Shakeel Ahmad, Syed Hasan Danish, Farah Ahmad, Sahira Naz, Ayesha Tahir, Syed Mohammad Shaheer Ali.
Frequency of Spondylolisthesis among Patients of Chronic Low Back Pain in Karachi.
J Dow Uni Health Sci Jan ;7(3):101-6.

Objective: To assess the frequency of Spondylolisthesis among patients of Chronic Low Back Pain in Karachi Method: This cross sectional study was conducted from April 2012 to December 2012. Patients were selected from four Hospitals consisting of two private and two government tertiary care hospitals. A total of 313 patients confirmed through MRI as suffering from low back pain were selected through purposive sampling technique. Data was analyzed using SPSS version 20 and associations were assessed using chi-square test. Results: Out of the total 313 participants, 211 were diagnosed as suffering from Spondylolisthesis. Middle age group had significant association with spondylolisthesis. Housewives 57% (21) were found to be associated with Grade 3 Spondylolisthesis. Weight had a significant effect on the preponderance of spondylolisthesis as 46.9% (99) obese had these findings on their MRI. Duration of pain greater than 1 year had significant association with spondylolisthesis, 85.3% (180) participants had these findings on their MRI (P value 0.000). Similarly radiating pain was found to be more prevalent in spondylolisthesis as 80.6% (170) participants with spondylolisthesis as their finding complained of radiating pain Conclusion: In our survey majority of patients suffering from chronic low back pain had Spondylolisthesis (67.4%). Future studies should focus on measures that specify the risk factors of Spondylolisthesis and target towards its intervention.

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