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Evaluation of correlation between degeneration of decrease lumbar paraspinal muscle groups and spinopelvic alignment in sufferers with osteoporotic vertebral compression fracture.
J Again Musculoskelet Rehabil. 2017 Nov 06;30(6):1209-1214
Authors: Li Q, Solar J, Cui X, Jiang Z, Li T
Summary
BACKGROUND: A number of research have pointed that trunk extensors could have an effect on the spinopelvic alignment; nonetheless, little is understood concerning the actual affiliation between degeneration of decrease lumbar paraspinal muscle groups and spinopelvic parameters.
OBJECTIVE: The examine aimed to research the connection between degeneration of decrease lumbar paraspinal muscle groups and spinopelvic alignment in sufferers with osteoporotic vertebral compression fracture (OVCF).
METHODS: Thirty-nine OVCF sufferers have been concerned on this examine. All sufferers underwent a standing lateral radiographs of the complete backbone and pelvis 6 months after kyphoplasty. Pelvic incidence, pelvic tilt, decrease lumbar lordosis (LLL) have been measured. On the MRI photographs, the cross-sectional areas of the erector spinae (ES), multifidus (MF), vertebral physique and the sign depth of ES, MF, subcutaneous fats have been measured. Pearson’s correlation coefficients was utilized to research the correlation between the muscular degeneration diploma (muscular atrophy and fatty infiltration) and spinopelvic parameters.
RESULTS: The fatty change diploma of ES at L4 inferior endplate stage was positively correlated with pelvis retroversion (r= Zero.480, p< Zero.05). The grade of fats infiltration of ES plus MF at L5 stage was negatively associated to LLL (r=-Zero.446, p< Zero.05). The fatty change of ES at L5 stage, atrophy of ES at L4 and L5 stage didn’t correlate with pelvis again tilt. The fats infiltration of ES plus MF at L4 stage, the atrophy diploma of ES plus MF at L4 and L5 stage had no correlation with LLL.
CONCLUSIONS: With the rise of fatty infiltration of the erector spinae, the diploma of pelvis retroversion will increase; the decrease lumbar lordosis decreases with the rise of intramuscular adipose tissue of the erector spinae plus multifidus. The atrophy diploma of the erector spinae and multifidus isn’t correlated with pelvis again tilt and decrease lumbar lordosis.
PMID: 29154265 [PubMed – indexed for MEDLINE]