Format

Send to

Choose Destination
Eur Spine J. 2020 Feb 24. doi: 10.1007/s00586-020-06339-1. [Epub ahead of print]

Prevalence of lumbar spinal stenosis in general and clinical populations: a systematic review and meta-analysis.

Author information

1
Department of Sports Science and Clinical Biomechanics, Center for Muscle and Joint Health, University of Southern Denmark, Odense, Denmark. rikkekruger@nikkb.dk.
2
Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark. rikkekruger@nikkb.dk.
3
Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.
4
Department of Diagnostic Imaging, Silkeborg Regional Hospital, Silkeborg, Denmark.
5
Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
6
Department of Sports Science and Clinical Biomechanics, Center for Muscle and Joint Health, University of Southern Denmark, Odense, Denmark.
7
Department of General Practice, Erasmus Medical Centre, Rotterdam, The Netherlands.

Abstract

PURPOSE:

To estimate the prevalence of degenerative lumbar spinal stenosis (LSS) in adults, identified by clinical symptoms and/or radiological criteria.

METHODS:

Systematic review of the literature. Pooled prevalence estimates by care setting and clinical or radiological diagnostic criteria were calculated and plotted [PROSPERO ID: CRD42018109640].

RESULTS:

In total, 41 papers reporting on 55 study samples were included. The overall risk of bias was considered high in two-thirds of the papers. The mean prevalence, based on a clinical diagnosis of LSS in the general population, was 11% (95% CI 4-18%), 25% (95% CI 19-32%) in patients from primary care, 29% (95% CI 22-36%) in patients from secondary care and 39% (95% CI 39-39%) in patients from mixed primary and secondary care. Evaluating the presence of LSS based on radiological diagnosis, the pooled prevalence was 11% (95% CI 5-18%) in the asymptomatic population, 38% (95% CI -‚ÄČ10 to 85%) in the general population, 15% (95% CI 13-18%) in patients from primary care, 32% (95% CI 22-41%) in patients from secondary care and 21% (95% CI 16-26%) in a mixed population from primary and secondary care.

CONCLUSIONS:

The mean prevalence estimates based on clinical diagnoses vary between 11 and 39%, and the estimates based on radiological diagnoses similarly vary between 11 and 38%. The results are based on studies with high risk of bias, and the pooled prevalence estimates should therefore be interpreted with caution. With an growing elderly population, there is a need for future low risk-of-bias research clarifying clinical and radiological diagnostic criteria of lumbar spinal stenosis. These slides can be retrieved under Electronic Supplementary Material.

KEYWORDS:

Lumbar spinal stenosis; MRI; Meta-analysis; Neurogenic claudication; Prevalence; Review

PMID:
32095908
DOI:
10.1007/s00586-020-06339-1

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center