Spinal Radiographic Findings and Nonspecific Low Back Pain
SpinePublished 1 February 1997Open access
Maurits W. van Tulder, Willem JJ Assendelft, Bart W. Koes, L.M. Bouter
Citations508
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TL;DR
There is no firm evidence for the presence or absence of a causal relationship between radiographic findings and nonspecific low back pain.
Abstract
There is no firm evidence for the presence or absence of a causal relationship between radiographic findings and nonspecific low back pain.
Keywords
MedicineEngineering
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193 Citations1976WR Torgerson, WE Dotter
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PubMedRelation between the low back pain syndrome and x-ray findings. 3. Spina bifida occulta.
40 Citations1980A Magora, Anna L. Schwartz
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36 Citations1989C Leboeuf, Dylan Kimber +1 more
No difference between the two sexes was found in the prevalence of sacralization, contradicting previous claims that is more common in females, nor was spondylolisthesis found more frequently in men, contrary to the authors' expectations.
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Scandinavian Journal of Work Environment & HealthRadiologically detectable lumbar disc degeneration in concrete reinforcement workers.
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No association between length of exposure to static and dynamic back loads in reinforcement work and the prevalence of lumbar disc degeneration could be established, but definite conclusions on the possible effect of reinforcement work on the lumbr spine could not be drawn from the data.
British Journal of RadiologyThe Significance of Congenital Lumbo-Sacral Abnormalities
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Southern Medical JournalLow Back Pain and X-ray Films of the Lumbar Spine
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