Single-segment central lumbar spinal stenosis: Correlation with lumbar X-ray measurements

J Back Musculoskelet Rehabil. 2021;34(4):581-587. doi: 10.3233/BMR-200051.

Abstract

Background: Lumbar X-rays are usually preferred in patients with lower back pain, but lumbar spinal stenosis (LSS) cannot be directly observed on lumbar X-ray films.

Objective: The purpose of this study is to explore the correlation between the degree of single-segment central LSS and lumbar X-ray measurements.

Methods: The data of 60 male patients aged 39-78 years with single-segment central LSS were analyzed. Linear correlation analysis was used to determine the correlation between the single-segment central LSS and the various measurement parameters. Multiple linear regression analysis was used to analyze the factors affecting single-segment central LSS.

Results: There were significant differences in S1/S0, E, B, L1-5Cobb, and M among the three groups (p< 0.05). S1/S0 was positively correlated with E, B, L1-5Cobb, and M (p< 0.05), but was not correlated with D (p= 0.66). After multiple linear regression analysis, B, L1-5Cobb, and M were independently associated with S1/S0.

Conclusions: The B, L1-5Cobb, and M parameters were independently associated with single-stage central LSS, and would likely be of particular value in evaluating the degree of single-segment central LSS; B, L1-5Cobb, and M served as independent predictors of the degree of LSS. These findings will guide clinicians' decision-making in the future.

Keywords: Lumbar spinal stenosis; dural sac compression; lumbar X-ray; lumbar degenerative disease.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Humans
  • Lumbar Vertebrae / diagnostic imaging*
  • Lumbosacral Region
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Radiography / methods*
  • Spinal Stenosis / diagnostic imaging*