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. 2019 Jun 10:2019:3871819.
doi: 10.1155/2019/3871819. eCollection 2019.

Is Lumbosacral Transitional Vertebra Associated with Degenerative Lumbar Spinal Stenosis?

Affiliations

Is Lumbosacral Transitional Vertebra Associated with Degenerative Lumbar Spinal Stenosis?

Janan Abbas et al. Biomed Res Int. .

Abstract

The aim of this study was to shed light on the association between lumbosacral transitional vertebra (LSTV) and degenerative lumbar spinal stenosis (DLSS). A cross-sectional retrospective study was performed on 165 individuals that were diagnosed with clinical picture of DLSS (age range: 40-88 years; sex ratio: 80M/85F) and 180 individuals without DLSS related symptoms (age range: 40-99 years; sex ratio: 90M/90F). All participants had undergone high-resolution CT scan for the lumbar region in the same position. We also used the volume rendering method to obtain three-dimensional CT images of the lumbosacral area. Both males and females in the stenosis group manifest greater prevalence of LSTV than their counterparts in the control group (P<0.001). Furthermore, the presence of LSTV increases the likelihood of degenerative spinal stenosis (odds ratio= 3.741, P<0.001). In the control group, LSTV was more common in males, and sacral slope angle of males was significantly greater in LSTV group compared to non-LSTV. This study indicates that LSTV was significantly associated with symptomatic DLSS.

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Figures

Figure 1
Figure 1
Lumbosacral transitional vertebra as evident in 3-dimensional images: unilateral (left) and bilateral (right) anomalies.
Figure 2
Figure 2
Prevalence (%) of lumbosacral transitional vertebra (LSTV) in the male groups (control vs. stenosis).
Figure 3
Figure 3
Prevalence (%) of lumbosacral transitional vertebra (LSTV) type in the female groups (control vs. stenosis).

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