Comparison of Clinical Signs Associated with Lumbar Spine in Patients with Simultaneous Knee Osteoarthritis and Lumbar Spine Osteoarthritis before and after Knee Arthroplasty
Background: Knee osteoarthritis and low back pain (LBP) are common and occur at the same time in elderly. The LBP in patients who are candidates for knee arthroplasty affect the outcome and prognosis after surgery. In this study, we investigated the LBP in patients with simultaneous osteoarthritis...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2023-12-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/482 |
| _version_ | 1797359813744656384 |
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| author | Mohammad Kazem Emami Meybodi Alireza Rahimnia Hamid Hesarikia Sajjad Mohammadnabi Mohammad Mahdi Shater |
| author_facet | Mohammad Kazem Emami Meybodi Alireza Rahimnia Hamid Hesarikia Sajjad Mohammadnabi Mohammad Mahdi Shater |
| author_sort | Mohammad Kazem Emami Meybodi |
| collection | DOAJ |
| description |
Background: Knee osteoarthritis and low back pain (LBP) are common and occur at the same time in elderly. The LBP in patients who are candidates for knee arthroplasty affect the outcome and prognosis after surgery. In this study, we investigated the LBP in patients with simultaneous osteoarthritis of the knee and lumbar spine after total knee arthroplasty.
Methods: In this cross-sectional study, 41 candidates for knee arthroplasty suffering from LBP were included in the study. Demographic and VAS questionnaires for LBP and WOMAC questionnaire for knee pain and function were completed by patients before surgery. Patients are graded according to the JAS index. Patients were followed up for at least 6 months to2 years.
Results: Of41 patients, The mean age of patients was64.3 years. The mean of preoperative VAS index was5.15, while postoperative had decreased to 4.34(P= 0.024). Of the total number of patients in preoperative evaluation, 24.4% were in low grade based on the JAS index, followed by moderate(41.5%) and severe(34.1%) grade. The greatest improvement in the VAS index was related to those who were in the mild and moderate grade before surgery. The mean preoperative WOMAC index was found to be 55.1, while it was postoperatively reduced to 42.9(P= 0.000). Postoperative WOMAC was found to be correlated with postoperative VAS(P = 0.004).
Conclusion: In patients with mild to moderate LBP and knee osteoarthritis, their back pain would improve if they had knee arthroplasty. However, in patients with severe LBP and knee osteoarthritis, the spine should be examined further.
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| first_indexed | 2024-03-08T15:29:11Z |
| format | Article |
| id | doaj.art-251093c62a5a47c7bac65e015d625082 |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-03-08T15:29:11Z |
| publishDate | 2023-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-251093c62a5a47c7bac65e015d6250822024-01-10T06:16:04ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002023-12-019410.18502/jost.v9i4.13930Comparison of Clinical Signs Associated with Lumbar Spine in Patients with Simultaneous Knee Osteoarthritis and Lumbar Spine Osteoarthritis before and after Knee ArthroplastyMohammad Kazem Emami Meybodi0Alireza Rahimnia1Hamid Hesarikia2Sajjad Mohammadnabi3Mohammad Mahdi Shater4Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranTrauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranTrauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranDepartment of Orthopedic Surgery, Baqiyatallah University of Medical Sciences, Tehran, IranDepartment of Orthopedic Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran Background: Knee osteoarthritis and low back pain (LBP) are common and occur at the same time in elderly. The LBP in patients who are candidates for knee arthroplasty affect the outcome and prognosis after surgery. In this study, we investigated the LBP in patients with simultaneous osteoarthritis of the knee and lumbar spine after total knee arthroplasty. Methods: In this cross-sectional study, 41 candidates for knee arthroplasty suffering from LBP were included in the study. Demographic and VAS questionnaires for LBP and WOMAC questionnaire for knee pain and function were completed by patients before surgery. Patients are graded according to the JAS index. Patients were followed up for at least 6 months to2 years. Results: Of41 patients, The mean age of patients was64.3 years. The mean of preoperative VAS index was5.15, while postoperative had decreased to 4.34(P= 0.024). Of the total number of patients in preoperative evaluation, 24.4% were in low grade based on the JAS index, followed by moderate(41.5%) and severe(34.1%) grade. The greatest improvement in the VAS index was related to those who were in the mild and moderate grade before surgery. The mean preoperative WOMAC index was found to be 55.1, while it was postoperatively reduced to 42.9(P= 0.000). Postoperative WOMAC was found to be correlated with postoperative VAS(P = 0.004). Conclusion: In patients with mild to moderate LBP and knee osteoarthritis, their back pain would improve if they had knee arthroplasty. However, in patients with severe LBP and knee osteoarthritis, the spine should be examined further. https://jost.tums.ac.ir/index.php/jost/article/view/482Knee osteoarthritisback painknee arthroplasty |
| spellingShingle | Mohammad Kazem Emami Meybodi Alireza Rahimnia Hamid Hesarikia Sajjad Mohammadnabi Mohammad Mahdi Shater Comparison of Clinical Signs Associated with Lumbar Spine in Patients with Simultaneous Knee Osteoarthritis and Lumbar Spine Osteoarthritis before and after Knee Arthroplasty Journal of Orthopedic and Spine Trauma Knee osteoarthritis back pain knee arthroplasty |
| title | Comparison of Clinical Signs Associated with Lumbar Spine in Patients with Simultaneous Knee Osteoarthritis and Lumbar Spine Osteoarthritis before and after Knee Arthroplasty |
| title_full | Comparison of Clinical Signs Associated with Lumbar Spine in Patients with Simultaneous Knee Osteoarthritis and Lumbar Spine Osteoarthritis before and after Knee Arthroplasty |
| title_fullStr | Comparison of Clinical Signs Associated with Lumbar Spine in Patients with Simultaneous Knee Osteoarthritis and Lumbar Spine Osteoarthritis before and after Knee Arthroplasty |
| title_full_unstemmed | Comparison of Clinical Signs Associated with Lumbar Spine in Patients with Simultaneous Knee Osteoarthritis and Lumbar Spine Osteoarthritis before and after Knee Arthroplasty |
| title_short | Comparison of Clinical Signs Associated with Lumbar Spine in Patients with Simultaneous Knee Osteoarthritis and Lumbar Spine Osteoarthritis before and after Knee Arthroplasty |
| title_sort | comparison of clinical signs associated with lumbar spine in patients with simultaneous knee osteoarthritis and lumbar spine osteoarthritis before and after knee arthroplasty |
| topic | Knee osteoarthritis back pain knee arthroplasty |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/482 |
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