{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T07:07:11Z","timestamp":1774336031284,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T00:00:00Z","timestamp":1531440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Eur J Clin Investigation"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to compare the prevalence of lumbar spondylolisthesis (<jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content>) in patients suffering from low back pain (<jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content>) with or without rheumatoid arthritis (<jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>) and to identify potential factors associated with <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> in patients with <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a case\u2010control study. Cases and control patients had chronic <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> (more than 4\u00a0weeks). Patient with <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> fulfilled the 2010 <jats:styled-content style=\"fixed-case\">ACR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">EULAR<\/jats:styled-content> criteria. The main outcome was the presence of lumbar <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> on lumbar X\u2010ray. The prevalence of <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> between <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> and control patients was compared using chi\u2010squared test. Potential factors associated with <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> in patients with <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> were investigated by univariate and multivariate analysis, estimating odds ratios (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>s) and 95% confidence intervals (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 67 cases and 83 controls were included. Median [interquartile range] age of patients with <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> was 60.0\u00a0years [51.0\u201072.0]; 80.6% were females; and 92.5% and 83.6% were positive for anti\u2010citrullinated protein antibodies (<jats:styled-content style=\"fixed-case\">ACPA<\/jats:styled-content>s) or rheumatoid factor, respectively. Mean <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> disease duration was 11.2\u00a0\u00b1\u00a08.7\u00a0years. <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> was more frequent in patients with <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> than controls (41.8% versus 18.1%, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.001). Adjusted to gender, <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> was associated with increased prevalence of <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.15 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.48\u20106.70], <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.003). Among patients with <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> SPL<\/jats:styled-content> was mainly Grade 1 (85.7%). Multivariate analysis revealed <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> is associated with increased age in patients with <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.06 [1.02\u20101.11], <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a population of patients with chronic <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content>, the prevalence of lumbar <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> was higher with than without <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">SPL<\/jats:styled-content> might be explained by synovitis of lumbar facet 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