a weak trendp = 0.065
Contrastingly, a comparison of the 4PA values between each pair of KL grades for the lumbar spine showed no significant differences, although a weak trend was observed, with KL grade 4 tending to be higher than KL grades 1, 2, and 3 (KL grade 4 vs KL grade 1, p = 0.065; KL grade 4 vs KL grade 2, p = 0.090; KL grade 4 vs KL grade 3, p = 0.091).