Significance of paraspinal muscle quality in risk between single and multiple osteoporotic vertebral fractures
Purpose To compare paraspinal muscle quality between patients with single and multiple osteoporotic vertebral fractures (OVFs) and evaluate the role of the paraspinal muscles in OVFs. Methods A total of 262 consecutive patients with OVFs were retrospectively analyzed in two groups: those with single...
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| Veröffentlicht in: | European spine journal 2023-05, Vol.32 (5), p.1763-1770 |
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| creator | Kim, Hong Jin Yang, Jae Hyuk Chang, Dong-Gune Suk, Se-Il Suh, Seung Woo Song, Kwang-Sup Kang, Kyung-Chung Kim, Young-Hoon |
| description | Purpose
To compare paraspinal muscle quality between patients with single and multiple osteoporotic vertebral fractures (OVFs) and evaluate the role of the paraspinal muscles in OVFs.
Methods
A total of 262 consecutive patients with OVFs were retrospectively analyzed in two groups: those with single OVF (n = 173) and those with multiple OVFs (n = 89). The cross-sectional area (CSA) and fatty degeneration of the paraspinal muscles were calculated from axial T2-weighted magnetic resonance imaging at the level of the L4 upper endplate by manual tracing in ImageJ software. Pearson’s correlation analysis was performed to analyze correlations of paraspinal muscle quality to multiple OVFs.
Results
FD in all the paraspinal muscles was significantly higher in the multiple OVF group than the single OVF group (all
p
|
| doi_str_mv | 10.1007/s00586-023-07670-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2792511991</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2817219396</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-edf6e0a7d4dd6ecef15e29845c36183da090a69f591f53af8ed2ec0f1a85421b3</originalsourceid><addsrcrecordid>eNp9kU-PFCEQxYnRuOPqF_BgSLx4aS2ggeZoNv5LNvGgnglDFxPWHugFWrP76UVn1cSDp0qlfu9Vqh4hTxm8ZAD6VQWQkxqAiwG00jDc3iM7Ngo-gBH8PtmBGWFQmpkz8qjWKwAmDaiH5Ewoo7UZ2Y6kT_GQYojeJY80B7q64uoak1vocat-QXq9uSW2GxoTLbF-pXts3xETrTEd-tiluZNLi2tvcm2Y11xyi55-w9JwX7pTKM63rWB9TB4Et1R8clfPyZe3bz5fvB8uP777cPH6cvBCyzbgHBSC0_M4zwo9BiaRm2mUXig2idmBAadMkIYFKVyYcOboITA3yZGzvTgnL06-a8nXG9Zmj7F6XBaXMG_Vcm24ZMwY1tHn_6BXeSv9_k5NTHNmhFGd4ifKl1xrwWDXEo-u3FgG9mca9pSG7WnYX2nY2y56dme97Y84_5H8fn8HxAmofZQOWP7u_o_tD211mGI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2817219396</pqid></control><display><type>article</type><title>Significance of paraspinal muscle quality in risk between single and multiple osteoporotic vertebral fractures</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Kim, Hong Jin ; Yang, Jae Hyuk ; Chang, Dong-Gune ; Suk, Se-Il ; Suh, Seung Woo ; Song, Kwang-Sup ; Kang, Kyung-Chung ; Kim, Young-Hoon</creator><creatorcontrib>Kim, Hong Jin ; Yang, Jae Hyuk ; Chang, Dong-Gune ; Suk, Se-Il ; Suh, Seung Woo ; Song, Kwang-Sup ; Kang, Kyung-Chung ; Kim, Young-Hoon</creatorcontrib><description>Purpose
To compare paraspinal muscle quality between patients with single and multiple osteoporotic vertebral fractures (OVFs) and evaluate the role of the paraspinal muscles in OVFs.
