The lumbar spinal canal may become narrowed as a result of a congenital defect (developmental stenosis) or following other changes associated with the vertebral column or its related structures (acquired stenosis). Stenosis of the canal may predispose the roots of the cauda equina to pressure or entrapment and consequently cause low back pain. Evidence suggests that the sagittal diameter is probably more frequently involved in stenotic lesions. Measurement of diameters from plain radiographs have been shown to yield valuable diagnostic information. In view of the diversity of shape and sizes in the human lumbar spinal canal, norms are needed for individual populations.In the present study, plain lateral radiographs of 150 male and 150 female adult Saudi subjects were measured. The mean sagittal diameters and standard deviations of lumbar levels L1 to L5 are reported for the first time within this population. A reliable method of delimiting the posterior boundary of the canal has also been described. The pattern of segmental variation of the diameters of the lumbar canal in normal adult Saudis was found to be similar to that in other populations, but the mean diameters were different. Norms of the canal: body ratio were also established for use in rapid evaluation of patients.