Abstract:
Introduction. Spinal pain is one of the most common health problems. The multiple possible diagnoses
associated with this symptom make it difficult to correctly attribute back pain to a particular disease. This
dilemma requires an organized approach to separate patients with mechanical disorders from those with
rare systemic disorders.
Aim of study. To study the clinical and paraclinical aspects of rheumatic pathologies (PSA, SA, AR, ARe,
OA) regarding the pain syndrome in the cervico-dorso-lumbar spine.
Methods and materials. There were retrospectively studied 1620 patients from the rheumatology and
arthrology department hospitalized between 2019-2020, of which 391 were male and 1229 female patients.
The average age of the subjects included in the study was 53.82 years.
Results. Within SA, 57.05% of patients had diffuse pain along the spine, 30.12% had pain in the cervical
region, 17.30% had pain in the thoracic region. and 86.53% had low back pain. Here the onset of the disease
was mainly at 31.87 years and the first joint affected was 53.20% - the joints from lumbar region. Within
PSA, the presence of pain was with a special predilection in the lumbar spine - 93.51%. The radiological
stage on average was 2.15. In 91.46% of the SPA it manifested itself with cutaneous psoriasis. In the case
of RA, the onset of the disease was on average at the age of 42.16 years, with diffuse pain in the spine
mainly at 55.69%, at the the cervical region - 30.02%, and at the level of the lumbar joints - 61.01% with
an average radiological stage of 2.57. In the case of ARe, the first affected region was the lumbar region in
21.62%, with an onset of the disease at the age of 35.51 years on average, the maximum being 62, with the
presence of pain mainly in the lumbar region - 64.86% and in the cervical region in 45.94%. In OA, 70.32%
had pain in the lumbar region, and 48.51% in the cervical region, with an onset of the disease on average
at the age of 50.03 years, and the first joint affected in 10.98% was the lumbar region.
Conclusion. The region of the spine with the most pronounced pain syndrome is lumbar - 77.77%.
Paraclinical analyzes showed that the highest indices of inflammation were in RA with an average ESR of
18.04, fibrinogen 3.31, PCR 15.95, with an average morning stiffness of 69.51 min, and a radiological stage
of 2.57 on average, FR of 107, and an IFA of 2.65, with lumbar pain in 61.01%.
