Abstract
Objective. To estimate prevalence rates of discogenic, facet, and sacroiliac joint pain, and describe clinical features of chronic low back pain patients whose symptoms were initiated by motor vehicle collisions. Design. Retrospective chart review. Setting. Academic spine center. Patients. Twenty-seven motor vehicle collision-induced chronic low back pain patients were included after undergoing diagnostic procedures. Interventions. Lumbar provocation discography, dual diagnostic facet joint blocks, and intra-articular sacroiliac joint injections. Methods. Enrolled patients underwent diagnostic procedures based on clinical presentation until the pain source was identified. The prevalence of each source of low back pain was estimated. Clinical, categorical, and continuous characteristics within the source groups were calculated with SAS v.9.2 (SAS Institute Inc., Cary, NC). Outcome Measures. Etiology and prevalence were analyzed for each diagnosis group. Results. Of the 27 patients, 15/27 (56%) were diagnosed with discogenic pain, 7/27 (26%) with sacroiliac joint pain, and 5/27 (19%) with facet joint pain. Seventy-eight percent were female. Mean age was 42.5 years (standard deviation=10.4) with median duration of symptoms of 24 months (interquartile range=6-48). Conclusions. Our study is the first to demonstrate that diagnostic spinal injections can identify particular spinal structures, namely the intervertebral disc, facet joint, and sacroiliac joint, as the specific source of chronic low back pain due to inciting motor vehicle collisions. The most common source of motor vehicle collision-induced chronic low back pain appears to be the disc followed by the sacroiliac and facet joints. Wiley Periodicals, Inc.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1622-1627 |
| Number of pages | 6 |
| Journal | Pain Medicine |
| Volume | 12 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 2011 |
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Keywords
- Chronic pain
- Facet joint
- Interverterbral disc
- Low back pain
- Motor vehicle collision
- Sacroiliac joint
- Zygoapophyseal joint
ASJC Scopus subject areas
- Clinical Neurology
- Anesthesiology and Pain Medicine
Cite this
Structural etiology of chronic low back pain due to motor vehicle collision. / de Palma, Michael; Ketchum, Jessica; Saullo, Thomas; Schofferman, Jerome.
In: Pain Medicine, Vol. 12, No. 11, 11.2011, p. 1622-1627.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Structural etiology of chronic low back pain due to motor vehicle collision
AU - de Palma, Michael
AU - Ketchum, Jessica
AU - Saullo, Thomas
AU - Schofferman, Jerome
PY - 2011/11
Y1 - 2011/11
N2 - Objective. To estimate prevalence rates of discogenic, facet, and sacroiliac joint pain, and describe clinical features of chronic low back pain patients whose symptoms were initiated by motor vehicle collisions. Design. Retrospective chart review. Setting. Academic spine center. Patients. Twenty-seven motor vehicle collision-induced chronic low back pain patients were included after undergoing diagnostic procedures. Interventions. Lumbar provocation discography, dual diagnostic facet joint blocks, and intra-articular sacroiliac joint injections. Methods. Enrolled patients underwent diagnostic procedures based on clinical presentation until the pain source was identified. The prevalence of each source of low back pain was estimated. Clinical, categorical, and continuous characteristics within the source groups were calculated with SAS v.9.2 (SAS Institute Inc., Cary, NC). Outcome Measures. Etiology and prevalence were analyzed for each diagnosis group. Results. Of the 27 patients, 15/27 (56%) were diagnosed with discogenic pain, 7/27 (26%) with sacroiliac joint pain, and 5/27 (19%) with facet joint pain. Seventy-eight percent were female. Mean age was 42.5 years (standard deviation=10.4) with median duration of symptoms of 24 months (interquartile range=6-48). Conclusions. Our study is the first to demonstrate that diagnostic spinal injections can identify particular spinal structures, namely the intervertebral disc, facet joint, and sacroiliac joint, as the specific source of chronic low back pain due to inciting motor vehicle collisions. The most common source of motor vehicle collision-induced chronic low back pain appears to be the disc followed by the sacroiliac and facet joints. Wiley Periodicals, Inc.
AB - Objective. To estimate prevalence rates of discogenic, facet, and sacroiliac joint pain, and describe clinical features of chronic low back pain patients whose symptoms were initiated by motor vehicle collisions. Design. Retrospective chart review. Setting. Academic spine center. Patients. Twenty-seven motor vehicle collision-induced chronic low back pain patients were included after undergoing diagnostic procedures. Interventions. Lumbar provocation discography, dual diagnostic facet joint blocks, and intra-articular sacroiliac joint injections. Methods. Enrolled patients underwent diagnostic procedures based on clinical presentation until the pain source was identified. The prevalence of each source of low back pain was estimated. Clinical, categorical, and continuous characteristics within the source groups were calculated with SAS v.9.2 (SAS Institute Inc., Cary, NC). Outcome Measures. Etiology and prevalence were analyzed for each diagnosis group. Results. Of the 27 patients, 15/27 (56%) were diagnosed with discogenic pain, 7/27 (26%) with sacroiliac joint pain, and 5/27 (19%) with facet joint pain. Seventy-eight percent were female. Mean age was 42.5 years (standard deviation=10.4) with median duration of symptoms of 24 months (interquartile range=6-48). Conclusions. Our study is the first to demonstrate that diagnostic spinal injections can identify particular spinal structures, namely the intervertebral disc, facet joint, and sacroiliac joint, as the specific source of chronic low back pain due to inciting motor vehicle collisions. The most common source of motor vehicle collision-induced chronic low back pain appears to be the disc followed by the sacroiliac and facet joints. Wiley Periodicals, Inc.
KW - Chronic pain
KW - Facet joint
KW - Interverterbral disc
KW - Low back pain
KW - Motor vehicle collision
KW - Sacroiliac joint
KW - Zygoapophyseal joint
UR - http://www.scopus.com/inward/record.url?scp=81855194712&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=81855194712&partnerID=8YFLogxK
U2 - 10.1111/j.1526-4637.2011.01246.x
DO - 10.1111/j.1526-4637.2011.01246.x
M3 - Article
C2 - 21958329
AN - SCOPUS:81855194712
VL - 12
SP - 1622
EP - 1627
JO - Pain Medicine
JF - Pain Medicine
SN - 1526-2375
IS - 11
ER -