The correlation of clinical status and imaging findings in patients with chronic low back pain

Background/Aim: Chronic low back pain (LBP) is a common health problem that negatively affects quality of life. A multidisciplinary approach recommended in treating chronic LBP. In the literature, we could not find any study examining relationship between clinical status, activities daily living, angular measurements lumbar region, and spondylosis level patients with We aimed to reveal whether there severity condition these measurements. addition, are opposing views literature about obesity LBP, planned investigate this issue our study. correlation clinical, functional evaluations, radiographic findings LBP examine variables gender educational level. also determine effects age, body mass index (BMI), waist circumference on variables.
 Methods: The research was designed as cross-sectional, uncontrolled Seventy aged 18–65 years VAS (Visual Analog Scale) values ≥ 3 were included. Patients grouped by Lumbar lordosis angle (LLA), sacral inclination (SIA), Kellgren-Lawrence (K-L) grade recorded. VAS, Oswestry Disability Index (ODI), Back Pain Functional Scale (BPFS), Katz Activities Daily Living (Katz-ADL) scores calculated. Pearson analysis determined normal distribution status variables. Spearman’s evaluated linear ODI BPFS LLA SIA continuous p-value < 0.05 considered statistically significant.
 Results: total 70 (47 females 23 males) included Mean BMI (28.2 [6.1] kg/m2) (95.7 [12.7] cm) above ranges (normal BMI: 18.5–24.99 kg/m², circumference: 80 cm for women, 90 men). Katz-ADL (P = 0.006) 0.027) lower, 0.042) higher women than men. score lower low-level education group high-level 0.004). There positive age 0.028, r 0.262), K-L 0.001, 0.633). observed 0.395) 0.442).
 Conclusion: No found scales Increasing BMI, associated more severe osteoarthritis spine, whereas female related levels. Further extensive studies, including larger number patients, needed clarify results.