The Radiological characteristics and surgical requirements of patients with and without rheumatoid arthritis with low back pain: a multicenter study
Main Article Content
Abstract
Objective: Rheumatoid arthritis is a common chronic inflammatory disease that causes deformation and structural damage. Although cervical involvement is more common in the spine, lumbar involvement can also be seen.
Material and Methods: The data of the patients in the groups with and without rheumatoid arthritis who were followed up for low back pain in the last 5 years in 3 central hospitals in the study were obtained by retrospectively scanning the database.
Results: In our study, which was performed on 132 patient data, it was observed that there was no statistically significant difference between the groups in terms of radiological characteristics. No significant difference was observed in terms of surgical results.
Conclusion: Although radiologically different features were added due to rheumatoid arthritis, it was observed that it did not affect the surgical results and complications.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Accepted 2023-05-10
Published 2023-05-14
References
Scott DL, Wolfe F, Huizinga TWJ (2010) Rheumatoid arthritis. Lancet (London, England) 376:1094–1108. doi: 10.1016/S0140-6736(10)60826-4
Yamada K, Suzuki A, Takahashi S, Yasuda H, Koike T, Nakamura H (2015) Severe low back pain in patients with rheumatoid arthritis is associated with Disease Activity Score but not with radiological findings on plain X-rays. Mod Rheumatol 25:56–61. doi: 10.3109/14397595.2014.924187
Baykara RA, Bozgeyik Z, Akgul O, Ozgocmen S (2013) Low back pain in patients with rheumatoid arthritis: clinical characteristics and impact of low back pain on functional ability and health related quality of life. J Back Musculoskelet Rehabil 26:367–374. doi: 10.3233/BMR-130393
Yamada K, Suzuki A, Takahashi S, Yasuda H, Tada M, Sugioka Y, Okano T, Koike T, Nakamura H (2014) MRI evaluation of lumbar endplate and facet erosion in rheumatoid arthritis. J Spinal Disord Tech 27. doi: 10.1097/BSD.0B013E3182A22A34
Helliwell PS, Zebouni LNP, Porter G, Wright V (1993) A clinical and radiological study of back pain in rheumatoid arthritis. Br J Rheumatol 32:216–221. doi: 10.1093/RHEUMATOLOGY/32.3.216
Crawford CH, Carreon LY, Djurasovic M, Glassman SD (2008) Lumbar fusion outcomes in patients with rheumatoid arthritis. Eur Spine J 17:822–825. doi: 10.1007/S00586-008-0610-4
Scherer HU, Häupl T, Burmester GR (2020) The etiology of rheumatoid arthritis. J Autoimmun 110:102400. doi: 10.1016/J.JAUT.2019.102400
Motta F, Sica A, Selmi C (2020) Frailty in Rheumatic Diseases. Front Immunol 11. doi: 10.3389/FIMMU.2020.576134
Shlobin NA, Dahdaleh NS (2021) Cervical spine manifestations of rheumatoid arthritis: a review. Neurosurg Rev 44:1957–1965. doi: 10.1007/S10143-020-01412-1
Kim DH, Hilibrand AS (2005) Rheumatoid arthritis in the cervical spine. J Am Acad Orthop Surg 13:463–474. doi: 10.5435/00124635-200511000-00006
Kawaji H, Miyamoto M, Gembun Y, Ito H (2005) A case report of rapidly progressing cauda equina symptoms due to rheumatoid arthritis. J Nippon Med Sch 72:290–294. doi: 10.1272/JNMS.72.290
Inaoka M, Tada K, Yanenobu K (2002) Problems of posterior lumbar interbody fusion (PLIF) for the rheumatoid spondylitis of the lumbar spine. Arch Orthop Trauma Surg 122:73–79. doi: 10.1007/S004020100321
Azzouzi H, Ichchou L (2022) Schmorl’s nodes: demystification road of endplate defects-a critica (Placeholder1)l review. Spine Deform 10:489–499. doi: 10.1007/S43390-021-00445-W
Mitsuyama T, Kubota M, Yuzurihara M, Mizuno M, Hashimoto R, Ando R, Okada Y (2013) The pitfalls in surgical management of lumbar canal stenosis associated with rheumatoid arthritis. Neurol Med Chir (Tokyo) 53:853–860. doi: 10.2176/NMC.OA2012-0299
Klimenta B, Nefic H, Prodanovic N, Jadric R, Hukic F (2019) Association of biomarkers of inflammation and HLA-DRB1 gene locus with risk of developing rheumatoid arthritis in females. Rheumatol Int 39:2147–2157. doi: 10.1007/S00296-019-04429-Y
Mesfin A, El Dafrawy MH, Jain A, Hassanzadeh H, Kostuik JP, Lemma MA, Kebaish KM (2015) Surgical outcomes of long spinal fusions for scoliosis in adult patients with rheumatoid arthritis. J Neurosurg Spine 22:367–373. doi: 10.3171/2014.10.SPINE14365