Pain medicine

Prevalence of and factors associated with stenotic thoracic ligamentum flavum hypertrophy

Reg Anesth Pain MedPublished Retrospective prevalence study

Study context

Population
Pain clinic patients with leg and/or low back pain who had whole-spine MRI, 2010–2019
Participants
1,896 patients
Outcome
Prevalence of stenotic thoracic ligamentum flavum hypertrophy
Methodological detailsMRI review, multivariable logistic regression
  • MRI review
  • Multivariable logistic regression

Main finding

As reported in the abstract

Overall prevalence of stenotic thoracic ligamentum flavum hypertrophy

Overall prevalence (185/1896)

9.8%

Observational data: associations, not effects.

Further findings

Prevalence by age group (highest, ≥80 years)

Prevalence in ≥80-year-old age group (14/88), highest of all age groups
15.9%

Prevalence by thoracic level (highest, T10/11)

Prevalence at T10/11 level (57/1896), highest of all levels
3.0%

Factors associated with stenotic thoracic ligamentum flavum hypertrophy (multivariable logistic regression)

All age groups vs <50-year-old age group significantly associated
P < 0.01
Grade 5 lumbar disc degeneration significantly associated
P = 0.03

Original publication

Prevalence of and factors associated with stenotic thoracic ligamentum flavum hypertrophy. Reg Anesth Pain Med. Published 28 July 2023. doi:10.1136/rapm-2023-104692

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