Effects of type 1 diabetes mellitus on lumbar disc degeneration: a retrospective study of 118 patients.
J Orthop Surg Res
; 15(1): 280, 2020 Jul 25.
Article
em En
| MEDLINE
| ID: mdl-32711560
ABSTRACT
BACKGROUND:
The study aimed to investigate the correlation between type 1 diabetes (T1D) and lumbar disc degeneration (LDD).METHODS:
A retrospective analysis of 118 patients with T1D recruited from January 2014 to March 2019 was performed, and multivariate logistic regression was used to analyse the incidence of T1D; the age, sex, and body mass index (BMI) of the patients; the disease duration and the glycosylated haemoglobin and venous blood glucose levels. All patients who suffered low back pain were assessed by MRI using the Pfirrmann grading system.RESULTS:
A total of 118 patients with an average age of 36.99 ± 17.01 (8-85 years) were reviewed. The mean hospitalization duration, venous glucose fluctuation range, glycated haemoglobin level, highest venous glucose level, venous glucose level, and disease course duration were 13.98 ± 10.16 days, 14.99 ± 5.87 mmol/L, 9.85 ± 2.52 mmol/L, 25.29 ± 7.92 mmol/L, 13.03 ± 5.75 mmol/L and 7.30 ± 8.41 years. The average Pfirrmann scores of the different discs were 2.20 ± 0.62 (L1-2), 2.35 ± 0.67 (L2-3), 2.90 ± 0.45 (L3-4), 4.20 ± 0.52 (L4-5) and 4.10 ± 0.72 (L5-S1). The patients with T1D showed severe disc degeneration. The male sex, glycosylated haemoglobin, venous glucose and venous glucose fluctuations were significantly associated with LDD (P < 0.05).CONCLUSIONS:
Glycosylated haemoglobin, the male, venous glucose and the venous glucose fluctuation range were risk factors for LDD.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Diabetes Mellitus Tipo 1
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Degeneração do Disco Intervertebral
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Vértebras Lombares
Tipo de estudo:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article