-555, (1965)
[9]  
Fleiss J.L., Statistical Methods for Rates and Proportions, (1981)
[10]  
Frymoyer J.W., Newberg A., Pope M.H., Wilder D.G., Clements J., Macpherson B., Spine radiographs in patients with low-back pain, J Bone Joint Surg, 66 A, pp. 1048-1055, (1984)