Scoliosis-related factors in patients with rheumatoid arthritis: A cross-sectional study.

Abstract:

OBJECTIVES:This study aimed to identify the prevalence of scoliosis and scoliosis-related factors of rheumatoid arthritis (RA). METHODS:In this study, 411 patients who underwent coronal total spine and lower limb radiography were enrolled. Patients with a Cobb angle ≥10° were diagnosed with scoliosis. Statistical analysis was performed to compare between patients with and those without scoliosis, and between patients without scoliosis and those with a Cobb angle >20°. RESULTS:The prevalence of scoliosis in patients with RA was 30.7%. The mean Cobb angles were 8.5° ± 7.2° in all the patients, 16.1° ± 8.6° in patients with scoliosis, and 5.1° ± 2.3° in patients without scoliosis. According to a multivariate analysis, the scoliosis-related factors of RA were age and vertebral fracture. Significant differences in age, corticosteroid use, and malalignment of lower limbs were observed between patients with a Cobb angle >20° and those without scoliosis. CONCLUSIONS:With RA treatment, the need for corticosteroid use is reduced and vertebral fracture is prevented. Moreover, the joints and spinal and lower limb alignments should be examined.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Mochizuki T,Yano K,Ikari K,Hiroshima R,Takaoka H,Kawakami K,Koenuma N,Ishibashi M,Shirahata T,Momohara S

doi

10.3109/14397595.2015.1097016

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

352-7

issue

3

eissn

1439-7595

issn

1439-7609

journal_volume

26

pub_type

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