title: Diabetes Mellitus, a New Risk Factor for Lumbar Spinal Stenosis: A Case-Control Study.
abstract: OBJECTIVE
  This study aimed to determine the prevalence of diabetes mellitus in patients with spinal stenosis and lumbar vertebral disk degeneration, and the correlation of diabetes with these diseases.
  
  
  METHODS
  This is a cross-sectional study.
  
  
  METHODS
  This case-control study was performed during 2012-2014 with 110 patients suffering from lumbar spinal stenosis and 110 patients with lumbar disk herniation, who were diagnosed using clinical and radiological evidences. Additionally, 110 participants who were referred to the clinic and did not show clinical signs of degenerative diseases of the lumbar spine entered the study as a control group. Demographic data and medical histories of the patients were collected using checklists.
  
  
  RESULTS
  A total of 50 patients (15.2%) were diagnosed with diabetes, which comprised 32 (29.1%) in the stenosis group, 7 (6.4%) in the lumbar disk herniation group, and 11 (10%) in the control group. The prevalence of diabetes in women with spinal stenosis and women with lumbar disk herniation was 35.9% and 10.3%, respectively, whereas prevalence of diabetes in women was 10.9% in the control group. This difference was statistically significant in the spinal stenosis group in comparison with the controls (P < 0.0001). Conversely, no significant difference was found in men.
  
  
  CONCLUSIONS
  There is an association between diabetes and lumbar spinal stenosis. Diabetes mellitus may be a predisposing factor for the development of lumbar spinal stenosis.
authors.affiliation: Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Leila
authors.initials: L
authors.lastname: Asadian
authors.affiliation: Assistant Professor, Department of Neurosurgery, Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Kaveh
authors.initials: K
authors.lastname: Haddadi
authors.affiliation: Assistant Professor, Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Aarabi
authors.affiliation: School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Amirhossein
authors.initials: A
authors.lastname: Zare
keywords: diabetes mellitus; lumbar disk herniation; lumbar spinal stenosis; risk factor