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December 1987, Vol 141, No. 12 >
Article | December 1987

Back Pain and Spinal Deformity in Cystic Fibrosis FREE

Jessica Rose, MA, RPT; James Gamble, MD, PhD; Andrew Schultz; Norman Lewiston, MD
[+] Author Affiliations

Accepted for publication Aug 13, 1987.

Reprint requests to Childrens Hospital at Stanford, 520 Sand Hill Rd, Palo Alto, CA 94304 (Dr Gamble).


Am J Dis Child. 1987;141(12):1313-1316. doi:10.1001/archpedi.1987.04460120079039.
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• Back pain is a common complaint of individuals with cystic fibrosis (CF). We studied back pain in our patient population in three ways: a questionnaire, an orthopedic evaluation, and a survey of chest roentgenograms. Fortyseven patients with CF reported back pain as compared with seven controls. Patients with CF showed decreased muscle strength and mobility in the trunk, chest, and shoulders. The incidence of structural kyphosls was only 8.7%, but many had vertebral wedging. Much of the back pain may be due to postural abnormalities or to vertebral wedging, not fixed structural kyphosis.

(AJDC 1987;141:1313-1316)

REFERENCES

1 +
Davis P:  Cystic fibrosis . Semin Respir Med 1985;;6:261-270.
2 +
Rush P, Shore A, Coblentz C, et al:  The musculoskeletal manifestations of cystic fibrosis . Semin Arthritis Rheum 1986;;5:213-225.
3 +
Wagener J, Taussig L, Burrow B, et al:  Comparison and survival patterns between cystic fibrosis and emphysema or chronic bronchitis patients , in Sturgess J (ed): Perspectives in Cystic Fibrosis . Toronto, Canadian Cystic Fibrosis Foundation, 1980;.
4 +
Ransford A, Cairns D, Mooney V:  The pain drawing as an aid to the psychologic evaluation of patients with low-back pain . Spine 1976;;1:127–134.
5 +
American Academy of Orthopaedic Surgeons: Joint Motion, Methods of Measuring and Recording . Chicago, American Academy of Orthopaedic Surgeons, 1965;.
6 +
Daniels L, Worthingham C: Muscle Testing , ed 3. Philadelphia, WB Saunders Co, 1972;.
7 +
Propst-Proctor S, Bleck E:  Radiographic determination of lordosis and kyphosis in normal and scoliotic children . J Pediatr Orthop 1983;; 3:344-346.
8 +
Fon G, Litt A, Thies A:  Thoracic kyphosis: Range in normal subjects . AJR 1980;;134:979–983.
9 +
Hurxthal L:  Measurement of anterior vertebral compressions and biconcave vertebrae . AJR 1968;;103:635-644.
10 +
Brown B, Ward Hollander M: Statistics: A Biomedical Introduction , ed 2. New York, John Wiley & Sons Inc, 1974;, pp 36-281.
11 +
Orenstein D, Henke K, Cerney F:  Exercise and cystic fibrosis . Phys Sport Med 1983;;2:57-63.
12 +
Sutton P, Lopez-Viderios M, Pavia D, et al:  Assessment of percussion, vibratory-shaking, and breathing exercises in chest physiotherapy . Eur J Respir Dis 1985;;66:147-152.
13 +
White AA, Panjab MM: Clinical Biomechanics of the Spine . Philadelphia, JB Lippincott, 1978;, pp 15-21.
14 +
Kelsey J:  Epidemiologist study of the relationship between occupation and acute herniated lumbar intervertebral disc . Int J Epidemiol 1975;;4:197-205.
15 +
Magora A:  Investigation of the relation of low back pain and occupation . Ind Med 1970;; 39:31-37.
16 +
Erkkila J, Warwick W, Bradford D:  Spine deformities and cystic fibrosis . Clin Orthop 1978;;131:146-150.
17 +
Denton J, Tietjen R, Gaerlan P:  Thoracic kyphosis in cystic fibrosis . Clinical Orthop 155:71-79.
18 +
Rose J, Jay S:  Comprehensive exercise program for persons with cystic fibrosis . J Pediatr Nurs 1986;;1:329-339.
19 +
Resnick D, Niwayan G: Diagnosis of Bone and Joint Disorders . Philadelphia, WB Saunders Co, 1981;, vol 2.
20 +
Mischler E, Chesney P, Chesney R, et al:  Demineralization in cystic fibrosis: Detected by direct photon absorption . AJDC 1979;;133:632635.
21 +
Hahn T, Squires A, Halstead L, et al:  Reduced serum 25-hydroxyvitamin D concentration and disordered mineral metabolism in patients with cystic fibrosis . J Pediatr 1979;;94:3842.
22 +