Methods
A total of 262 consecutive patients with OVFs were retrospectively analyzed in two groups: those with single OVF (n = 173) and those with multiple OVFs (n = 89). The cross-sectional area (CSA) and fatty degeneration of the paraspinal muscles were calculated from axial T2-weighted magnetic resonance imaging at the level of the L4 upper endplate by manual tracing in ImageJ software. Pearson’s correlation analysis was performed to analyze correlations of paraspinal muscle quality to multiple OVFs.
Results
FD in all the paraspinal muscles was significantly higher in the multiple OVF group than the single OVF group (all
p
< 0.005). The functional CSA (fCSA) of the paraspinal muscles was significantly lower in the multiple OVF group than the single OVF group (all
P
s < 0.001), except for the erector spine (
p
= 0.304). The Pearson’s correlation analysis showed significant positive inter-correlations for the fCSAs of all the paraspinal muscles and the occurrence of multiple OVFs.
Conclusions
The pure muscle volumes of the multifidus, psoas major, and quadratus lumborum were lower in patients with multiple OVFs than in those with a single OVF. Furthermore, the inter-correlation among all the paraspinal muscles indicate that the muscle-bone crosstalk profoundly existed in vertebral fracture cascade. Therefore, special attention to paraspinal muscle quality is needed to prevent progression to multiple OVFs.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-023-07670-z</identifier><identifier>PMID: 36977941</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Correlation analysis ; Degeneration ; Fractures ; Humans ; Lumbar Vertebrae - injuries ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Medicine ; Medicine & Public Health ; Muscles ; Neurosurgery ; Original Article ; Osteoporosis ; Osteoporotic Fractures - diagnostic imaging ; Paraspinal Muscles - pathology ; Retrospective Studies ; Spinal Fractures - pathology ; Spine ; Surgical Orthopedics ; Vertebrae</subject><ispartof>European spine journal, 2023-05, Vol.32 (5), p.1763-1770</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-edf6e0a7d4dd6ecef15e29845c36183da090a69f591f53af8ed2ec0f1a85421b3</citedby><cites>FETCH-LOGICAL-c375t-edf6e0a7d4dd6ecef15e29845c36183da090a69f591f53af8ed2ec0f1a85421b3</cites><orcidid>0000-0002-9238-8908 ; 0000-0003-2052-3354 ; 0000-0003-1237-4600 ; 0000-0001-6949-6954 ; 0000-0001-6731-1063 ; 0000-0002-1536-4611 ; 0000-0002-8162-9585</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-023-07670-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-023-07670-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36977941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Hong Jin</creatorcontrib><creatorcontrib>Yang, Jae Hyuk</creatorcontrib><creatorcontrib>Chang, Dong-Gune</creatorcontrib><creatorcontrib>Suk, Se-Il</creatorcontrib><creatorcontrib>Suh, Seung Woo</creatorcontrib><creatorcontrib>Song, Kwang-Sup</creatorcontrib><creatorcontrib>Kang, Kyung-Chung</creatorcontrib><creatorcontrib>Kim, Young-Hoon</creatorcontrib><title>Significance of paraspinal muscle quality in risk between single and multiple osteoporotic vertebral fractures</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
To compare paraspinal muscle quality between patients with single and multiple osteoporotic vertebral fractures (OVFs) and evaluate the role of the paraspinal muscles in OVFs.
Methods
A total of 262 consecutive patients with OVFs were retrospectively analyzed in two groups: those with single OVF (n = 173) and those with multiple OVFs (n = 89). The cross-sectional area (CSA) and fatty degeneration of the paraspinal muscles were calculated from axial T2-weighted magnetic resonance imaging at the level of the L4 upper endplate by manual tracing in ImageJ software. Pearson’s correlation analysis was performed to analyze correlations of paraspinal muscle quality to multiple OVFs.
