The most common and most likely answer to this crossword clue is the 5 plus 2 plus 3 plus 4 letter word SMALL OF THE BACK
S
M
A
L
L
O
F
T
H
E
B
A
C
K
Buddy explains!
The straight part
We know that "lumbar region" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case lumbar region = small of the back.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.