EVALUATING THE FREQUENCY OF LUMBER SPONDYLOSIS FEATURES ON X-RAY IN PATIENTS WITH LOWER BACK PAIN

Abstract

Background: Lower back pain (LBP) is a common musculoskeletal condition with significant global impact. Lumbar spondylosis, a degenerative spinal disorder, is frequently seen in LBP patients and is identifiable on X-rays through features like osteophyte formation, disc space narrowing, and sclerosis. However, the frequency and pattern of these findings vary across populations. Evaluating their prevalence can enhance diagnosis and guide effective management. Objective:To evaluating the frequency of lumber spondylosis features on x ray in patients with lower back pain. Methodology: A descriptive cross-sectional research was carried out, with data from 30 patients collected. The information was gathered from Alpha Diagnostic Centre Radiology Department, Lahore. Data was acquired using I care X ray DR machine (500mA) after informed permission. Results: In this descriptive study through Non-Convenient sampling technique, we have selected total 30 patients in which 13 patients was females and 17 was male, the minimum age of the patients included in the study was about 24 and maximum age was around 78 and also calculated the mean of age which was 48.0 . When we analyzed the risk factors of lumber spondylosis pain radiating to legs, we have seen that 5 patients having history of trauma (16.67%) and 16 over weighted patients (53.3%). Further more 15 patients having Diabetes (50%) and 22 patients having Inactive Life Style (73.3%). additaionally 16 patients having HTN (53.3%).When these patients undergo the lumber spine x ray it has been found out that many patients have multiple cause of lumber spondylosis for example, 26 patients having osteophytes (86.67%) in which 17 patients having Sclerosisn(56.67%), 6 patients having vertebral body changes (20%) and 14 patients having loss of lordosis (46.67%). 17 patients having sciatica (56.67%), 13 patients having Spinal Stenosis (43.3%). In total 30 patients, there were only 5 patients having disc space narrowing (16.67%). Almost all 30 patients has effected L5 spine in which 23 patients have L5-S1 spine but L1 and S2 was well preserved in patients representing with lumber spondylosis. Conclusion: Based on the results of this study, we concluded that lumber spondylosis predominantly arises from conditions such as osteophytes, sclerosis, and sciatica. Evidently, its clinical manifestations encompass lower back discomfort accompanied by radiating pain extending to either one or both lower extremities. Furthermore, x ray has been established as a valuable diagnostic modality for the assessment of lumber spondylosis.