The spine is susceptible to osteoarthritis because of the motion between the vertebrae. It's most common in the lower back, or lumbar spine, because these joints carry most of the body weight.

One-third of patients undergoing surgery for adult spinal deformity (ASD) also have severe osteoarthritis (OA) of the hip—which is associated with worse spinal alignment and physical functioning ...

Patients with vertebral fractures, particularly severe fractures, may face greater risks for worsening spinal degeneration.