Chaput CD, et al. - Two hundred fourteen sequential trauma patients between the ages of 29 and 50 were retrospectively analyzed to examine if truncal obesity is associated with calcifications of the spine in nonelderly adults. Bone formation in the region of the anterior longitudinal ligament and annulus, posterior longitudinal ligament and annulus, and the ligamentum flavum (LF), was examined analyzing full spine computed tomography (CT) imaging. Outcomes revealed an independent correlation of LF calcification with truncal obesity. This suggests a greater role of obesity in calcification than could be accounted for by simply age-related degeneration or gender.