Association between lumbar intervertebral vacuum phenomenon severity and posterior paraspinal muscle atrophy in patients undergoing spine surgery

被引：2

作者：

Camino-Willhuber, Gaston ^{[1
]}

Schoennagel, Lukas ^{[1
,2
,3
,4
]}

Chiapparelli, Erika ^{[1
]}

Amoroso, Krizia ^{[1
]}

Tani, Soji ^{[1
,5
]}

Caffard, Thomas ^{[1
,6
]}

Arzani, Artine ^{[1
]}

Guven, Ali E. ^{[1
]}

Verna, Bruno ^{[1
]}

Zhu, Jiaqi ^{[7
]}

Shue, Jennifer ^{[1
]}

Zelenty, William D. ^{[1
]}

Sokunbi, Gbolabo ^{[1
]}

Bendersky, Mariana ^{[8
,9
]}

Girardi, Federico P. ^{[1
]}

Sama, Andrew A. ^{[1
]}

Cammisa, Frank P. ^{[1
]}

Hughes, Alexander P. ^{[1
]}

机构：

[1] Weill Cornell Med, Hosp Special Surg, Spine Care Inst, 535 E 70th St, New York, NY 10021 USA

[2] Charite Univ Med Berlin, Ctr Musculoskeletal Surg, Berlin, Germany

[3] Free Univ Berlin, Berlin, Germany

[4] Humboldt Univ, Berlin, Germany

[5] Showa Univ Hosp, Sch Med, Dept Orthopaed Surg, Tokyo, Japan

[6] Univ Ulm, Dept Orthopaed Surg, Ulm, Germany

[7] Hosp Special Surg, Biostat Core, New York, NY USA

[8] Univ Buenos Aires, Sch Med, Normal Anat Dept 3, Buenos Aires, Argentina

[9] Hosp Italiano Buenos Aires, Pediat Neurol Dept, Intraoperat Monitoring, Buenos Aires, Argentina

来源：

EUROPEAN SPINE JOURNAL | 2024年 / 33卷 / 03期

关键词：

Intervertebral vacuum phenomenon; Advanced disc degeneration; Paraspinal muscle atrophy; Sarcopenia; Low back pain; INFILTRATION; RELIABILITY; DISC;

D O I：

10.1007/s00586-023-08120-6

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

PurposeIntervertebral vacuum phenomenon (IVP) and paraspinal muscular atrophy are age-related changes in the lumbar spine. The relationship between both parameters has not been investigated. We aimed to analyze the correlation between IVP and paraspinal muscular atrophy in addition to describing the lumbar vacuum severity (LVS) scale, a new parameter to estimate lumbar degeneration.MethodsWe analyzed patients undergoing spine surgery between 2014 and 2016. IVP severity was assessed utilizing CT scans. The combination of vacuum severity on each lumbar level was used to define the LVS scale, which was classified into mild, moderate and severe. MRIs were used to evaluate paraspinal muscular fatty infiltration of the multifidus and erector spinae. The association of fatty infiltration with the severity of IVP at each lumbar level was assessed with a univariable and multivariable ordinal regression model.ResultsTwo hundred and sixty-seven patients were included in our study (128 females and 139 males) with a mean age of 62.6 years (55.1-71.2). Multivariate analysis adjusted for age, BMI and sex showed positive correlations between LVS-scale severity and fatty infiltration in the multifidus and erector spinae, whereas no correlation was observed in the psoas muscle.ConclusionIVP severity is positively correlated with paraspinal muscular fatty infiltration. This correlation was stronger for the multifidus than the erector spinae. No correlations were observed in the psoas muscle. The lumbar vacuum severity scale was significantly correlated with advanced disc degeneration with vacuum phenomenon.

引用

页码：1013 / 1020

页数：8