Article

OBJECTIVE: To assess the evidence of association between atherosclerosis and low
back pain (LBP). TYPE: Focused systematic review. LITERATURE SURVEY: PubMed, Web
of Science, CINAHL, and EMBASE were searched for original research articles, not
limited by language, from January 1, 1990, to October 31, 2016. METHODOLOGY:
Titles and then abstracts were identified using predefined search terms and
excluded based on lack of relevancy. This was followed by full-text reviews. Two
authors independently assessed methodological quality based on Cochrane Handbook
for Systematic Reviews of Interventions. SYNTHESIS: A total of 26 studies met the
inclusion criteria. The quality of the studies was low to moderate. There was
significant heterogeneity across articles with respect to methodology. There was
insufficient evidence to support an association between ischemia and low back
pain. CONCLUSIONS: The cause of LBP remains poorly understood. Better insight
into how intervertebral disk changes relate to LBP is needed to guide future
research. High-quality prospective studies are needed to answer the question of
whether atherosclerosis is a risk factor for LBP.
LEVEL OF EVIDENCE: II.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS