Evidence map›Paper›PMID 25155712›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2014

Lumbar spinal stenosis is a highly genetic condition partly mediated by disc degeneration.

Michele C Battié, Alfredo Ortega-Alonso, Riikka Niemelainen, Kevin Gill, Esko Levalahti, Tapio Videman, Jaakko Kaprio

Open access · greenAbstract readTwin Study
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 100% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. A genomic structural equation modelling analysis of the shared genetic architecture of the aging spine.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Article
  4. Surgically treated degenerative cervical spine diseases in twins.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Genetics of Intervertebral Disc Degeneration.Current osteoporosis reports · 2023
    Review
  11. Article
  12. Review
  13. Article
  14. Dimensional changes of cervical and lumbar bony spinal canals in one generation in Western Switzerland: a computed tomography study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017
    Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Michele C BattiéUniversity of Alberta, Faculty of Rehabilitation Medicine, 2-50 Corbett Hall, Edmonton, Alberta T6G 2G4, Canada. mc.battie@ualberta.ca.
Alfredo Ortega-Alonso
Riikka Niemelainen
Kevin Gill
Esko Levalahti
Tapio Videman
Jaakko Kaprio
University of Alberta · CAFinnish Institute for Health and Welfare · FISouthwestern Medical CenterUniversity of Helsinki · FI

Funding

SPINE PATHOLOGY AND LBP DETERMINANTS IN IDENTICAL TWINSR01AR040857 · NIAMS · UNIVERSITY OF WASHINGTON · PI BATTIE, MICHELE C · 1991 to 1993
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NIAMS NIH HHS R01 AR040857NIAMS NIH HHS R01-AR-40857
6 · The paper itself

Abstract

Objective. Lumbar spinal stenosis is one of the most commonly diagnosed spinal disorders in older adults. Although the pathophysiology of the clinical syndrome is not well understood, a narrow central canal or intervertebral foramen is an essential or defining feature. The aim of the present study was to estimate the magnitude of genetic versus environmental influences on central lumbar spinal stenosis and to investigate disc degeneration and stature or bone development as possible genetic pathways.Methods. A classic twin study with multivariate analyses considering lumbar level and other covariates was conducted. The study sample comprised 598 male twins (147 monozygotic and 152 dizygotic pairs), 35-70 years of age, from the population-based Finnish Twin Cohort. The primary phenotypes were central lumbar stenosis as assessed qualitatively on magnetic resonance imaging (MRI) and quantitatively measured dural sac cross-sectional area. Additional phenotypes (to examine possible genetic pathways) included disc bulging and standing height, as an indicator of overall skeletal size or development.Results. The heritability estimate (h²) for qualitatively assessed central lumbar spinal stenosis on MRI was 66.9% (95% confidence interval [95% CI] 56.8,74.5). The broad-sense heritability estimate for dural sac cross-sectional area was 81.2% (95% CI 74.5, 86.1),with a similar magnitude of genetic influences across lumbar levels (h²=72.4–75.6). The additive genetic correlation of quantitatively assessed stenosis and disc bulging was extremely high. There was no indication of shared genetic influences between stenosis and stature.Conclusion. Central lumbar spinal stenosis and associated dural sac dimensions are highly genetic, and disc degeneration (bulging) appears to be one pathway through which genes influence spinal stenosis.

Indexed as

Lumbar VertebraeAdultAgedDiseases in TwinsHumansIntervertebral Disc DegenerationMagnetic Resonance ImagingMaleMiddle AgedMultivariate AnalysisPhenotypeSpinal StenosisTwins, DizygoticTwins, Monozygotic

Identifiers

PMID25155712
PMCPMC4308556
OpenAlexW71145834

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.