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A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders

Author

Listed:
  • Bart N Green
  • Claire D Johnson
  • Scott Haldeman
  • Erin Griffith
  • Michael B Clay
  • Edward J Kane
  • Juan M Castellote
  • Shanmuganathan Rajasekaran
  • Matthew Smuck
  • Eric L Hurwitz
  • Kristi Randhawa
  • Hainan Yu
  • Margareta Nordin

Abstract

Objective: The purpose of this review was to identify risk factors, prognostic factors, and comorbidities associated with common spinal disorders. Methods: A scoping review of the literature of common spinal disorders was performed through September 2016. To identify search terms, we developed 3 terminology groups for case definitions: 1) spinal pain of unknown origin, 2) spinal syndromes, and 3) spinal pathology. We used a comprehensive strategy to search PubMed for meta-analyses and systematic reviews of case-control studies, cohort studies, and randomized controlled trials for risk and prognostic factors and cross-sectional studies describing associations and comorbidities. Results: Of 3,453 candidate papers, 145 met study criteria and were included in this review. Risk factors were reported for group 1: non-specific low back pain (smoking, overweight/obesity, negative recovery expectations), non-specific neck pain (high job demands, monotonous work); group 2: degenerative spinal disease (workers’ compensation claim, degenerative scoliosis), and group 3: spinal tuberculosis (age, imprisonment, previous history of tuberculosis), spinal cord injury (age, accidental injury), vertebral fracture from osteoporosis (type 1 diabetes, certain medications, smoking), and neural tube defects (folic acid deficit, anti-convulsant medications, chlorine, influenza, maternal obesity). A range of comorbidities was identified for spinal disorders. Conclusion: Many associated factors for common spinal disorders identified in this study are modifiable. The most common spinal disorders are co-morbid with general health conditions, but there is a lack of clarity in the literature differentiating which conditions are merely comorbid versus ones that are risk factors. Modifiable risk factors present opportunities for policy, research, and public health prevention efforts on both the individual patient and community levels. Further research into prevention interventions for spinal disorders is needed to address this gap in the literature.

Suggested Citation

  • Bart N Green & Claire D Johnson & Scott Haldeman & Erin Griffith & Michael B Clay & Edward J Kane & Juan M Castellote & Shanmuganathan Rajasekaran & Matthew Smuck & Eric L Hurwitz & Kristi Randhawa & , 2018. "A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-28, June.
    • Handle: RePEc:plo:pone00:0197987
    DOI: 10.1371/journal.pone.0197987
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    References listed on IDEAS

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    1. Susser, M. & Susser, E., 1996. "Choosing a future for epidemiology: I. Eras and paradigms," American Journal of Public Health, American Public Health Association, vol. 86(5), pages 668-673.
    2. Lang, Jessica & Ochsmann, Elke & Kraus, Thomas & Lang, Jonas W.B., 2012. "Psychosocial work stressors as antecedents of musculoskeletal problems: A systematic review and meta-analysis of stability-adjusted longitudinal studies," Social Science & Medicine, Elsevier, vol. 75(7), pages 1163-1174.
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    1. Katie de Luca & Patricia Tavares & Haiou Yang & Eric L. Hurwitz & Bart N. Green & Hannah Dale & Scott Haldeman, 2023. "Spinal Pain, Chronic Health Conditions and Health Behaviors: Data from the 2016–2018 National Health Interview Survey," IJERPH, MDPI, vol. 20(7), pages 1-12, April.
    2. Phillips Edomwonyi Obasohan & Stephen J. Walters & Richard Jacques & Khaled Khatab, 2020. "A Scoping Review of the Risk Factors Associated with Anaemia among Children Under Five Years in Sub-Saharan African Countries," IJERPH, MDPI, vol. 17(23), pages 1-20, November.

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