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Table 3 Factors associated with presence of symptoms of LSS in patients with radiographic LSS

From: Characteristics and determinants of clinical symptoms in radiographic lumbar spinal stenosis in a tertiary health care centre in sub-Saharan Africa

Parameter

aOR (95% CI)

p value

baOR

p value

Age

1.023 (0.993–1.052)

0.130

1.006 (0.972–1.041)

0.732

Gender (Females)

0.969 (0.465–2.019)

0.932

0.508 (0.199–1.295)

0.156

Family history of CLBP

5.388 (2.404–12.076)

<0.001

3.885 (1.531–9.858)

0.004

Grand multiparity

3.500 (1.238–9.891)

0.018

1.596 (0.435–5.861)

0.481

BMI Class

    

 Normal

Ref.

–

–

–

 Overweight

1.156 (0.426–3.132)

0.776

–

–

 Obese

18.200 (5.551–59.670)

<0.001

–

–

High waist circumference

2.442 (1.151–5.182)

0.020

–

–

Sitting height

0.981 (0.925–1.039)

0.511

1.057 (0.977–1.144)

0.165

Relative sitting height

1.049 (0.130–1.184)

0.434

1.087 (0.934–1.266)

0.279

Radiographic Stenosis

0.991

0.956

 Central

Ref.

–

Ref.

–

 Foraminal

0.949 (0.450–2.001)

0.890

0.871 (0.352–2.153)

0.871

 Lateral

–

0.999

–

0.999

Type of vertebra lesion

0.261

0.800

 None

Ref.

–

Ref

–

 IAJOH

1.692 (0.687–4.167)

0.253

1.404 (0.469–4.202)

0.544

 Osteophytes

0.547 (0.181–1.658)

0.286

0.662 (0.177–2.485)

0.542

 Listhesis

–

0.999

–

0.999

 Tumoral

–

0.999

–

0.999

Vertebra lesion level

 L1

2.113 (0.371–12.021)

0.399

5.703 (0.959–33.911)

0.056

 L2

1.910 (0.434–8.413)

0.392

5.298 (1.131–24.526)

0.034

 L3

3.111 (1.097–8.825)

0.033

6.733 (2.024–22.398)

0.002

 L4

1.902 (0.897–4.033)

0.094

2.980 (1.145–7.757)

0.025

 L5

1.308 (0.563–3.035)

0.532

1.399 (0.494–3.961)

0.527

 Multi-level

1.818 (0.865–3.821)

0.115

3.798 (1.408–10.246)

0.008

Type of disc lesion

0.197

 

0.509

 None

Ref.

–

Ref.

–

 IDD

1.980 (0.614–6.382)

0.253

2.933 (0.732–11.751)

0.129

 IDP

1.833 (0.451–7.454)

0.397

1.596 (0.282–9.039)

0.597

 IDH

2.200 (0.517–9.356)

0.286

3.433 (0.645–18.263)

0.148

 HP

2.200 (0.270–17.924)

0.461

1.244 (0.086–17.912)

0.872

 DDP

4.125 (1.322–12.872)

0.015

4.084 (1.041–16.021)

0.044

 DDH

4.840 (1.326–17.666)

0.017

2.641 (0.532–13.115)

0.235

Disc lesion level

 L1-L2

–

0.999

–

0.999

 L2-L3

7.980 (0.949–67.112)

0.056

9.122 (0.941–88.425)

0.056

 L3-L4

8.486 (2.695–26.722)

<0.001

9.436 (2.497–35.653)

0.001

 L4-L5

3.797 (1.754–8.221)

0.001

3.331 (1.312–8.457)

0.011

 L5-S1

0.782 (0.371–1.648)

0.518

0.592 (0.240–1.462)

0.256

 Multi-level

3.285 (1.524–7.079)

0.002

2.542 (1.016–6.361)

0.046

Ligamentum Flavum hypertrophy

0.841 (0.401–1.766)

0.648

0.708 (0.289–1.735)

0.450

  1. OR odds ratio, aOR adjusted odds ratio, CLBP chronic low back pain, IAJOH inter apophysial joint osteoarthritis and hypertrophy, IDD isolated degenerative disc, IDP isolated disc protrusion, IDH Isolated disc herniation, HP herniation and protrusion, DDP degenerative disc and protrusion, DDH degenerative disc and herniation
  2. aOdds ratio of having symptoms of Lumbar Spinal Stenosis on bivariate analysis
  3. badjusted odds ratio of having symptoms of Lumbar Spinal Stenosis on multivariate analysis, adjusted for BMI class