scholarly journals A comparison of the epidemiology of low back pain in Indian and Coloured communities in South Africa

1999 ◽  
Author(s):  
◽  
Aadil Docrat
Keyword(s):  
South Africa ◽  
Low Back Pain ◽  
Back Pain ◽  
Random Sampling ◽  
Sampling Method ◽  
Epidemiological Survey ◽  
Population Based ◽  
Low Back ◽  
Systematic Random Sampling ◽  
Permanent Residents

In order to investigate low back pain in an Indian and a Coloured community in South Africa, a population-based epidemiological survey was carried out in which 1 000 subjects were interviewed (500 Indians and 500 Coloureds). Subjects were selected using the Systematic Random Sampling method. A pre-tested questionnaire, designed by the researcher, was used to elicit information about the subjects' demography, general characteristics and details regarding low back pain (incidence, prevalence, severity, disability, treatment). Only subjects 18 years or older who were permanent residents of the 2 suburbs were included in the study. The author carried out the interviews personally

Motion palpation findings and self-reported low back pain in a population-based study sample

2002 ◽  
Vol 25 (2) ◽  
pp. 80-87 ◽  
Author(s):  
Charlotte Leboeuf-Yde ◽  
Jakob van Dijk ◽  
Claudia Franz ◽  
Stig Arthur Hustad ◽  
Dorthe Olsen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Population Based ◽  
Low Back ◽  
Population Based Study

scholarly journals Profile of lumbar spine conditions requiring surgical intervention in the Orthopaedic Department at a specialist public hospital in Kwa-Zulu Natal

2018 ◽  
Author(s):  
◽  
Jens Hillermann
Keyword(s):  
South Africa ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Surgical Management ◽  
Public Hospital ◽  
Surgical Intervention ◽  
Lumbar Spine Surgery ◽  
Low Back ◽  
Orthopaedic Department

Purpose: Low Back Pain (LBP) is a leading cause of activity limitation and absence from work globally, and the treatment is often complicated and multifactorial. There is little documentation about the types of conditions requiring lumbar spine surgery in the public health care sector in South Africa (SA). The aim of this study was to develop a profile of lumbar spine conditions requiring surgical intervention in the Orthopaedic Department at a specialist public hospital in KwaZulu-Natal (KZN). Methods: This study utilised a descriptive, retrospective, clinical audit design. A total of 112 patient files meeting the study inclusion criteria were analysed and data was extracted and recorded on a data template. Permission to conduct the study was obtained from the KZN Department of Health, the Manager of the King Dinizulu Hospital and ethical approval was obtained from the Institutional Research Ethics committee. The data was analysed using the Statistical Package for the Social Sciences (SPSS) (IBM Corporation). The data was described using means, standard deviations, percentages and count. Inferential statistical analysis was utilised to draw conclusions about populations from sample data. Chi-square and Fischer’s Exact test were used to compare categorical data with a statistical significance of p value ≤0.05. Results: The mean age of the patients was 41.7 years of age (range 3-76 years of age), with more females (55.4%, n = 62) than males (44.6%, n = 50) requiring surgery. More than half of the patients were Black Africans (55.4%, n = 62), with the majority (58%, n = 65) of all the patients being unemployed. Mechanical low back pain (MLBP) was the condition most often requiring surgical intervention (41.1%, n = 46) with lumbar stenosis being the most common diagnosis (17%, n = 19). This was followed by infective spondylitis (33.9%, n = 38). Frankel grading for neurological deficit was most often reported in patients with non-mechanical or infective causes of low back pain. Infective co-morbidity was (39.3%, n = 44) with 19.6% (n = 22) patients suffering from both tuberculosis (TB) and human immunodeficiency virus (HIV), 14.3% (n = 16) from TB alone and 5.4% (n = 6) with HIV/Acquired immunodeficiency syndrome alone. Most patients (91.1%, n = 102) received pre-surgical management consisting of medication either alone or in combination with other therapies such as physiotherapy, back braces, crutches and dietary intervention. The most common surgical procedure utilised was posterior spinal fusion (PSF) (43.8%, n = 49) either alone or in combination with other surgical procedures such as: decompression, biopsy and abscess drainage. This procedure alone was the favoured for non-mechanical LBP (NMLBP) (12.5%, n = 14), while PSF in combination with decompression was favoured the treatment for LBP of infective origin (15.2%, n = 17). Post-surgical management included medication (96.4%, n = 108) and physiotherapy (17%, n = 19); these were administered either individually or in combination. There were only six post- surgical complications; two were metal ware failure and four were infections. Of the four post- surgical infections, all of the patients had HIV/AIDS as a co-morbid condition. The trends suggest that the MLBP patients were predominantly older i.e. 40-69 years (82.6%, n = 38) and from the Indian race group (25.9%, n = 29). This was in contrast to the other types of LBP which predominately affected younger populations (i.e. 10-39 years) and Blacks. There were no differences in gender distribution for both MLBP and NMLBP. However, with LBP of infective origin, females were twice as much affected than males. Conclusion: The profile of lumbar spine conditions requiring surgical intervention at a public hospital is varied and there is a high prevalence of surgery for mechanical and infective cases of lumbar spine pain. Effective management of these conditions may reduce morbidity. Future studies should investigate the economic impact of lumbar spine surgery on health expenditure in South Africa.

Does educational attainment increase the risk of low back pain when genetics are considered? A population-based study of Spanish twins

2017 ◽  
Vol 17 (4) ◽  
pp. 518-530 ◽  
Author(s):  
Joshua R. Zadro ◽  
Debra Shirley ◽  
Marina B. Pinheiro ◽  
Juan F. Sánchez-Romera ◽  
Francisco Pérez-Riquelme ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Educational Attainment ◽  
Population Based ◽  
Low Back ◽  
Population Based Study

Comparison of mental distress in patients with low back pain and a population-based control group measured by Symptoms Check List – A case-referent study

2015 ◽  
Vol 43 (6) ◽  
pp. 638-647 ◽  
Author(s):  
Jan Christensen ◽  
Annette Fisker ◽  
Erik Lykke Mortensen ◽  
Lis Raabæk Olsen ◽  
Ole Steen Mortensen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Mental Distress ◽  
Population Based ◽  
Control Group ◽  
Low Back ◽  
Check List

Ten year course of low back pain in an adult population-based cohort-The Doetinchem Cohort Study

2011 ◽  
Vol 15 (9) ◽  
pp. 993-998 ◽  
Author(s):  
Sandra H. van Oostroml ◽  
W.M. Monique Verschurenl ◽  
Henrica C.W. de Vetl ◽  
H. Susan J. Picavetl
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Adult Population ◽  
Population Based ◽  
Low Back
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