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Lumbar spine abnormalities in patients with obstructive sleep apnoea

Tarnoki, Adam Domonkos (author)
Medical Imaging Centre, Semmelweis University, Budapest, Hungary
Tarnoki, David Laszlo (author)
Medical Imaging Centre, Semmelweis University, Budapest, Hungary
Oláh, Csaba (author)
Department of Neurosurgery, Borsod-Abaúj-Zemplén County and University Teaching Hospital, Miskolc, Hungary
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Szily, Marcell (author)
Medical Imaging Centre, Semmelweis University, Budapest, Hungary
Kovacs, Daniel T. (author)
Medical Imaging Centre, Semmelweis University, Budapest, Hungary
Dienes, András (author)
Medical Imaging Centre, Semmelweis University, Budapest, Hungary
Piroska, Marton (author)
Medical Imaging Centre, Semmelweis University, Budapest, Hungary
Forgo, Bianka, 1992- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Radiology
Pinheiro, Marina (author)
Faculty of Health Sciences, Discipline of Physiotherapy, The University of Sydney, Musculoskeletal Health, Sydney, Australia
Ferreira, Paulo (author)
Faculty of Health Sciences, Discipline of Physiotherapy, The University of Sydney, Musculoskeletal Health, Sydney, Australia
Kostyál, László (author)
Department of Neurosurgery, Borsod-Abaúj-Zemplén County and University Teaching Hospital, Miskolc, Hungary
Meszaros, Martina (author)
Department of Pulmonology, Semmelweis University, Budapest, Hungary; Department of Pulmonology, University Hospital Zurich, Zurich, Switzerland
Pako, Judit (author)
National Koranyi Institute for Pulmonology, Budakeszi, Hungary
Kunos, Laszlo (author)
Department of Pulmonology, Semmelweis University, Budapest, Hungary
Bikov, Andras (author)
Department of Pulmonology, Semmelweis University, Budapest, Hungary; Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK; Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK
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 (creator_code:org_t)
2021-08-10
2021
English.
In: Scientific Reports. - : Nature Publishing Group. - 2045-2322. ; 11:1
Related links:
https://doi.org/10.1...
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https://urn.kb.se/re...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Previous studies suggested cervical spondylosis as a risk factor for development of obstructive sleep apnoea (OSA). We aimed to assess lumbar disc degeneration in patients with OSA and correlate the findings with symptoms and disease severity. Twenty-seven patients with OSA and 29 non-OSA controls underwent sleep studies and lumbar magnetic resonance imaging (MRI), and completed the Epworth Sleepiness Scale and the 24-item Roland-Morris Disability Questionnaire (RMDQ) questionnaires. Plasma klotho was determined with enzyme-linked immunosorbent assay. Patients with OSA had higher number of disc bulges (4.6 ± 3.7 vs. 1.7 ± 2.5, p < 0.01) and anterior spondylophytes (2.7 ± 4.2 vs. 0.8 ± 2.1, p < 0.01), increased disc degeneration (total Pfirrmann score 16.7 ± 4.7 vs. 13.2 ± 4.1, p < 0.01) and vertebral fatty degeneration (7.8 ± 4.7 vs. 3.8 ± 3.7, p < 0.01). There was no difference in the RMDQ score (0/0-3.5/ vs. 0/0-1/, p > 0.05). Markers of OSA severity, including the oxygen desaturation index and percentage of total sleep time spent with saturation < 90% as well as plasma levels of klotho were correlated with the number of disc bulges and anterior spondylophytes (all p < 0.05). OSA is associated with lumbar spondylosis. Our study highlights the importance of lumbar imaging in patients with OSA reporting lower back pain.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

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