Results
FD in all the paraspinal muscles was significantly higher in the multiple OVF group than the single OVF group (all
p
< 0.005). The functional CSA (fCSA) of the paraspinal muscles was significantly lower in the multiple OVF group than the single OVF group (all
P
s < 0.001), except for the erector spine (
p
= 0.304). The Pearson’s correlation analysis showed significant positive inter-correlations for the fCSAs of all the paraspinal muscles and the occurrence of multiple OVFs.
Conclusions
The pure muscle volumes of the multifidus, psoas major, and quadratus lumborum were lower in patients with multiple OVFs than in those with a single OVF. Furthermore, the inter-correlation among all the paraspinal muscles indicate that the muscle-bone crosstalk profoundly existed in vertebral fracture cascade. Therefore, special attention to paraspinal muscle quality is needed to prevent progression to multiple OVFs.</description><subject>Correlation analysis</subject><subject>Degeneration</subject><subject>Fractures</subject><subject>Humans</subject><subject>Lumbar Vertebrae - injuries</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscles</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Osteoporosis</subject><subject>Osteoporotic Fractures - diagnostic imaging</subject><subject>Paraspinal Muscles - pathology</subject><subject>Retrospective Studies</subject><subject>Spinal Fractures - pathology</subject><subject>Spine</subject><subject>Surgical Orthopedics</subject><subject>Vertebrae</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU-PFCEQxYnRuOPqF_BgSLx4aS2ggeZoNv5LNvGgnglDFxPWHugFWrP76UVn1cSDp0qlfu9Vqh4hTxm8ZAD6VQWQkxqAiwG00jDc3iM7Ngo-gBH8PtmBGWFQmpkz8qjWKwAmDaiH5Ewoo7UZ2Y6kT_GQYojeJY80B7q64uoak1vocat-QXq9uSW2GxoTLbF-pXts3xETrTEd-tiluZNLi2tvcm2Y11xyi55-w9JwX7pTKM63rWB9TB4Et1R8clfPyZe3bz5fvB8uP777cPH6cvBCyzbgHBSC0_M4zwo9BiaRm2mUXig2idmBAadMkIYFKVyYcOboITA3yZGzvTgnL06-a8nXG9Zmj7F6XBaXMG_Vcm24ZMwY1tHn_6BXeSv9_k5NTHNmhFGd4ifKl1xrwWDXEo-u3FgG9mca9pSG7WnYX2nY2y56dme97Y84_5H8fn8HxAmofZQOWP7u_o_tD211mGI</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Kim, Hong Jin</creator><creator>Yang, Jae Hyuk</creator><creator>Chang, Dong-Gune</creator><creator>Suk, Se-Il</creator><creator>Suh, Seung Woo</creator><creator>Song, Kwang-Sup</creator><creator>Kang, Kyung-Chung</creator><creator>Kim, Young-Hoon</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9238-8908</orcidid><orcidid>https://orcid.org/0000-0003-2052-3354</orcidid><orcidid>https://orcid.org/0000-0003-1237-4600</orcidid><orcidid>https://orcid.org/0000-0001-6949-6954</orcidid><orcidid>https://orcid.org/0000-0001-6731-1063</orcidid><orcidid>https://orcid.org/0000-0002-1536-4611</orcidid><orcidid>https://orcid.org/0000-0002-8162-9585</orcidid></search><sort><creationdate>20230501</creationdate><title>Significance of paraspinal muscle quality in risk between single and multiple osteoporotic vertebral fractures</title><author>Kim, Hong Jin ; Yang, Jae Hyuk ; Chang, Dong-Gune ; Suk, Se-Il ; Suh, Seung Woo ; Song, Kwang-Sup ; Kang, Kyung-Chung ; Kim, Young-Hoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-edf6e0a7d4dd6ecef15e29845c36183da090a69f591f53af8ed2ec0f1a85421b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Correlation analysis</topic><topic>Degeneration</topic><topic>Fractures</topic><topic>Humans</topic><topic>Lumbar Vertebrae - injuries</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscles</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Osteoporosis</topic><topic>Osteoporotic Fractures - diagnostic imaging</topic><topic>Paraspinal Muscles - pathology</topic><topic>Retrospective Studies</topic><topic>Spinal Fractures - pathology</topic><topic>Spine</topic><topic>Surgical