Md. Saiful Islam1, Sayed Abdul Quader2, Md. Zakir Hossain3, Muhammad Shoyab4,
Md. Menhazul Islam5
1. Associate professor. Department of Radiology & Imaging, North East Medical College & Hospital, Sylhet, Bangladesh.
2. Major, Classified Specialist, Department of Radiology & Imaging, Combined Military Hospital, Bogra, Bangladesh.
3. Assistant Professor, Department of Orthopedics, Jahurul Islam Medical College & Hospital, Kishoregonj
4. Junior Consultant, Department of Radiology & Imaging, Jahurul Islam Medical College & Hospital, Kishoregonj
5. Medical Officer, Department of Radiology & Imaging, Bangabandhu Sheikh Mujib Medical University
Abstract
Low back pain can cause severe debilitating that may lead to loss of productivity. The pain is usually non-specific and imaging request protocols varies. However, physicians may order lumbo-sacral x-ray in the initial radiologic assessment of the patient. This study aims to determine the frequency of occurrence of radiographic findings in patients reporting low back pain including the presence of osteophytes, spondylolisthesis and degenerative disc diseases and determine the relationship with patients’ features including age, sex, marital status, level of education, body mass index and other radiographic findings. Patients who presented at our department for radiographic assessment of the lumbo-sacral spine were voluntarily recruited. Their radiographs were reviewed. The radiographic findings were documented and data analysis using Chi square with significant level set at p < 0.05. Lumbo-sacral x-rays of 1000 patients were reviewed with more females than males, ratio 1.4:1. Osteophytes were demonstrable in 73.6%; spondylolisthesis, 13.4%; and disc degeneration, 28.2%, Disc degeneration correlated with age, educational status, osteophytosis, osteopenia and spondylolisthesis. Osteophytosis correlated with age. BMI and educational level. While spondylolisthesis correlated with educational level and sex. Osteophytosis was the commonest finding in patients presenting with LBP. Disc degeneration shows a strong association with osteophytosis and spondylolisthesis and it is reported to herald these changes. Radiography still shows some correlations between the findings in LBP and patients’ characteristics.
Key Words: Low Back Pain, Spondylosis, osteophytosis, spondylolisthesis, radiographic findings