A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders.

<h4>Objective</h4>The purpose of this review was to identify risk factors, prognostic factors, and comorbidities associated with common spinal disorders.<h4>Methods</h4>A scoping review of the literature of common spinal disorders was performed through September 2016. To iden...

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Main Authors: Bart N Green, Claire D Johnson, Scott Haldeman, Erin Griffith, Michael B Clay, Edward J Kane, Juan M Castellote, Shanmuganathan Rajasekaran, Matthew Smuck, Eric L Hurwitz, Kristi Randhawa, Hainan Yu, Margareta Nordin
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197987&type=printable
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author Bart N Green
Claire D Johnson
Scott Haldeman
Erin Griffith
Michael B Clay
Edward J Kane
Juan M Castellote
Shanmuganathan Rajasekaran
Matthew Smuck
Eric L Hurwitz
Kristi Randhawa
Hainan Yu
Margareta Nordin
author_facet Bart N Green
Claire D Johnson
Scott Haldeman
Erin Griffith
Michael B Clay
Edward J Kane
Juan M Castellote
Shanmuganathan Rajasekaran
Matthew Smuck
Eric L Hurwitz
Kristi Randhawa
Hainan Yu
Margareta Nordin
author_sort Bart N Green
collection DOAJ
description <h4>Objective</h4>The purpose of this review was to identify risk factors, prognostic factors, and comorbidities associated with common spinal disorders.<h4>Methods</h4>A scoping review of the literature of common spinal disorders was performed through September 2016. To identify search terms, we developed 3 terminology groups for case definitions: 1) spinal pain of unknown origin, 2) spinal syndromes, and 3) spinal pathology. We used a comprehensive strategy to search PubMed for meta-analyses and systematic reviews of case-control studies, cohort studies, and randomized controlled trials for risk and prognostic factors and cross-sectional studies describing associations and comorbidities.<h4>Results</h4>Of 3,453 candidate papers, 145 met study criteria and were included in this review. Risk factors were reported for group 1: non-specific low back pain (smoking, overweight/obesity, negative recovery expectations), non-specific neck pain (high job demands, monotonous work); group 2: degenerative spinal disease (workers' compensation claim, degenerative scoliosis), and group 3: spinal tuberculosis (age, imprisonment, previous history of tuberculosis), spinal cord injury (age, accidental injury), vertebral fracture from osteoporosis (type 1 diabetes, certain medications, smoking), and neural tube defects (folic acid deficit, anti-convulsant medications, chlorine, influenza, maternal obesity). A range of comorbidities was identified for spinal disorders.<h4>Conclusion</h4>Many associated factors for common spinal disorders identified in this study are modifiable. The most common spinal disorders are co-morbid with general health conditions, but there is a lack of clarity in the literature differentiating which conditions are merely comorbid versus ones that are risk factors. Modifiable risk factors present opportunities for policy, research, and public health prevention efforts on both the individual patient and community levels. Further research into prevention interventions for spinal disorders is needed to address this gap in the literature.
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spelling doaj-art-956c11ceb0854ddda25aff5f23b206f62025-02-05T05:33:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01136e019798710.1371/journal.pone.0197987A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders.Bart N GreenClaire D JohnsonScott HaldemanErin GriffithMichael B ClayEdward J KaneJuan M CastelloteShanmuganathan RajasekaranMatthew SmuckEric L HurwitzKristi RandhawaHainan YuMargareta Nordin<h4>Objective</h4>The purpose of this review was to identify risk factors, prognostic factors, and comorbidities associated with common spinal disorders.<h4>Methods</h4>A scoping review of the literature of common spinal disorders was performed through September 2016. To identify search terms, we developed 3 terminology groups for case definitions: 1) spinal pain of unknown origin, 2) spinal syndromes, and 3) spinal pathology. We used a comprehensive strategy to search PubMed for meta-analyses and systematic reviews of case-control studies, cohort studies, and randomized controlled trials for risk and prognostic factors and cross-sectional studies describing associations and comorbidities.<h4>Results</h4>Of 3,453 candidate papers, 145 met study criteria and were included in this review. Risk factors were reported for group 1: non-specific low back pain (smoking, overweight/obesity, negative recovery expectations), non-specific neck pain (high job demands, monotonous work); group 2: degenerative spinal disease (workers' compensation claim, degenerative scoliosis), and group 3: spinal tuberculosis (age, imprisonment, previous history of tuberculosis), spinal cord injury (age, accidental injury), vertebral fracture from osteoporosis (type 1 diabetes, certain medications, smoking), and neural tube defects (folic acid deficit, anti-convulsant medications, chlorine, influenza, maternal obesity). A range of comorbidities was identified for spinal disorders.<h4>Conclusion</h4>Many associated factors for common spinal disorders identified in this study are modifiable. The most common spinal disorders are co-morbid with general health conditions, but there is a lack of clarity in the literature differentiating which conditions are merely comorbid versus ones that are risk factors. Modifiable risk factors present opportunities for policy, research, and public health prevention efforts on both the individual patient and community levels. Further research into prevention interventions for spinal disorders is needed to address this gap in the literature.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197987&type=printable
spellingShingle Bart N Green
Claire D Johnson
Scott Haldeman
Erin Griffith
Michael B Clay
Edward J Kane
Juan M Castellote
Shanmuganathan Rajasekaran
Matthew Smuck
Eric L Hurwitz
Kristi Randhawa
Hainan Yu
Margareta Nordin
A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders.
PLoS ONE
title A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders.
title_full A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders.
title_fullStr A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders.
title_full_unstemmed A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders.
title_short A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders.
title_sort scoping review of biopsychosocial risk factors and co morbidities for common spinal disorders
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197987&type=printable
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