University of Oulu

Heikkala, Eveliina PhDa,b,c; Karppinen, Jaro PhDa,b,d; Mikkola, Ilona PhDc; Hagnäs, Maria PhDa,b,c; Oura, Petteri PhDa,b. Association Between Family History of Surgically Treated Low Back Pain and Adolescent Low Back Pain. SPINE 47(9):p 649-655, May 01, 2022. | DOI: 10.1097/BRS.0000000000004345

Association between family history of surgically treated low back pain and adolescent low back pain

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Author: Heikkala, Eveliina1,2,3; Karppinen, Jaro4,5,6; Mikkola, Ilona3;
Organizations: 1Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland
2Center for Life Course Health Research, University of Oulu, Oulu, Finland
3Rovaniemi Health Center, Koskikatu 25, Rovaniemi, Finland
4Medical Research Center Oulu, University of Oulu and Oulu University Hospital, PO Box 5000, 90014 Oulu, Finland
5Center for Life Course Health Research, PO Box 5000, 90015 University of Oulu, Oulu, Finland
6Rehabilitation Services of South Karelia Social and Health Care District, Valto Käkelän katu 3, 53130 Lappeenranta, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe20231012139930
Language: English
Published: Wolters Kluwer, 2022
Publish Date: 2023-10-12
Description:

Abstract

Study Design: Cross-sectional.

Objective: To study the associations between a family history of surgically treated low back pain (LBP) and adolescent LBP.

Summary of Background Data: A family history of LBP is related to adolescent LBP, but whether a family history of back surgery is relevant to adolescent LBP is not known.

Methods: A subpopulation of the Northern Finland Birth Cohort 1986 was contacted when they were aged between 18 and 19years. The postal questionnaire asked the participants to report their LBP and a relative‘s (mother, father, sibling) LBP and back surgery, and to provide data on potential covariates. The association between a family history of LBP (“no family history of LBP,” “family history of LBP but no surgery,” and “family history of LBP and surgery”) and adolescent LBP (no LBP, occasional LBP, and frequent LBP) were evaluated using logistic regression analysis with odds ratios (ORs) and 95% confidence intervals (CIs), adjusted for sex, smoking, and psychological distress.

Results: Of the 1374 adolescents in the study, 33% reported occasional LBP and 9% frequent LBP. Both the “family history of LBP but no surgery” and “family history of LBP and surgery” categories were associated with frequent LBP (adjusted OR [aOR] 2.09, 95% CI 1.38–3.16; aOR 2.23, 95% CI 1.02–4.90, respectively). Occasional LBP was associated with the “family history of LBP and surgery” category. A subgroup analysis of adolescents with a family history of LBP found no statistically significant associations between family history of back surgery and adolescent LBP.

Conclusions: Our findings suggest that adolescents who report a family history of LBP have higher odds of frequent LBP irrespectively of a family history of back surgery.

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Series: Spine
ISSN: 0362-2436
ISSN-E: 1528-1159
ISSN-L: 0362-2436
Volume: 47
Issue: 9
Pages: 649 - 655
DOI: 10.1097/brs.0000000000004345
OADOI: https://oadoi.org/10.1097/brs.0000000000004345
Type of Publication: A1 Journal article – refereed
Field of Science: 3121 General medicine, internal medicine and other clinical medicine
3126 Surgery, anesthesiology, intensive care, radiology
Subjects:
Funding: Funding: EU QLG1-CT-2000-01643 (EUROBLCS) Grant no. Ε51560, NorFA Grant no. 731, 20056, 30167, USA/NIH 2000G DF682 Grant no. 50945.
Copyright information: © 2022 Wolters Kluwer Health, Inc. This is a non-final version of an article published in final form in Heikkala, Eveliina PhD; Karppinen, Jaro PhD; Mikkola, Ilona PhD; Hagnäs, Maria PhD; Oura, Petteri PhD. Association Between Family History of Surgically Treated Low Back Pain and Adolescent Low Back Pain. SPINE 47(9):p 649-655, May 01, 2022. | DOI: 10.1097/BRS.0000000000004345.