Clinical Epidemiological Survey And Related Factors Of The Elderly Group Of Degenerative Lumbar Instability

Objective:Retired middle-aged, degeneration of lumbar motion segment instability in the international diagnostic criteria there are still inconsistent, leading to clinical confusion on the treatment of such diseases, such as delays in treatment and over-treatment. In this paper, the prevalence and medical status quo of the600cases of Wuxi City, urban and rural elderly degenerative lumbar instability with clinical epidemiological investigation, including details of symptoms and imaging and correlation analysis, degenerative lumbar not stable disease prevalence, and the standardized prevalence and chi-square test results, diagnostic criteria for the people characteristics, and of this result for future low back pain epidemiological longitudinal studies lay a solid foundation, while for the prevalence of domestic and international lumbar spine osteoarthritis information to provide a more credible reference.Method:Using a stratified multistage cluster sampling,600aged40and over has officially non-resident men and women, conducted an epidemiological survey, physical examination and lumbar imaging studies. The questionnaire includes six aspects:(1) General:gender, age, education level, occupation, use of tools, work postures period, daily exercise and travel ways;②The now history:low back pain location, nature, duration and position the relationship between treatment modalities, trauma history, walking and motor function, etc.;③previous history:the history of the disease, low back pain and a history of family members, age at menopause, diet, habits, etc.;④physical examination:height, weight, lower limbs muscle. lumbar deformity,⑤The treatment of the situation:the situation of conservative treatment such as medication history, history of physical therapy and surgical treatment history.Result:①600samples525CPC to complete the survey were male and52.3%,47.7%female, average age of57.4years.②low back pain patients the disease was48.2%, male prevalence was45.5%. women51.4%. The③degenerative lumbar instability, the prevalence was16.2%, accounting for34.0percent of all low back pain, male17.2%. women15.5%.④retreat to the degeneration of lumbar spine instability in patients with vertebral displacement, vertebral body angulation changes were significantly greater than the group of non-degenerative lumbar instability, lumbar protrusion angle is less than the latter.⑥The CT and MRI prevalence of group results show that changes in the lumbar facet joint and disc degeneration to confirm the diagnosis of degenerative lumbar instability syndrome.Conclusion:Female lumbar instability in the elderly population prevalence slightly higher than men in urban and rural residents in Wuxi City, the age the higher the more low back pain in elderly patients with low back pain is not from the lumbar degeneration caused by lumbar instability caused by The high prevalence of overweight lumbar instability in the normal weight.Lumbar instability with disc degeneration degree closely related, but not a serious degeneration will happen instability. Severe patients with lumbar spinal instability and disc degeneration without instability of the patient’s related factors would lumbar instability prevention of definite help.