• Amber M Beynon, Jeffrey J Hebert, Darren J Beales, Angela Jacques, and Bruce F Walker.
• Murdoch University, College of Science, Health Engineering and Education, Murdoch, WA, Australia. amber.beynon@murdoch.edu.au.
• Eur Spine J. 2021 Apr 1; 30 (4): 1028-1034.

PurposeTo identify low back pain (LBP) trajectories from early adolescence through to early adulthood and to investigate whether sustained levels of elevated subclinical C-reactive protein (CRP) are linked with these LBP trajectories.MethodsWe analysed longitudinal data from 1513 participants who were enrolled in the Raine Study cohort. Data on LBP with impact on daily living and CRP were collected at the ages of 14, 17, 20, and 22. We constructed group-based trajectory models to identify discrete trajectories of LBP with impact. We then evaluated how the CRP trajectories and the LBP with impact trajectories evolved jointly over time using a multi-trajectory analysis.ResultsThe model identified three LBP trajectories. One subgroup included almost half the participants (46.1%) who had a consistently low probability of LBP. Another subgroup comprising 43.5% of participants had an increasing probability of LBP, while one in ten participants (10.4%) had a decreasing probability of LBP. There were no associations between elevated CRP and LBP trajectory subgroup membership.ConclusionAlthough young people follow distinct trajectories of LBP, CRP trajectories do not appear to be a distinguishing factor of the LBP trajectories. Previously reported associations between CRP and LBP may be explained by comorbidity or other factors. Future studies undertaking trajectory analysis should consider comorbidity clusters.Level Of Evidence IDiagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding.

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