Potential Role of Paraspinal Musculature in the Maintenance of Spinopelvic Alignment in Patients With Adult Spinal Deformities.

Clinical Spine Surgery : a Spine Publication
Marina KatsuHirotaka Haro

Abstract

A retrospective observational study. To (1) compare skeletal muscle mass index (SMI) and the composition of paraspinal muscles between patients with lumbar spinal stenosis (LSS) and adult spinal deformity (ASD) who underwent spinal surgery, (2) determine whether paraspinal muscles influence low back pain in ASD, and (3) ascertain which radiographic spinal parameters of ASD are predominantly influenced by paraspinal muscles. Relative muscle cross-sectional area (rmCSA; total CSA minus intramuscular fat CSA) determined using magnetic resonance imaging (MRI) is useful when evaluating not only muscle volume but also muscle quality. Currently, no study has examined paraspinal muscles using rmCSAs to determine which radiographic spinopelvic parameters identified in patients with severe spinal deformities make them candidates for thoracolumbar corrective surgery. Paraspinal muscle rmCSAs were calculated using preoperative T2-weighted MRIs at the L3/4 axial level. Whole-body bone mineral density and lean, soft tissue mass were measured using dual-energy x-ray absorptiometry. SMI was calculated as appendicular (upper and lower limbs) lean, soft tissue mass (kg/m). Correlations between low back pain according to the Roland-Morris Disabil...Continue Reading

References

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Citations

Jun 4, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jia YinXuhui Zhou
Mar 25, 2020·Spine·Sachika MatsuoYukihiro Nakagawa
Oct 21, 2020·Clinical Orthopaedics and Related Research·Kenny Yat Hong KwanUNKNOWN AO Spine Knowledge Forum Deformity
Sep 6, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Tetsuro OhbaHirotaka Haro

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