Prevalence of congenital malformations of the lumbar spine in pre-occupational exams

Authors

DOI:

https://doi.org/10.56294/ri202329

Keywords:

Lumbar Spine, Congenital Anomaly, Abstenteeism from Work, Pre-Ocupational Studies, Lower Back Pain

Abstract

Background: the vertebral column is a structure that develops over a short period of time, which makes it vulnerable to alterations in its morphology and vertebral conformation. Its embryological development occurs in early stages, between the fourth and sixth week approximately. These alterations can give rise to the appearance of congenital anomalies, which, if functionally viable in the neonatal/infantile period, can generate pain syndromes in working age, which increases the number of work absenteeism. Plain radiography is the most widely used diagnostic modality at the time of diagnosis of these congenital entities, as well as their clinical follow-up. The objective of this work is to know the prevalence of congenital malformations of the lumbar spine in a company that receives occupational medicine during 2021.

Material and methods: front and profile lumbar spine radiographs were used, with a radiological report by a specialist, to patients who attended the company from January 2021 to December 2021. From this, the total number of patients evaluated was taken and prevalence statistics were performed congenital pathology of the lumbar spine.  

Results: Of the 855 patients studied, the presence of congenital lumbar malformation was found in 138, that is, 16,14 % of the total.

Conclusion: Lumbar congenital malformation is a problem for the population of active working age. Given the high prevalence, it reinforces the need to carry out complete pre-occupational studies for primary health prevention in workers who may develop low back pain.

References

Fernando Ruíz Santiago, Laura Fernández Navarro, Álvaro Moyano Portillo, Luis, Guzmán Álvarez, María Del Mar Castellano García, Alberto Martínez Martínez. Alteraciones congénitas de la columna vertebral. Diagnóstico radiológico.

José San Román. Manual de Diagnóstico por Imágenes para alumnos y médicos en formación. 1ra Edición. Ciudad Autonoma de Buenos Aires; 2015.

R. Dayer, P. Journeau, P. Lascombes. Malformaciones congénitas de la columna vertebral.

Andrew J. Copp,1 N. Scott Adzick,2 Lyn S. Chitty,3 Jack M. Fletcher,4 Grayson N. Holmbeck,5 and Gary M. Shaw6. Spina Bifida.

Martina Bendta Emelie ButlerForslundbGöranHagmancClaesHultlingdÅkeSeigerbErikaFranzéne. Gait and dynamic balance in adults with spina bifida.

Lisheng Hou, Xuedong Bai, Haifeng Li, Tianjun Gao, Wei Li, Tianyong We1, Qing He, Dike Ruan, Lijing Shi and Wei Bing. Lumbar plain radiograph is not reliable to identify lumbosacral transitional vertebra types according to Castellvi classification principle.

7. Luis Becker, Lumbosacral transitional vertebrae alter the distribution of lumbar mobility–Preliminary results of a radiographic evaluation.

Fatma Fidan, Nurdan Çay, Mehmet Asiltürk, Enejd Veizi. The incidence of congenital lumbosacral malformations in young male Turkish military school candidates population.

R.J. Hughes, A. Saifuddin. Imaging of lumbosacral transitional vertebrae.

F. Serranheiraa,b,∗, M. Sousa-Uvaa,b, F. Heranzc, , F. Kovacsd and A. Sousa-Uvaa,b. Low Back Pain (LBP), work and absenteeism.

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Published

2023-07-29

How to Cite

1.
Baldan FL, Perugino M. Prevalence of congenital malformations of the lumbar spine in pre-occupational exams. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria [Internet]. 2023 Jul. 29 [cited 2024 Dec. 10];3:29. Available from: https://ri.ageditor.ar/index.php/ri/article/view/29