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    Vertebral bone mineral measures and psychological wellbeing among individuals with Modic changes

    187022_64922_Briggs_et_al_2012_Clin_Med_Insights.pdf (505.9Kb)
    Access Status
    Open access
    Authors
    Briggs, Andrew
    O'Sullivan, Peter
    Foulner, D.
    Wark, J.
    Date
    2012
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Briggs, Andrew M. and O'Sullivan, Peter B. and Foulner, Deryck and Wark, John D. 2012. Vertebral bone mineral measures and psychological wellbeing among individuals with Modic changes. Clinical Medicine Insights: Case Reports. 5: pp. 35-41.
    Source Title
    Clinical Medicine Insights: Case Reports
    DOI
    10.4137/CCRep.S9209
    ISSN
    11795476
    Remarks

    © the author(s), publisher and licensee Libertas Academica Ltd.

    This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.

    URI
    http://hdl.handle.net/20.500.11937/24822
    Collection
    • Curtin Research Publications
    Abstract

    Purpose: This case-control pilot study examined whether vertebral bone mineral measures were associated with the presence of chronic low back pain (CLBP) and Modic changes (MCs), and to compare psychological wellbeing and inflammation among individuals with CLBP and MCs, compared to individuals with no history of low back pain and without MCs. Methods: Eleven individuals with MRI-defined MCs in the lumbar spine and CLBP (cases) and 10 individuals with no history of CLBP or MCs (controls) responded to standard questionnaires regarding pain characteristics and psychological health. Bone mineral density (BMD) was measured with postero-anterior and lateral-projection dual energy X-ray absorptiometry (DXA) to estimate areal BMD(aBMD) and apparent volumetric BMD (ap.vBMD). High sensitivity serum C-reactive protein (hsCRP) was measured as an index of inflammation. Results: While there was no difference between the groups in measures of depression, anxiety and stress, cases reported significantly greater pain catastrophizing attitudes (P <0.01). hsCRP concentrations did not differ between groups (P = 0.54). Among the 7 cases where MCs were identified between L3–4, significantly higher mean aBMD was observed at the affected vertebral level, compared to the adjacent, unaffected, cephalad level (P = 0.01–0.04), but not when ap.vBMD was calculated (P = 0.36). Conclusions: Vertebral BMD is not reduced among individuals with CLBP and MCs compared to a control group, although pain catastrophizing attitudes are increased among individuals with CLBP and MCs.

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