The Japanese Orthopaedic Association has proposed the term locomotive syndrome (“locomo”) to designate a condition of individuals in high-risk groups with musculoskeletal disease who are highly likely to require nursing care. The specific characteristics of “locomo” must still be determined. The spinal column is a major and important component affected by “locomo,” but no literature has examined the relationship between spinal factors and “locomo.” The current study investigates the influence of spinal factors on “locomo” in the elderly.