Hanly JG, McKenna MJ, Quidley C, et al:  Hypovitaminosis D and response to supplementation in older patients with cystic fibrosis . Q J Med 1985;;56:377-385.
23 +
Congden JP, Bruce G, Rothburn MM, et al:  Vitamin status in treated patients with cystic fibrosis . Arch Dis Child 1981;;56:708-714.
24 +
Solomons NW, Wagonfeld JB, Riezer C, et al:  Some biochemical indices of nutrition in treated cystic fibrosis patients . Am J Clin Nutr 1981;;34:462-474.
25 +
Bridges M, Katz S:  Isolation and characterization of erythrocyte membrane Ca++ ATP[ill] ase in cystic fibrosis . CF Club Abstracts 1985;;26:226.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Davis P:  Cystic fibrosis . Semin Respir Med 1985;;6:261-270.
2 +
Rush P, Shore A, Coblentz C, et al:  The musculoskeletal manifestations of cystic fibrosis . Semin Arthritis Rheum 1986;;5:213-225.
3 +
Wagener J, Taussig L, Burrow B, et al:  Comparison and survival patterns between cystic fibrosis and emphysema or chronic bronchitis patients , in Sturgess J (ed): Perspectives in Cystic Fibrosis . Toronto, Canadian Cystic Fibrosis Foundation, 1980;.
4 +
Ransford A, Cairns D, Mooney V:  The pain drawing as an aid to the psychologic evaluation of patients with low-back pain . Spine 1976;;1:127–134.
5 +
American Academy of Orthopaedic Surgeons: Joint Motion, Methods of Measuring and Recording . Chicago, American Academy of Orthopaedic Surgeons, 1965;.
6 +
Daniels L, Worthingham C: Muscle Testing , ed 3. Philadelphia, WB Saunders Co, 1972;.
7 +
Propst-Proctor S, Bleck E:  Radiographic determination of lordosis and kyphosis in normal and scoliotic children . J Pediatr Orthop 1983;; 3:344-346.
8 +
Fon G, Litt A, Thies A:  Thoracic kyphosis: Range in normal subjects . AJR 1980;;134:979–983.
9 +
Hurxthal L:  Measurement of anterior vertebral compressions and biconcave vertebrae . AJR 1968;;103:635-644.
10 +
Brown B, Ward Hollander M: Statistics: A Biomedical Introduction , ed 2. New York, John Wiley & Sons Inc, 1974;, pp 36-281.
11 +
Orenstein D, Henke K, Cerney F:  Exercise and cystic fibrosis . Phys Sport Med 1983;;2:57-63.
12 +
Sutton P, Lopez-Viderios M, Pavia D, et al:  Assessment of percussion, vibratory-shaking, and breathing exercises in chest physiotherapy . Eur J Respir Dis 1985;;66:147-152.
13 +
White AA, Panjab MM: Clinical Biomechanics of the Spine . Philadelphia, JB Lippincott, 1978;, pp 15-21.
14 +
Kelsey J:  Epidemiologist study of the relationship between occupation and acute herniated lumbar intervertebral disc . Int J Epidemiol 1975;;4:197-205.
15 +
Magora A:  Investigation of the relation of low back pain and occupation . Ind Med 1970;; 39:31-37.
16 +
Erkkila J, Warwick W, Bradford D:  Spine deformities and cystic fibrosis . Clin Orthop 1978;;131:146-150.
17 +
Denton J, Tietjen R, Gaerlan P:  Thoracic kyphosis in cystic fibrosis . Clinical Orthop 155:71-79.
18 +
Rose J, Jay S:  Comprehensive exercise program for persons with cystic fibrosis . J Pediatr Nurs 1986;;1:329-339.
19 +
Resnick D, Niwayan G: Diagnosis of Bone and Joint Disorders . Philadelphia, WB Saunders Co, 1981;, vol 2.
20 +
Mischler E, Chesney P, Chesney R, et al:  Demineralization in cystic fibrosis: Detected by direct photon absorption . AJDC 1979;;133:632635.
21 +
Hahn T, Squires A, Halstead L, et al:  Reduced serum 25-hydroxyvitamin D concentration and disordered mineral metabolism in patients with cystic fibrosis . J Pediatr 1979;;94:3842.
22 +
Hanly JG, McKenna MJ, Quidley C, et al:  Hypovitaminosis D and response to supplementation in older patients with cystic fibrosis . Q J Med 1985;;56:377-385.
23 +
Congden JP, Bruce G, Rothburn MM, et al:  Vitamin status in treated patients with cystic fibrosis . Arch Dis Child 1981;;56:708-714.
24 +
Solomons NW, Wagonfeld JB, Riezer C, et al:  Some biochemical indices of nutrition in treated cystic fibrosis patients . Am J Clin Nutr 1981;;34:462-474.
25 +
Bridges M, Katz S:  Isolation and characterization of erythrocyte membrane Ca++ ATP[ill] ase in cystic fibrosis . CF Club Abstracts 1985;;26:226.

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