Risk factors for lumbar intervertebral disc herniation in Chinese population: a case-control study

Spine
Yin-Gang ZhangXiong Guo

Abstract

A case-control study of 4180 subjects was carried. To explore the risk factors of lumbar disc herniation in China. In China, along with the economic development, people's living environment and working conditions have undergone some tremendous changes, such as the accelerating life pace and competition. In this situation, it is important to know whether the risk factors of lumbar disc herniation have changed or not. This case-control study, including the possible social and psychological factors based on the literature, attempted to search the new risk factor, therefore provide better prevention measures for lumbar disc herniation. A total of 2010 hospitalized patients, diagnosed with lumbar disc protrusion by CT and/or MRI were selected as cases. A total of 2070 people from communities and hospitals, without history of low back pain and sciatica, were selected as controls. All patients and controls were investigated for their family history, occupational characters' smoking status, working psychosocial factors, etc. The risk factors were analyzed by multiple nonconditional logistic regression method. Family history (OR = 3.6) was the most important risk factor for lumbar disc protrusion in this study, followed by lumbar load (...Continue Reading

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