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05-03-2025 | Back Pain | Original Article

Age-related prevalence of radiographic lumbar spondylolisthesis and its associations with low back pain, walking speed, and muscle index: findings from the second survey of the ROAD study

Authors: Satoshi Arita, Yuyu Ishimoto, Hiroshi Hashizume, Keiji Nagata, Masatoshi Teraguchi, Shigeyuki Muraki, Hiroyuki Oka, Masanari Takami, Shunji Tsutsui, Hiroshi Iwasaki, Toshiko Iidaka, Toru Akune, Hiroshi Kawaguchi, Sakae Tanaka, Kozo Nakamura, Munehito Yoshida, Noriko Yoshimura, Hiroshi Yamada, Consortium

Published in: European Spine Journal

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Abstract

Objectives

To determine the prevalence of lumbar spondylolisthesis (LS) and its association with low back pain, walking speed, grip strength, and muscle mass in the general population.

Methods

Participants included 1551 members of the general population from the 2nd ROAD (Research on Osteoarthritis/osteoporosis Against Disability) study conducted in Wakayama Prefecture, Japan, between 2008 and 2010. Lumbar radiography diagnosed LS when the slip was ≥ 3 mm in the lateral views. Logistic regression analysis (adjusted for sex, age, area, and BMI) assessed the association between LS and low back pain, walking speed, grip strength, and appendicular lean mass.

Results

Complete data from 1522 participants (510 men, 1012 women, mean age 65.7 ± 12.2 years) were analyzed. The prevalence of LS increases with age, with an estimated one in five men aged 80 years or older and one in four women aged 70–79 years affected. Logistic regression showed LS was significantly associated with low back pain (OR: 1.36, CI: 1.03–1.80). Walking speed, grip strength, and appendicular lean mass were not significantly associated with LS. The prevalence of LS at any level was 17.4% in the total sample, 13.3% in men, and 19.5% in women (P = 0.005).

Conclusion

LS was prevalent in 17.4% of the general population, with a higher prevalence in women. Patients with LS had more low back pain than those without LS.
Literature
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go back to reference Yoshimura N, Muraki S, Oka H, Mabuchi A, Enyo Y, Yoshida M, Saika A, Yoshida H, Suzuki T, Yamamoto S, Ishibashi H, Kawaguchi H, Nakamura K, Akune T (2009) Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Min Metab 27:620–628. https://doi.org/10.1007/s00774-009-0080-8CrossRef Yoshimura N, Muraki S, Oka H, Mabuchi A, Enyo Y, Yoshida M, Saika A, Yoshida H, Suzuki T, Yamamoto S, Ishibashi H, Kawaguchi H, Nakamura K, Akune T (2009) Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Min Metab 27:620–628. https://​doi.​org/​10.​1007/​s00774-009-0080-8CrossRef
Metadata
Title
Age-related prevalence of radiographic lumbar spondylolisthesis and its associations with low back pain, walking speed, and muscle index: findings from the second survey of the ROAD study
Authors
Satoshi Arita
Yuyu Ishimoto
Hiroshi Hashizume
Keiji Nagata
Masatoshi Teraguchi
Shigeyuki Muraki
Hiroyuki Oka
Masanari Takami
Shunji Tsutsui
Hiroshi Iwasaki
Toshiko Iidaka
Toru Akune
Hiroshi Kawaguchi
Sakae Tanaka
Kozo Nakamura
Munehito Yoshida
Noriko Yoshimura
Hiroshi Yamada
Consortium
Publication date
05-03-2025
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-025-08751-x