EVALUATION OF RELATIONSHIP BETWEEN TRAUMA AND LOW BACK AND/OR LEG PAIN

A relationship between low-back pain and trauma has been considered to be important. The aim of our study was to find out whether such a relationship exists or not. 1654 subjects with low back and/or leg pain were included in the study. All subjects were evaluated with respect to age, gender, occupation, duration of pain, presence of trauma, form and duration of trauma and clinical diagnosis. 1028 (62.2%) of 1654 patients were female and 626 (37.8) were male. Mean age was 42.6±15.4. 453 (27.4%) patients with low-back and/or leg pain had a trauma as an initiating factor. Of these patients, 212 (46.8%) were male, 241 (53.2%) were female. Four hundred (24.2%) of the subjects were housewives, 345 (20.9%) bureau-staff, 77 (4.7%) workers, 98 (5.9%) retired and 16 (1%) paramedicals. The most common trauma was weight lifting. Trauma had appeared as a risk factor in workers, students and paramedicals (p<0.05). Trauma had been evaluated as a risk factor for lumbar disk herniation and lumbar strain (p<0.05). In conclusion, trauma did not appear to have a major role in most of low-back and/or leg pain while it could be evaluated as a risk factor for lumbar disc herniation and lumbar strain.

TRAVMA ÝLE BEL VE/VEYA BACAK AÐRISI ÝLÝÞKÝSÝNÝN DEÐERLENDÝRÝLMESÝ

Bel aðrýsý ile travma arasýnda bir iliþki olduðu eskiden beri düþünülmüþtür. Çalýþmamýzýn amacý, bu iliþkinin var olup olmadýðýný ortaya koymaktýr. 1654 bel ve/veya bacak aðrýlý hasta, yaþ, cinsiyet, meslek, aðrýnýn süresi, travma olup olmadýðý, travmanýn þekli, süresi, konan taný açýsýndan incelendi. 1028 (%62.2) kadýn, 626 (%37.8) hasta erkekti. Yaþ ortalamasý 42,6 ± 15.4 idi. Bel ve/veya bacak aðrýsý olan hastalarýn 453'ünde (%27.4) bel aðrýsýný baþlatan faktör olarak travma saptandý. Bunlarýn 212'si (%46.8) erkek, 241'i (%53.2) kadýndý. Yaþ ortalamasý genel olarak 38.06 ± 14.1, kadýnlarda 39.7±14.2, erkeklerde 36.5±13.9 idi. Olgularýn 400'ü (%24,2) ev hanýmý, 345'i (%20,9) masabasý iþ yapanlar, 98'i (%5,9) emekli, 77'si (%4,7) isçi, 58'i (%3,5) öðrenci, 16'sý (%1) yardýmcý saðlýk meslek grubundaydý. Sadece öðrenci, iþçi ve yardýmcý saðlýk meslek grubunda travmanýn risk faktörü olduðu saptandý (p<0.05). Hastalýk olarak yapýlan sýnýflandýrmada travma sadece lomber disk hernisinde ve lomber strainde risk faktörü olarak saptandý (p<0.05). Sonuç olarak, travmanýn, bel ve/veya bacak aðrýlarýný ortaya çýkaran hastalýklarýn oluþumunda önemli bir neden olmadýðý ancak lomber disk hernisinde ve lomber strain olgularýnda risk faktörü olarak karþýmýza çýktýðý söylenebilir.