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Socioeconomic and Physical Characteristics of Individuals With Degenerative Lumbar Spinal Stenosis

Abbas, Janan MSc*,†; Hamoud, Kamal MD, MCh(Orth); May, Hila MSc*; Peled, Nathan MD§; Sarig, Rachel DMD, PhD*; Stein, Dan MSC*; Alperovitch-Najemson, Deborah PhD*; Hershkovitz, Israel PhD*

Spine:
doi: 10.1097/BRS.0b013e31828a2846
Epidemiology
Abstract

Study Design. A descriptive study of the association between demographic factors, and physical characteristics, and degenerative lumbar spinal stenosis (DLSS).

Objective. To shed light on the association between socioeconomic parameters, physical characteristics, and DLSS.

Summary of Background Data. Lumbar spinal stenosis is a prevalent and disabling condition in the aging population. DLSS is considered to be the most common type and is essentially associated with disc disease, facet joint arthrosis, ligamentum flavum thickening, and osteophyte formation. Although there is ample information regarding the association between body mass index, cardiovascular disorders, smoking habits, and disc disease, very little is known about their association with DLSS. Data on the association of body physique (e.g., height and weight) and DLSS are limited.

Methods. Two sample populations were studied. The first included 165 individuals with DLSS (mean age, 64 ± 9.9 yr) and the second 180 individuals without spinal stenosis related symptoms (mean age, 62.5 ± 12.6 yr). An evaluation of the cross-sectional area of the dural sac and degenerative listhesis for all participants was performed using computed tomographic lumbar spine images, obtained by Philips EBW station (Brilliance 64, Philips Medical System, Cleveland, OH). All participants were interviewed to obtain demographic, physical, and health data. Independent t test, Mann-Whitney and χ2 tests were used to determine the association between parametric and nonparametric variables and DLSS. Logistic regression analysis was carried out to reveal predicting variables for DLSS.

Results. Females with stenosis were significantly heavier and shorter than their counterparts in the control group. We also noticed that they delivered babies more often than those in the control group. Prevalence of individuals experiencing diabetes mellitus was significantly higher in the males with stenosis than control group. In the stenosis group, the frequencies of individuals engaged in heavy manual labor (males) and housekeeping (females) were significantly higher than that of their counterparts in the control group.

Conclusion. Heavy manual labor and diabetes mellitus in males and housekeeping (females) play major roles in the genesis of DLSS.

In Brief

A descriptive study of the association between demographic factors and physical characteristics and degenerative lumbar spinal stenosis (DLSS). Females who underwent stenosis had a higher number of deliveries than the control group. DLSS is a smoking-independent phenomenon. Heavy manual labor and diabetes mellitus in males and housekeeping (females) play major roles in the genesis of DLSS.

Author Information

*Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Department of Physical Therapy, Zefat Academic College, Zefat, Israel

Department of Orthopedic Surgery, Poria Medical Center, Tiberias, Israel; and

§Department of Radiology, Carmel Medical Center, Haifa, Israel.

Address correspondence and reprint requests to Janan Abbas, MSc, Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; E-mail: janan1507@gmail.com

Acknowledgment date: July 18, 2012. First revision date: November 17, 2012. Second revision date: January 10, 2013. Acceptance date: January 28, 2013.

The manuscript submitted does not contain information about medical device(s)/drug(s).

The Dan David Foundation, the Tassia and Dr. Joseph Meychan Chair of History and Philosophy of Medicine, and the Israel Science Foundation (ISF: 1397/08) funds were received to support this work.

No relevant financial activities outside the submitted work.

© 2013 Lippincott Williams & Wilkins, Inc.