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Research ArticleLumbar Spine

Chronic Low Back Pain Occurring in Association With Hypermobility Spectrum Disorder and Ehlers-Danlos Syndrome

Kelechi C. Eseonu, Kathy Payne, Stephen Ward, Bahram Fakouri and Jaykar R. Panchmatia
International Journal of Spine Surgery June 2021, 15 (3) 449-457; DOI: https://doi.org/10.14444/8067
Kelechi C. Eseonu
Guy's and St Thomas' Hospitals, London, England
BSC, MSC, MB CHB, FRCS
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Kathy Payne
Guy's and St Thomas' Hospitals, London, England
BSC, MCSP, GRAD DIP AP, MMACP
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Stephen Ward
Guy's and St Thomas' Hospitals, London, England
MBBS, FRCA, FFPMRCA
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Bahram Fakouri
Guy's and St Thomas' Hospitals, London, England
MD, FRCS
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Jaykar R. Panchmatia
Guy's and St Thomas' Hospitals, London, England
MA, MPH, MB BCHIR, FRCS
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    Figure 1

    Two-dimensional variability of joint hypermobility syndrome represented by the vertical (pathogenesis) and horizontal (etiology). Centrally, the relationships between the domains of asymptomatic joint hypermobility and Ehlers-Danlos syndrome. Generalized joint hypermobility and hypermobile Ehlers-Danlos syndrome are highlighted as the closest phenotypes, within the corresponding domains. Abbreviations: EDS, Ehlers-Danlos syndrome (various types); FGDs, functional gastrointestinal disorders; G-HSD, generalized hypermobility spectrum disorder; GJH, generalized joint hypermobility; hEDS, hypermobile Ehlers-Danlos syndrome; JH, joint hypermobility (various types); H-HSD, historical hypermobility spectrum disorder; L-HSD, localized hypermobility spectrum disorder; P-HSD, peripheral hypermobility spectrum disorder; POTS, postural orthostatic tachycardia syndrome.

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    Figure 2

    The Hypermobility Syndromes Association (HMSA)/International Consortium with the Ehlers-Danlos Society Diagnostic Criteria (2017) representing the spectrum of presentations between hypermobility spectrum disorder and JHS/EDS hypermobility type. Abbreviations: EDS, Ehlers-Danlos syndrome; EJHS, joint hypermobility syndrome; HMSA, Hypermobility Syndromes Association.

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    Figure 3

    Panjabi spinal stability system representing the 3 spinal subsystems.

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International Journal of Spine Surgery
Vol. 15, Issue 3
1 Jun 2021
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Chronic Low Back Pain Occurring in Association With Hypermobility Spectrum Disorder and Ehlers-Danlos Syndrome
Kelechi C. Eseonu, Kathy Payne, Stephen Ward, Bahram Fakouri, Jaykar R. Panchmatia
International Journal of Spine Surgery Jun 2021, 15 (3) 449-457; DOI: 10.14444/8067

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Chronic Low Back Pain Occurring in Association With Hypermobility Spectrum Disorder and Ehlers-Danlos Syndrome
Kelechi C. Eseonu, Kathy Payne, Stephen Ward, Bahram Fakouri, Jaykar R. Panchmatia
International Journal of Spine Surgery Jun 2021, 15 (3) 449-457; DOI: 10.14444/8067
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  • Article
    • ABSTRACT
    • BACKGROUND
    • DIAGNOSIS AND SEQUELAE OF HYPERMOBILITY SYNDROMES
    • ASSOCIATION BETWEEN HYPERMOBILITY AND CHRONIC BACK PAIN
    • NEUROPHYSIOLOGIC AND PSYCHIATRIC FEATURES OF hEDS
    • SPINAL BIOMECHANICS, HYPERMOBILITY, AND BACK PAIN
    • CONCLUSIONS
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Keywords

  • joint hypermobility syndrome
  • Ehlers-Danlos syndrome
  • lumbar back pain
  • joint hyperlaxity

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