The role of trauma in low back pain: a review

Details

• Personal Author:
  Frymoyer JW ; Pope MH
• Description:
  The role of trauma in low back diseases is reviewed. Studies indicate that driving a truck or tractor, driving more than 10 miles per day, and multiple pregnancies are risk factors for herniated nucleus pulposus. Individuals engaged in athletic activities such as golf, tennis, and basketball may have increased risk of herniated nucleus pulposus whereas gymnasts and interior football lineman may incur spondylolisthesis. Farmers appear to be at somewhat greater risk for low back difficulties. Mechanical forces acting on the spine such as compression, torsional loads, tension and shear loading are reviewed. The mechanical behavior of the intact spine is discussed as it relates to motion segment behavior, posture, and pain and psychologic modifying factors. Psychological factors are important in that patients with profiles of hysteria, somatization, depression and anxiety have less favorable outcomes from chymopapain injection for disc herniations. These same individuals suffer prolonged disability from low back disorders. The difficulties in making diagnoses for low back pain tend to focus on objective evidence of disease. Equally as difficult is the determination of spinal degeneration. The authors stress the helpfulness of a single AP and lateral film to assess acute low back pain under most emergency conditions, indicating that little usefulness results from oblique films which carry a high radiation exposure level. [Description provided by NIOSH]
• Subjects:
  Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety
• Keywords:
  Back-injuries Muscular-disorders Musculoskeletal-system-disorders NIOSH-Grant NIOSH-Publication Physiological-stress Risk-analysis Risk-factors Sports-injuries Truck-drivers
• ISSN:
  0022-5282
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 1 ; Vermont
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  18
• Issue:
  9
• NIOSHTIC Number:
  nn:00185850
• Citation:
  J Trauma 1978 Sep; 18(9):628-634
• Contact Point Address:
  Orthopaedic Surgery University of Vermont Dept of Orthopaedic Surgery Burlington, VT 05401
• Federal Fiscal Year:
  1978
• NORA Priority Area:
  Disease and Injury: Musculoskeletal Disorders of the Upper Extremities
• Performing Organization:
  University of Vermont & St Agric College, Burlington, Vermont
• Peer Reviewed:
  True
• Start Date:
  19780301
• Source Full Name:
  The Journal of Trauma: Injury, Infection, and Critical Care
• End Date:
  19831130
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:23d0b57e56db3169774cce431c16815122b715109dec33707bf4a1f8a900cbeaed1bf3aaa60bc2f6f9050d352a5c437a30ece781ae9b4b8c874bd6ff6eb812a8
• Download URL:
  https://stacks.cdc.gov/view/cdc/205778/cdc_205778_DS1.pdf
• File Type:
  [PDF - 125.28 KB ]