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|Acquired spinal stenosis develops after birth. It is usually a consequence of tissue destruction (degeneration) caused by an infectious disease or a disease in which the immune system attacks the body's own cells (autoimmune disease).|
It looks like there is a strong connection.
Unless it's congenital (birth defect) the most common cause appear to be RA or similar type conditions.
Looks like acquired SS is strongly related to AI: