Psychological factors contribute more to chronic low back pain than spine pathology: An LLM-based analysis of radiology reports

Background

Chronic low back pain (cLBP) is the leading global cause of disability, yet anatomical, psychological, and socioeconomic determinants are typically studied in isolation, with limited large-scale integration of imaging and biopsychosocial data. We linked imaging findings with demographic, anthropometric, and biopsychosocial characteristics to determine their relative contributions to cLBP.