Orthopedics</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Hong Jin</creatorcontrib><creatorcontrib>Yang, Jae Hyuk</creatorcontrib><creatorcontrib>Chang, Dong-Gune</creatorcontrib><creatorcontrib>Suk, Se-Il</creatorcontrib><creatorcontrib>Suh, Seung Woo</creatorcontrib><creatorcontrib>Song, Kwang-Sup</creatorcontrib><creatorcontrib>Kang, Kyung-Chung</creatorcontrib><creatorcontrib>Kim, Young-Hoon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Hong Jin</au><au>Yang, Jae Hyuk</au><au>Chang, Dong-Gune</au><au>Suk, Se-Il</au><au>Suh, Seung Woo</au><au>Song, Kwang-Sup</au><au>Kang, Kyung-Chung</au><au>Kim, Young-Hoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Significance of paraspinal muscle quality in risk between single and multiple osteoporotic vertebral fractures</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>32</volume><issue>5</issue><spage>1763</spage><epage>1770</epage><pages>1763-1770</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
To compare paraspinal muscle quality between patients with single and multiple osteoporotic vertebral fractures (OVFs) and evaluate the role of the paraspinal muscles in OVFs.
Methods
A total of 262 consecutive patients with OVFs were retrospectively analyzed in two groups: those with single OVF (n = 173) and those with multiple OVFs (n = 89). The cross-sectional area (CSA) and fatty degeneration of the paraspinal muscles were calculated from axial T2-weighted magnetic resonance imaging at the level of the L4 upper endplate by manual tracing in ImageJ software. Pearson’s correlation analysis was performed to analyze correlations of paraspinal muscle quality to multiple OVFs.
Results
FD in all the paraspinal muscles was significantly higher in the multiple OVF group than the single OVF group (all
p
< 0.005). The functional CSA (fCSA) of the paraspinal muscles was significantly lower in the multiple OVF group than the single OVF group (all
P
s < 0.001), except for the erector spine (
p
= 0.304). The Pearson’s correlation analysis showed significant positive inter-correlations for the fCSAs of all the paraspinal muscles and the occurrence of multiple OVFs.
Conclusions
The pure muscle volumes of the multifidus, psoas major, and quadratus lumborum were lower in patients with multiple OVFs than in those with a single OVF. Furthermore, the inter-correlation among all the paraspinal muscles indicate that the muscle-bone crosstalk profoundly existed in vertebral fracture cascade. Therefore, special attention to paraspinal muscle quality is needed to prevent progression to multiple OVFs.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36977941</pmid><doi>10.1007/s00586-023-07670-z</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9238-8908</orcidid><orcidid>https://orcid.org/0000-0003-2052-3354</orcidid><orcidid>https://orcid.org/0000-0003-1237-4600</orcidid><orcidid>https://orcid.org/0000-0001-6949-6954</orcidid><orcidid>https://orcid.org/0000-0001-6731-1063</orcidid><orcidid>https://orcid.org/0000-0002-1536-4611</orcidid><orcidid>https://orcid.org/0000-0002-8162-9585</orcidid></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Correlation analysis Degeneration Fractures Humans Lumbar Vertebrae - injuries Magnetic resonance imaging Magnetic Resonance Imaging - methods Medicine Medicine & Public Health Muscles Neurosurgery Original Article Osteoporosis Osteoporotic Fractures - diagnostic imaging Paraspinal Muscles - pathology Retrospective Studies Spinal Fractures - pathology Spine Surgical Orthopedics Vertebrae |
| title | Significance of paraspinal muscle quality in risk between single and multiple osteoporotic vertebral fractures |
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