Korean J Spine.  2012 Sep;9(3):153-158. 10.14245/kjs.2012.9.3.153.

Lumbar Disc Screening Using Back Pain Questionnaires: Oswestry Low Back Pain Score, Aberdeen Low Back Pain Scale, and Acute Low Back Pain Screening Questionnaire

Affiliations
  • 1Department of Neurosurgery, Inha University College of Medicine, Incheon, Korea. nsyoon@gmail.com
  • 2Department of Neurosurgery, Seoul Regional Military Manpower Administration, Seoul, Korea.

Abstract


OBJECTIVE
To evaluate the usefulness of back pain questionnaires for lumbar disc screening among Korean young males.
METHODS
We carried out a survey for lumbar disc screening through back pain questionnaires among the volunteers with or without back pain. Three types of back pain questionnaire (Oswestry Low Back Pain Score, Aberdeen Low Back Pain Scale, and Acute Low Back Pain Screeing Questionnaire) were randomly assigned to the examinees. The authors reviewed lumbar imaging studies (simple lumbar radiographs, lumbar computed tomography, and magnetic resolutional images), and the severity of lumbar disc herniation was categorized according to the guidelines issued by the Korean military directorate. We calculated the relationship between the back pain questionnaire scores and the severity of lumbar disc herniation.
RESULTS
The scores of back pain questionnaires increased according to the severity of lumbar disc herniation. But, the range of scores was very vague, so it is less predictable to detect lumbar disc herniation using only back pain questionnaires. The sensitivity between the back pain questionnaires and the presence of lumbar disc herniation was low (16-64%).
CONCLUSION
Screening of lumbar disc herniation using only back pain questionnaires has limited value.

Keyword

Mass Screening; Intervertebral Disc Displacement; Korea; Low Back Pain; Questionnaires

MeSH Terms

Back Pain
Humans
Intervertebral Disc Displacement
Korea
Low Back Pain
Magnetics
Magnets
Mass Screening
Military Personnel
Surveys and Questionnaires
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