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Orthopaedic Proceedings
Vol. 101-B, Issue SUPP_9 | Pages 13 - 13
1 Sep 2019
de Schepper E Koes B Veldhuizen E Oei E Bierma-Zeinstra S Luijsterburg P
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Background

An understanding of the patterns of healthcare services used after MRI of the spine in general practice would provide information about how MRI scans are used in primary care.

Aim

To describe the healthcare use of patients referred for lumbar MRI in general practice, and to investigate the association between specific patient characteristics, back pain characteristics and MRI abnormalities with subsequent specialist consultation.


Orthopaedic Proceedings
Vol. 101-B, Issue SUPP_9 | Pages 41 - 41
1 Sep 2019
van den Berg R Jongbloed E de Schepper E Bierma-Zeinstra S Koes B Luijsterburg P
Full Access

Background

About 85% of the patients with low back pain seeking medical care have nonspecific low back pain (NsLBP), implying that no definitive cause can be identified. Many pain conditions are linked with elevated serum levels of (pro-)inflammatory biomarkers.

Purpose

To unravel the etiology and get better insight in the prognosis of NsLBP, the aim of this study was to assess the association between (pro-)inflammatory biomarkers and the presence and severity of NsLBP.


Orthopaedic Proceedings
Vol. 101-B, Issue SUPP_9 | Pages 27 - 27
1 Sep 2019
van den Berg R Enthoven W de Schepper E Luijsterburg P Oei E Bierma-Zeinstra S Koes B
Full Access

Background

The majority of adults will experience an episode of low back pain during their life. Patients with non-specific low back pain and lumbar disc degeneration (LDD) may experience spinal pain and morning stiffness because of a comparable inflammatory process as in patients with osteoarthritis of the knee and/or hip. Therefore, this study assessed the association between spinal morning stiffness, LDD and systemic inflammation in middle aged and elderly patients with low back pain.

Methods

This cross-sectional study used the baseline data of the BACE study, including patients aged ≥55 years visiting a general practitioner with a new episode of back pain. The association between spinal morning stiffness, the radiographic features of lumbar disc degeneration and systemic inflammation measured with serum C-reactive protein was assessed with multivariable logistic regression models.